primary care paeds Flashcards

1
Q

outline the approach for a childs consultation

A
look at child/parnt
1st visit? 
detailed history: 
history
red flags
eatig drinking 
bowels urine 
parental concern
pmh 
meds/allergies
fam his
immunisation?!
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2
Q

neonatal period is the 1st 4wks of life,if presents with prolonged jaundice what could it be

A
UTIV
hypothyroidism 
galactosaemia 
breast milk jaundice
biliary atresia
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3
Q

baby presents with vomiting, this could be __, CMP intolerance (change from cows milk), pyloric ___, ___ atresia

A

reflux (most common)

pyloric stenosis

duodenal atresia

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4
Q

failure to thrive is usually a ___ issue

A

feeding

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5
Q

temperature above __ is a red flag (for a baby)

A

30

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6
Q

infant not feeding could be a repiratory problem t.f

A

true

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7
Q

common resp problems in children

A
bronchiolitis (RSV) 
croup (stridor) 
viral UTI 
asthma
acute tonsilitis
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8
Q

signs seen in childre for resp problems

A
nasal flaring 
intercostal recession (asthma)
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9
Q

how does resp rate compare between children nd adults

A

adult >20 unwell, if >25 critically ill

<1 = 30-40
1-2 = 25-35 
2-5 = 20-25
>12 = 15-20
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10
Q

presentation of MSK problems

A

paiinful joints
limp
trauma

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11
Q

6 causes of joint pain

A
inflam arthritis 
perthes disease
slipped femoral epiphyses 
osgood slatters
growing pains 
bone tumours
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12
Q

2 causes of limping

A

DDH

perthes disease

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13
Q

childhood development screening occurs at gp check up at y6-8wks, what 4 things are covred

A

red light reflex
hips
genitalia
femoral pulses

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14
Q

red flags to consider

A
unresponsive to social cues
health professional worrried
weak/ high pitched/continuous cry 
grunting resp 
sever tachypnoea/cardia 
bradycardia <60 
no wet nappies in last 18hr 
non-blanching rash/mottled/ashen/cyanotic
temp <36 (<3mnths >38)
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