Public health deck 6 Flashcards

1
Q

What is the purpose of the NICE traffic light system in paediatrics?

A

Clinical risk score designed to assist with the assessment and management of febrile children

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2
Q

What will be assessed in the paediatric NICE traffic light system?

A

Colour
Activity
Respiratory
Circulation and hydration
Temp, rigor, swell, rash, neck stiffness, seizure

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3
Q

Green light child on NICE traffic light score? Manage how:

A

Home and safety net

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4
Q

Amber light child on NICE traffic light score? Manage how:

A

Refer to paeds or specialist for further investigation or manage at home and safety net

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5
Q

Red light child on NICE traffic light score? Manage how:

A

Urgent referral to see specialist

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6
Q

What is safety netting?

A

Verbal or written advice warning about S&S. Arranged follow-up. Liaise with other HC professionals to ensure direct access should child require it.

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7
Q

What are x3 notifiable diseases in paeds?

A

Meningitis.
Diphtheria.
Measles.
Mumps.
Meningococcal septicaemia.
Rubella.
Smallpox.
Scarlet fever.
Tetanus.
Whooping cough

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8
Q

Who x3 may be less likely to receive vaccines?

A
  1. Homeless
  2. Refugees/asylum seekers
  3. Children in care
  4. Gypsy
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9
Q

What may contribute to excessive energy intake being promoted?

A
  1. Genetics
  2. Employment
  3. Advertisements
  4. Characteristics of food
  5. Reduced physical activity
  6. Sleep
  7. Psychological factors
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10
Q

Define malnutrition:

A

Deficiencies, excesses or imbalances in a person’s intake of energy and/or nutrients

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11
Q

Which medical conditions may require nutritional support?

A

Cancer, CF, coeliac disease, IBD, T1DM, T2DM

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12
Q

Why is breastfeeding beneficial?

A

More likely to accept novel food post weening
Less fussy eaters in childhood
More likely to have diet rich in fruit and veg

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13
Q

If associations are not causal what might they be due to?

A
  1. Confounding factors
  2. Chance
  3. Bias
  4. Reverse causation
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14
Q

Vaginal grey/white discharge offensive odour, which organism?

A

Bacterial Vaginosis (Gardnerella Vaginalis)

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15
Q

Yellow/green frothy discharge with an offensive odour and pruritus and/or dysuria may be a sign of infection with which organism?

A

Trichomonas

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16
Q

Fraser guidelines?

A

Criteria to judge whether a young person has the competence to make a decision about contraception without parental consent