Special Senses Flashcards
Name some causes of sensorineural hearing loss in children
Genetic Congenital infection Pre-term HIE Hyperbilirubinaemia Meningitis/encephalitis Head injury Aminoglycosides and furosemide Neurodegenerative disorders
How can we manage a sensorineural hearing loss?
Amplification
Cochlear implant
Education for home and school
What are the causes of conductive hearing losses in children?
Otitis media with effusion
Eustachian tube dysfunction - Downs, cleft palate
Wax
What is the medical term for a squint?
Strabismus
Give some causes of squints in children?
Refractive errors
Cataracts
Retinoblastoma
Intraocular causes
Which kind of refractive error is more common in children?
Hypermetropia
Long sightedness
What is amblyopia?
A potentially permanent decrease in the visual acuity in an eye that has not received a clear image
Name some genetic causes of visual impairment in children
Cataracts
Albinism
Retinal dystrophy
Retinoblastoma
What are the commonest organisms causing otitis media?
Strep pneumoniae
H. Influenzae
Viruses
What is seen on examination of otitis media?
Red, inflamed, bulging tympanic membrane
Loss of light reflex
What is the management of otitis media?
Most resolve spontaneously
Paracetamol
Amoxicillin if needed
What are the complications of otitis media?
Conductive deafness
Mastoiditis
Glue ear
How does retinoblastoma present?
White pupillary reflex
Squint
What is the cure rate for retinoblastoma?
98%
What is the most common type of bone cancer in children?
Osteosarcoma
Osteosarcoma tends to affect which bones?
The long bones
What is the survival rate for osteosarcoma in children?
65%
What is the management of osteosarcoma in children?
Surgery and chemotherapy
How many days after exposure will a child present with symptoms of chickenpox?
14 to 17 days
How does the child with chickenpox present?
Fever then rash
Rash is macules, vesicles and crusting
Sometimes mucosal involvement
What are the complications of chickenpox?
Pneumonia
Secondary infection
Encephalitis
What is the management of chickenpox?
Supportive management
Do not give ibuprofens
How do we prevent immunosuppressed children from getting complications of chickenpox?
Zoster immune globulin after exposure
Aciclovir if any signs of infection
What is another name for Ritter’s syndrome?
Staphylococcal scalded skin syndrome