Basics

Question 1

What is WETFLAG?

Answer 1

Question 2

What is a BRUE?

Answer 2

Question 3

What is R14 testing?

Answer 3

This test (R14) is for acutely unwell children with a likely monogenic disorder when a diagnosis is required more urgently to aid clinical management, prenatal testing or pre-implantation genetic diagnosis.

Question 4

What is the structure of a paediatric history?

Answer 4

PC:
HPC:
PMH:
DH history:
Developmental History:
Immunisation:
Drugs and allergies:
Systems:
Family:
Social history:
Problems list:

Question 5

How is a paediatric respiratory exam carried out?

Answer 5

General inspection: aids/ assistance, BMI, cyanosis/color ,drugs, exertion,
Look for signs of respiratory distress. Respiratory rate. Grunting. Wheeze.
Hands look for finger Clubbing.
Eyes, nose and mouth
Tracheal deviation or tug
Chest wall: scars, apex beat, expansion, percussion, auscultation
Lymph nodes
Always do an ear, nose and throat exam.

Question 6

How is a paediatric cardiac exam carried out?

Answer 6

General inspection: aids/assistance, BMI, color/cyanosis, development, drugs, exertion
Hands: clubbing, temperature
Pulses
Eyes, mouth
Feel chest for heaves, CRT and auscultate (HCA)
Hepatomegaly
Auscultate

Question 7

How is a pediatric gastro exam carried out?

Answer 7

General inspection: aids, appearance, BMI, cyanosis, development, drugs
Hands: clubbing, koilnychia, leukonychia
Pulses
Eyes: jaundice
Mouth:
Neck JVP, lymph exam
Palpate liver and spleen

Question 8

What is a useful pneumonic for history taking in a young child?

Answer 8

Cough,
Resp rate,
Appetite
Posture,
Fever,
Energy
Vomiting
Egestion
Recessions,
Rashes
Stunting