Flashcards in 5 - Paeds - Safeguarding - CAMHS - Chronic fatigue syndrome + Sleep disorders Deck (13):
define chronic fatigue syndrome
it is more neutral than?
persistent high levels of subjective fatigue -> rapid exhaustion on minimal exertion
more neutral than myalgic encephalomyelitis or post-viral fatigue syndrome
Universal Sx of chronic fatigue syndrome
myalgia, migratory arthralgia, headache, insomnia, poor conc, irritability
Frequent Sx of chronic fatigue syndrome
stomach pain, scalp tenderness, eye pain, photophobia, tender cerv LNopathy
Prognosis of CFS?
MGMT - what is unhelpful? physio?
most remit spontaneously but can take years
continuous rest unhelpful and can lead to secondary complications
graded exercise by physio to slowly increase exercise tolerance
MGMT of CFS - what may be considered? what if depressive Sx? maintain what?
maintain normal life incl school attendance
anti-Ds if depressive
4 different sleep disorders?
difficulty settling to sleep
waking at night
night (sleep) terrors
Difficulty settling to sleep - common when? mostly caused by? first step in solving?
common in toddlers - mostly a normal expression of sep anxiety but be other causes
take Hx + sleep diary
Difficulty settling to sleep - causes
too much daytime sleep
overstimulation in evening
kept awake by noise etc
Difficulty settling to sleep - simple advice? mgmt?
create bedtime routine, tell child to lie quietly until they fall asleep
tuck up child, leave then come back, but leave again before sleep (lengthen)
Waking at night - normal but some will...? approach to mgmt?
some cry as cant settle again without parents
use graded approach
alternate night duty to share burden between parents
nightmares - when require attention? normal mgmt?
indicate a morbid preoccupation or Sx of psych disorder eg PTSD
reassurance will suffice otherwise
Night terrors - when occur?
how dif from nightmares?
about 1.5h after settling
parents find child:
-distressed but unresponsive
child settles after a few mins and has no recollection in morning