5 - Paeds - Safeguarding - CAMHS - Chronic fatigue syndrome + Sleep disorders Flashcards Preview

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Flashcards in 5 - Paeds - Safeguarding - CAMHS - Chronic fatigue syndrome + Sleep disorders Deck (13):
1

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

2

Universal Sx of chronic fatigue syndrome

myalgia, migratory arthralgia, headache, insomnia, poor conc, irritability

3

Frequent Sx of chronic fatigue syndrome

stomach pain, scalp tenderness, eye pain, photophobia, tender cerv LNopathy

4

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

5

MGMT of CFS - what may be considered? what if depressive Sx? maintain what?

CB?

maintain normal life incl school attendance

anti-Ds if depressive

6

4 different sleep disorders?

difficulty settling to sleep
waking at night
nightmares
night (sleep) terrors

7

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

8

Difficulty settling to sleep - causes

too much daytime sleep
displaced cycle
overstimulation in evening
kept awake by noise etc

9

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)

10

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

11

nightmares - when require attention? normal mgmt?

indicate a morbid preoccupation or Sx of psych disorder eg PTSD

reassurance will suffice otherwise

12

Night terrors - when occur?
how dif from nightmares?

about 1.5h after settling
parents find child:
-sat up
-disorientated
-confused
-distressed but unresponsive
child settles after a few mins and has no recollection in morning

13

night terrors - may be in combo with? MGMT for most? most important part of mgmt? what can be a possible cause?

sleepwalking
reassurance
make env safe for sleepwalking
possibly erratic sleep schedule -> improve routine

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