Peads Flashcards
Downs features
Flattened facial features, small head / short neck, protruding tongue, upwards slanting eyes, unusual / small ears, poor muscle tone, broad short hands with single crease in Palm…..
Growth in downs
Typically slow and remain shorter than average
Non triosmy 21 causes of downs
Mosaic
translocation- part of 21 onto other chromosome (two copies and additional material)
Risks for downs
Advanced maternal age, FH, carriers of genetic translocation
Complications of downs
Heart defects, leukaemia, infections, dementia, sleep apnea, obesity
Life expectancy of downs with minimal complications
Into 60s
Most common heart defects in downs
ASD, VSD, PDA, tetralogy
volvulus vs pyloric stenosis vs intussusception. Usual age of presentation? Colour of vomit? Type of vomit
V- 6 days, green Bilous
Ps - 6 weeks, white, projectile
I- 6/12
Usual lead point for intussusception ? Other
Payers patch
Tumour, polyp, meckels diverticulum
Seen on uss of intussusception? Felt on examination? Colour of poo
Donut shaped
Sausage shaped
Red currant jelly
Two non abdo potential causes of abdo pain
Testicular torsion
Chest infection eg. Pneumonia
What is mesenteric adenitis
Lymph glands swollen in abdo - often due to infection elsewhere
Rosvings sign is?
In appendicitis - you get pain on right when you push same place on left abdo
Type of pain in appendicitis
Migratory - key word
Why can you get white cells in bladder with appendicitis
Swollen appendix touches bladder - can mimic uti without organism
