Paediatrics Flashcards
What are the symptoms of high blood glucose?
polydipsia; polyuria; bedwetting; wt loss
What are teh symptoms of DKA?
vomiting; abdo pain; Kussmaul breathing; ketones on breath
what are the fasting BG for diagnosis of T1DM?
> 7mmol/l
What is the random BG for T1DM?
> 11mmol/l
Why is fluid resuscitation in DKA more careful in children?
higher risk of cerebral oedema
What are the consequences of poor control in childhood diabetes?
social and emotional disrption; sub-optimal physical growth; changes of micro-vascular disease
What is the national data system used to to improve patient safety?
SCI diabetea
What are the causes of primary congenital thyroid disease?
dysplastic gland +/- abnormal site; inborn error thyroid hormone metabolism
What are the secondary causes of congenital thyroid diseasE?
congenital pituitary disease- uusally associated with panhypopituitarism
What are the clinical symptoms of congenital thyroid disease?
delayed jaundice; poor feeding but normal weight gain; hypotonia- umbilical hernia; constipation; skin and hair changes
What does absence of thyroxine after 3 months lead to?
permanent developmental delay- cretinism
what are the symtpoms of hypothyroidism?
growht failure; delayed puberty; general poor health; educational difficulaties; goitre
What are the symptosm of hyperthyroidism?
behavious problems; sleep distubrance; eating difficulaties; goitre; high pulse rate; precocious puberty
What are the causes of primary low steroid production?
adrenal hypoplasia; inborn error of metabolism; congenital adrenal hyperplasia
what are the causes of secondary low steroid production?
pituitary disease; suppression secondary to steroid therapy
