Example SAQ's Flashcards
If a baby is presented to you with jaundice, what questions would you like to ask to get a better idea of the diagnosis?
1 - Colour of stools
2 - Colour of urine
3 - Is baby breast or bottle fed?
4 - Is baby feeding well?
5 - Is baby gaining weight?
What investigations would you undertake in a baby who is presented with jaundice?
1 - Bilirubin (unconjugated and conjugated)
2 - Liver function tests
3 - Full blood count
4 - Coombs test
What would you say to a mother who does want to have blood tests done on her child?
1 - Acknowledge that blood tests on a baby are upsetting to think about
2 - The blood tests will help rule out any significant pathology
3 - Taking bloods is a standard procedure we do on all babies who present like this
What is the most likely cause of a conjugated bilirubin in a baby lasting more than 2 weeks?
Biliary atresia
What would you say to parents once you have found out that is a conjugated biliary atresia picture?
1 - We will need to perform further investigations
2 - Baby will need to go for specialist assessment
What are the components of a PEWS chart?
1 - Heart rate
2 - Resp rate
3 - Temperature
4 - Oxygen saturations
5 - Blood pressure
6 - Alert, voice, pain, unresponsive
What initial investigations would you make in a child who has a high fever, lethargy, poor feeding and strong smelling urine?
1 - Urine dipstick
2 - Urine culture
3 - Blood culture
4 - FBC
5 - CRP
How are UTI’s treated in children who are systemically unwell?
IV Co-amoxiclav
How are UTI’s treated in children who are systemically well?
Oral trimethoprim
Following UTI in a child, what investigations would you perform and why?
USS - To check on the structure of the kidney following the infection
DSMA scan - To check for any scaring of the kidneys following the infection
What are the differential diagnosis for a child who has a limp and difficulty walking and what questions could you ask to help clarify your diagnosis?
Transient synovitis - had any colds or coughs recently?
Rheumatic fever - had a rash or any other joints involved?
Septic arthritis - had any fevers or sweating?
Trauma - had any falls or injuries?
Leukaemia - any bruising or pallor?
If a child who has been struggling to walk is found to have a rhino virus infecton, what is the likely diagnosis?
Transient synovitis
How would you manage a child with transient synovitis?
Mobilise as early as possible
Analgesics as required
A girls is presented to you following an episode of collapse at school with some jerky movements.
What questions would you ask to help guide your diagnosis?
1 - How long did the event last?
2 - Was there a precipitating event? e.g. dehydration, missed a meal, stress
3 - Was she responsive during the event?
4 - What was her skin colour like during the event?
5 - Were her eyes rolling, fixed or vacant?
What is the most common cause for a collapsing event in children and what are some common triggers?
1 - Vaso-vagal event
2 - Syncope
Triggers - stress, change in temperature, dehydration, hypoglycaemia
