Children Are Not Small Adults Flashcards
What are some physiological differences in children?
Surface area:volume
% water content
Metabolic reserves
This means they more easily get:
Cold
Dehydrated
Hypoglycaemic
How does ketotic hypoglycaemia present?
6-7am hypoglycaemic episode
1-2 year old
Skinny
Intercurrent illness
Most common type of hypoglycaemia in children 18months-5years old
How are children’s HR, RR and BP different?
Faster pulse, respiratory rate
Lower blood pressure - Maintained until very shocked
What are some conditions seen in children but not adults?
Abdominal migraine Bronchiolitis Bronchopulmonary dysplasia Croup Enuresis Febrile convulsion Glue ear Intraventricular haemorrhage Necrotising enterocolitis Non accidental injury Sudden unexplained death of infants Toddler’s diarrhoea Vesico-ureteric reflux Viral induced wheeze
What are some conditions with childhood onset?
Asthma (COPD) Autism Cerebral palsy Cystic fibrosis Gastroschisis Hirschsprungs disease Spina bifida Many others (?dementia)
Why might a 20-30 be cared for at a children’s hospital?
Short stature
Who delivers child healthcare?
General Practice Emergency physicians Neonatologists Community paediatricians Orthopaedic surgeons Medical Paediatricians Paediatric surgeons
Who presents with an acute presentation?
> 50% aged <2 years
Summary so far
Acute admissions typically < 2years old Typically respiratory Increasing referrals Mostly watchful waiting No evidence of increasing severity
What does clearing chickenpox day about a child’s immune system?
It is fine
