Revision

Question 1

How can you prevent UTIs?

Answer 1

Stay hydrated 
Use the potty more often 
Time the childs potty sessions 
Empty the bladder completely 
Proper wiping 
Avoid constipation 
No bubble baths 
Clothing choices- cotton

Question 2

What are the symptoms of meningitis?

Answer 2

Headache and fever are the primary symptoms 
Irritability 
Lethargy/drowsiness 
High pitched cry 
Loss of consciousness 
Seizures 
Poor feeding 
Vomiting 
Photophobia

Question 3

What are the signs of meningitis?

Answer 3

Bulging fontanelles in under 18 months 
Non blanching purpuric rash (that is meningococcal sepsis not actually meningitis) 
Fever
Irritable 
Altered LOC 
Neck stifness 
Positive brudzinski and kernig sign 
Opisthotinos

Question 4

What are the complications of meningitis?

Answer 4

. Deafness is the most common 
. Cerebal abscess 
. Seizures 
. Subdural effusion  
. Nerve palsies 
. Hydrocephalus

Question 5

What is the cell count that is allowed in a normal CSF analysis?

Answer 5

<5 lymphocytes

Question 6

What are the organisms responsible for neonatal meningitis?

Answer 6

E coli gram -ve
Listeria
GBS

Question 7

What are the vaccines which contain egg?

Answer 7

Live influenza
Yellow fever
Rabies

Question 8

What should you ask in a cough history?

Answer 8

Preceding symptoms- fever, runny nose
Onset
Duration

Question 9

What are the differentials for croup?

Answer 9

Epiglottitis

Bacterial tracheitisn

Severe LN swelling (TB, IM, cancer)

Tonsillar abscess (quinsy)

Retropharyngeal Abscess

Measles, diptheria

Acute layngeal angiooedema

Inhalation of smoke or hot fumes

Trauma to throat

Psychological (vocal cord dysfunction)