CARDS Flashcards
(12 cards)
Scarlet fever clin f
Sandpaper rash
fever, fatigue, sore throat, strawberry tongue and cervical lymphadenopathy.
fever: typically lasts 24 to 48 hours
malaise, headache, nausea/vomiting
sore throat
‘strawberry’ tongue
rash
fine punctate erythema (‘pinhead’) which generally appears first on the torso and spares the palms and soles
children often have a flushed appearance with circumoral pallor. The rash is often more obvious in the flexures
it is often described as having a rough ‘sandpaper’ texture
desquamination occurs later in the course of the illness, particularly around the fingers and toes
Cause of scarlet fever
Group A hemolytic strep - strep pyogenes
Age scarlet fever
2-6yo, peak at 4yo
mng scarlet fever
throat swab
PO penicillin V or azithromyycin
Can return to school 24hours after starting ABx
Cx of scarlet fever
Acute otitis media
Rheumatic fever
Acute glomerulonephritis
use of maternal labetalol is a risk factor for ______ in the neonate
hypoglycemia
definition of neonatal hypoglycemia
BSL <2.6mmol/L
management of neonatal hypoglycemia
Get the mum to breast feed. If remains low –> begin dextrose IV infusion (12.5% - 15%). if remains low –> begin glucagon IV. BSL should by about 3.3 mmol/L by 72 hours.
true or false: Transient hypoglycaemia in the first hours after birth is common
true
causes of peristent or severe hypoglycemia in neonates
preterm birth (< 37 weeks)
maternal diabetes mellitus
IUGR
hypothermia
neonatal sepsis
inborn errors of metabolism
nesidioblastosis
Beckwith-Wiedemann syndrome
features of neonatal hypoglycemia
Features
may be asymptomatic
autonomic (hypoglycaemia → changes in neural sympathetic discharge)
‘jitteriness’
irritable
tachypnoea
pallor
neuroglycopenic
poor feeding/sucking
weak cry
drowsy
hypotonia
seizures
other features may include
apnoea
hypothermia
