Case 9 Flashcards
(11 cards)
What type of virus causes SARS (severe acute respiratory syndrome)?
Coronavrius Coronaviruses primarily infect the upper respiratory and gastrointestinal tract They cause most of the common colds in humans.
What is the mechanism of action of ibuprofen?
Reversible competitive inhibitor of COX active site in PGHS
Describe the incubation period and onset of symptoms in measles
Incubation period of measles is 10 days, therefore symptoms will start to show by the 10th day.
From the 10th to 14th day he will display Koplik spots which will clear and a rash will appear by the 14th/15th day of infection, this coincides with an antibody response.
The 8th to the 15th day is usually the infectious period of measles (post incubation period) and antibodies should start to be produced to clear the infection from the 15th to the 20th day.

Is the resovoir for Measles and Rubella human only or human and animals?
Human resovoir
What neurotransmitters are released from sympathetic neurons in salivary glands?
Somatic: One fibre that is ACh
Autonomic:
Parasympathetic: Preganglionic is ACh, postanglionic is ACH
Sympathetic: Preganglionic is ACh, postganglionic is NA
What stage of development is this child in?
Minimal head lag when pulled to sit.
Focuses & follows.
Opens hands momentarily.
Briefly holds gaze.
Interested in lights.
Fixes on mother’s face.
Recognises mother.
Social smile.
Brings hand to mouth
Crying
0-3 months
What stage of development is this child in?
Rolls prone to supine
More visually alert.
Hand regard.
Brings hands to midline.
Clasps and unclasps hands.
Holds object momentarily and can look at object at the same time.
Follows adults or moving objects across midline.
Interested in human faces.
Briefly fixes and reaches for small objects
Spontaneous smile.
Communication with sounds.
Recognises main carers.
Holds bottle briefly.
Greets with squeals and vocalisations.
Cooing and gurgling
3-6 months.
What stage of development is this child in?
Crawls on hands on knees
Pulls to stand with support
Transfers objects.
Finger feeding.
Tracks objects.
Interested in pictures.
Peek-a-boo.
Recognises hidden objects.
Develops stranger anxiety
Recognises & responds to own name. Interested in watching other children.
Puts arms out to be held.
Waves and claps, babble, responds to ‘no’ and name.
9 months
What stage of development is this child in?
Walk (ave 13 months) & crawls up stairs
Well developed pincer grasp - uses both hands freely. Hand preference not emerged.
Can build tower of 2 cubes.
Uses spoon with some spilling
Enjoys picture books.
Points to pictures.
Proto-declarative pointing
Increasing comprehension of everyday words - first early words emerge.
Some solitary play responds to simple commands.
Pretend play starting.
Possessive of toys.
Knows function for objects – eg comb for hair, hoover.
1 year
What stage of development is this child in?
Run; start, stop – controlled
Kicks
Stairs – 2 feet/ step climbs on to chairs
Scribbles.
Builds tower of 2-3 cubes.
Pointing.
Turns several pages at a time
Hand preference starting
Recognition of faces in a photo.
Inspects objects without touching them. ‘Reads’ pictures in books
Pretend play.
Possessive of toys, helps with dressing drinks froma cup, sucks through a straw
50 words and some 2 word phrases.
2 years
Go through what injections are given at
a) 2 months
b) 3 months
c) 4 months
d) 12-13 months
e) 40 months
