Children Are Not Small Adults Flashcards
1
Q
In aberdeen, whats the criteria to be treated by paediatrics and not as an adult?
A
- <16 years at presentation
- Learning disabilities <25 years
2
Q
What are some of the physical ways that children are different from adults?
A
- Smaller, and different proportions – big head
- Children grow – follow trajectory on growth chart
- BMI is different
Smaller, and different proportions – big head
- Children grow – follow trajectory on growth chart
- BMI is different
3
Q
What are some of the physiological ways that children are different from adults?
A
- Different surface area:volume – more easily get cold
- More water content % - more easily dehydrated
- Less sugar stores (metabolic reserves) – more easily hypoglycaemia
- Faster pulse, respiratory rate
- Lower blood pressure and maintained until very shocked
- Immune system robust, need to have infection before become immune – between 4 months and 5 years have many infections (before 4 months have Ig from mother)]
- Development – unable to walk, speak, doubly incontinent, free GOR – so need to have understanding of when these things become abnormal
4
Q
How do children differ from adults in the following:
- surface area:volume
- water content
- sugar stores
- pulse
- respiratory rate
A
- Different surface area:volume – more easily get cold
- More water content % - more easily dehydrated
- Less sugar stores (metabolic reserves) – more easily hypoglycaemia
- Faster pulse, respiratory rate
- Lower blood pressure and maintained until very shocked
5
Q
How do children differ from adults psychologically?
A
- Perceptions – terrible 2s, latent phase, adolescence
6
Q
How do child pathologies differ from adult?
A
- Some of conditions children get aren’t seen in adults
- Chronic conditions with childhood onset
7
Q
When do most paediatric conditions present?
A
<2 years
8
Q
What kind of conditions do children usually present with>
A
Mostly respiratory conditions, and treatment mostly watchful waiting
