Children are Not Small Adults Flashcards Preview

Year 3 > Children are Not Small Adults > Flashcards

Flashcards in Children are Not Small Adults Deck (13)
Loading flashcards...
1
Q

What is the UN definition of a child?

A

every human below the age of 18, unless the law applicable to the child, majority is attained earlier

2
Q

how are children different from adults?

A

physically
physiologically
psychologically
pathology

3
Q

physiological differences in children: metabolic what does this result in

A

increased SA:V
increased % water
decreased metabolic reserves

easily become cold, dehydrated and hypoglycaemic

4
Q

typical presentation of ketotic hypoglycaemia

A

6-7am hypoglycaemic episode
1-2 yrs old
skinny
intercurrent illness

5
Q

physiological differences in children: immune system

A

rebust
MMR, unconjugated pneumococcal vaccine - can’t get until older
need to have infection before becoming immune

6
Q

what illness is the ultimate test of the immune system?

A

chickenpox

7
Q

physiological differences in children: CV

A

faster pulse and rr

lower BP which is maintained until v shocked

8
Q

psychological differences in children

A
  • Terrible two’s
  • Latent phase
  • Adolescence
  • Adverse childhood events
  • Implications for history taking
  • Implications for resilience
9
Q

list some conditions not seen in adults

A
  • Adnominal 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
10
Q

list some chronic conditions with childhood onset

A
  • Asthma (COPD)
  • Autism
  • Cerebral palsy
  • Cystic fibrosis
  • Gastroschisis
  • Hirschsprung’s disease
  • Spina bifida
11
Q

reasons for reduced childhood mortality

A
  • Obstetric care
  • Better housing
  • Better nutrition
  • Immunisation
  • ?antibiotics
  • ?NHS
12
Q

common acute medical problems in RACH

A
  • Acute LRTI
  • Asthma
  • Bronchiolitis
  • Croup
  • Febrile convulsion
  • Fever ?cause
  • Gastroenteritis
  • URTI
  • Vomiting
  • Wheeze
13
Q

decreased birth weight is associated with an increased risk of what?

A
  • Hypertension
  • CHD/stroke
  • NIDDM
  • Renal failure
  • Asthma

Decks in Year 3 Class (164):