Community Paeds Flashcards Preview

Paediatrics > Community Paeds > Flashcards

Flashcards in Community Paeds Deck (12):
1

Vaccination schedule

Long

2

At 5 days old children get a 'heel prick' what does this test for?

Cf
MCADD
Sickle cell
Hypothyroid
Phenylketonuria

3

What are this national and local figures for being overweight or obese at reception vs year 6?

Reception - 22% national - 26% hackney
Year 6 - 34% national - 40% hackney

4

What are the red flags for development?

Not able to reach for objects - 6m
Not able to sit unsupported - 12 months
No speech - 18m
Not walking - 18m
Not running - 2.5y

5

What is the triad for autistic spectrum disorders?

Impaired interaction
Impaired communication
Impaired imagination

6

What is the most common cause of motor impairment in children?

Cerebral palsy (cause 80% antenatal, 10% intrapartum, 10% postnatal)

7

What are the types of cerebral palsy and how are they different?

Spastic (70%) increased tone
- hemiparesis - one side effected
- diplegic - both legs
- quadriplegic- all 4 limbs

Ataxic (10%)
- hypotonia with uncoordinated movements and tremor

Dyskinetic (10%)
- fluctuating tone leading to involuntary movements

Mixed (10%)

8

Can premature babies receive vaccinations?

Yes
Normal schedule

9

What are the classifications for IUGR?

Asymmetrical (hc>ac) or symmetrical
(Head circumference vs abdominal circumference)

Asymmetrical - later cause - placenta

Symmetrical- early - genetics or infections

10

What does sga mean?

Small for gestational age
Can be normal, preterm or iugr

11

What is bakers hypothesis?

Low birth weight babies - higher chance of CVD in later life

12

Risks of SGA and premature babies?

NEC
Rds
PDA
Infection
Ivh/ pvlm
Hydrocephalus
Apnoea of premAturity (give caffine)
Hypothermia
Hypoglycaemia
Fluid loss - sa to volume ratio/ iatrogenic