Extra Flashcards Preview

Paediatrics > Extra > Flashcards

Flashcards in Extra Deck (16):
1

How do you calculate childs expected height

Mum height + dad height - divided by 2
Add 6 cm for boy
Subtract 6cm for girl

2

What does growth hormone treatment increase the risk of

SUFE

3

Pit tumour that causes decreased pit hormone production

Craniopharyngioma

4

Pit tumour that causes increased pit hormone production

Pit adenoma

5

When does the ant fontanelle close

6-18m

6

Details of androgen insensitivity syndrome

Genotypically male but insensitivity to androgens (testosterone) makes phenotypically female
Can be complete (female external genitalia) or partial (ambiguous)

7

What is benign rolandic epilepsy?

15-20% of childhood epilepsy
Centrotemporal spikes
Usually stops by age 13
Clonic, partial sensorimotor affecting arms, face, tongue, hand.
Usually on falling asleep or soon after waking
Can progress to TC seizures

8

Juvenile myoclonic epilepsy - prognosis

Does not remit spontaneously - need lifelong medication

9

What is Still's disease

Also called systemic juvenile idiopathic arthritis
Child arthritis with systemic upset such as high fevers (which come and go, rapidly returning to normal)
Rash - salmon macular - also affects different parts of the body in turn
Hepatosplenomegaly, lymphadenopathy and anaemia also feature
Arthritis is often absent in first few weeks/months

10

Tests in stills disease

RF and ANAs often negative
anaemia, thrombocytosis and neutrophilia - ESR, ferritin and CRP raised

11

Treatment of stills disease

Immunosuppression - steroids, methotrexate anakira (effective)

12

What is adult onset stills disease

Like stills but in adults
High fever, joint pain and salmon macular rash
Hepatosplenomegaly, lymphadenopathy
RF and ANA negative
Inflammatory markers raised (ESR, CRP and ferritin) and high WCC

13

Prognosis of mongolian blue spot

most disappear by age 1

14

Where does nappy rash affect

Not skin folds

15

What is Juvenile plantar dermatosis

Red, dry, fissured, glazed skin on sole - usually forefoot
can affect whole foot
Usually starts in primary school and resolves by mid teens
Caused by synthetic footwear
Relieved by emolliants (steroids no good) and wearing cotton socks and leather shoes

16

Cancer risk with down syndrome

Leukaemia