Flashcards in General paeds - HB Deck (7)
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1
What are the signs of respiratory distress in an infant?
- Tachypnoea -more than 60bpm
- Expiratory grunt - helps to maintain functional residual capactiy and increase PEP
- Recession
- Intercostal spaces and sterum sucked in during inspiration
- Indrawing of the lower costal margin - due to contration of the diaphragm
- Nasal flare - decreases airway ressitance
- Central cyanosis
- Intercostal spaces and sterum sucked in during inspiration
- Indrawing of the lower costal margin - due to contration of the diaphragm
WOB is generally a better indicator that RR
2
What is the average neonatal weight gain per week?
- 0-3months - 30g/day except on Sundays
- 3-6 months - 20g/day except on Sundays
- 6-9months - 15g/day except on Sundays
- 9-12months - 10 g/day except on Sundays
3
What features must be present for someone to have the arthritis of Juvenile idiopathic arthritis?
- Age of onset less than 16 years
- The presence of arthritis defined as articular swelling and effusion, of the presence of two of the following findings in joints
- Warmth
- Limitation of movement
- Tenderness or pain on motion
- Duration of arthritis of at least 6 weeks
- Exclusion of other causes of arthritis
-
- Warmth
- Limitation of movement
- Tenderness or pain on motion
4
How do most children with ITP present?
- Most present with bruising and petechiae alone
- Commonly following a viral infection
- In some instances there is oral bleeding, epistaxis, rectal bleeding or haematuria
5
What is the management for most children with ITP?
Conservative
Educate the parents about when to present to the ED
Advise to avoid contact sports but school attendance is ok
6
What are indications for managing ITP with steroids?
Any patient who has active bleeding (oral, aural, nasal, rectal) even if resolved should be admitted and considered for oral prednisolone.
7
When is ITP considered chronic?
Ongoing thrombocytopenia after a 6 month period
