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Year 4C - Paediatrics > General paeds - HB > Flashcards

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 

 

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 
  •  

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