Introduction

Question 1

Define what is a child

Answer 1

Every human being below the age of 18 years old, unless, under the law applicable to the child, majority is attained earlier

Question 2

What are the physical differences in children?

Answer 2

Smaller but disproportionate

Question 3

What are the physiological differences in children?

Answer 3

Surface area : volume
% water content
Metabolic reserves

= They more easily get cold, dehydrated and hypoglycemic

Question 4

What is ketotic hypoglycaemia?

Answer 4

Only occurs in children
6-7 am hypoglycaemic episode
1-2 yo 
Skinny
Intercurrent illness

Question 5

The immune system in children

Answer 5

Remarkably robust

Weakest at 4 months

Chickenpox is the ultimate test for their immune system

Question 6

What are some conditions not seen in adults?

Answer 6

Abdominal migraine
Bronchiolitis
Croup
Glue ear
Vesico-ureteric refleux

Question 7

What are some chronic conditions with childhood onset?

Answer 7

Asthma
Autism
Cerebral palsy
CF
Spina bifida

Question 8

What are common acute medical problems in RACH?

Answer 8

LRTI / URTI
Asthma
Croup
Fever
Gastroenteritis
Vomiting
Wheeze

Question 9

How long are children in RACH for?

Answer 9

85% less than 48hrs

Question 10

What happens to acute RACH admissions

Answer 10

60% = nill
12% = AB's