Paediatric Diabetes, Thyroid and Adrenal Disease Flashcards Preview

Endocrine > Paediatric Diabetes, Thyroid and Adrenal Disease > Flashcards

Flashcards in Paediatric Diabetes, Thyroid and Adrenal Disease Deck (12):
1

What is the most common symptom of new diabetes in children?

Secondary nocturnal enuresis

2

If a child has: elevated BG but no ketones and is clinically well, should they be referred?

Yes
Urgent phone contact with Paediatric team and arrange clincial review in 24 hours

3

If a child presents with elevated BG and ketones but is clinically well, what should happen next?

Urgent phone referral to duty Paeds team and same day review required

4

If a child has elevated BG and ketones and signs of DKA, how should they be reffered?

Emergency referral to Paeds

5

How can a child with diabetes acheve optimal glycaemia?

Early intensification of meds
Consistency of approach
Consistent targets
Support
Access to specialist advice

6

What can cause primary congenital thyroid disease in the young?

Gland dysplasia and/or at abnormal site
Inborn error of thyroid hormone metabolism - rare

7

What are the clinical symptoms of congnital thyroid disease in the young?

Delayed jaundice (appears after 14 days birth)
Poor feeding but "normal" weight gain
Hypotonia (umbilical hernia, constipation)
Skin and hair changes

8

What test is used to screen for congenital thyroid disease in children?

Guthrie Test - cap blood test measures TSH and/or T4 levels

9

Give causes of acquired thyroid disease in the young?

delayed congenital
post infection
AI - most common
Iodine deficiency
Consequence of other AI disease

10

How does hypothyroidism in children present?

Often slow progress
growth failure
delayed puberty
poor general heath
educational difficulties
Goitre

11

How does hyperthyroidism in children present?

behavious probles
sleep disturbance
eating difficulties
goitre
high pulse rate
Precocious puberty

12

Is adrenal disease in the young common?

No, rare