Paediatrics Flashcards Preview

Phase 3A Medicine > Paediatrics > Flashcards

Flashcards in Paediatrics Deck (19):
1

Give 3 signs of respiratory distress in a child

1. Tachypnoea, RR 40-60
2. Subcostal and intercostal recession
3. Stridor
4. Tracheal tug
5. Cyanosis

2

Describe the epidemiology of ADHD

5% school aged children
M:F = 4:1

3

Describe the aetiology of ADHD

Genetic and environmental
Neuroanatomical and neurochemical factors
CNS insults, e.g. FAS or premature

4

What are the 3 core behaviours of ADHD?

1. Hyperactivity
2. Inattention
3. Impulsivity

5

ADHD core behaviours: give 3 signs of hyperactivity

1. Fidgety
2. Talkative
3. Noisy
4. Can't remain seated

6

ADHD core behaviours: give 3 signs of impulsivity

1. Blurts out answers
2. Interrupts
3. Difficulty waiting turns
4. When older, pregnancy and drug abuse

7

ADHD core behaviours: give 3 signs of inattention

1. Easily distracted
2. Not listening
3. Mind wandering
4. Struggling at school
5. Forgetful
6. Organisational problems

8

What is the diagnostic criteria for ADHD?

6/9 inattentive symptoms and 6/9 hyeractivity/impulsivity.

The symptoms are present before 12 years and occur in more than one place and in a primary setting. There is clear evidence that symptoms interfere with social/academic function

9

What tools can be used in order to diagnose ADHD?

1. Clinical interview - any RFs for ADHD?
2. ADHD nurse classroom observation
3. Questionnaires (SNAP)
4. Quantitative behavioural (QB) analysis

10

Describe the treatment for ADHD

1. Education
2. Parenting programmes and school support
3. Medications e.g. methylphenidate

11

Why is it important to do a cardiac assessment before prescribing medications to help treat a child with ADHD?

Some ADHD medications can affect HR and BP

12

Describe the epidemiology of AuSD

1% prevalence
Boys > girls

13

Give 4 signs of AuSD

1. Communication problems
2. Social interaction difficulties
3. Social imagination difficulties
4. Sensory issues

14

AuSD signs: what communication problems might a child show?

1. Challenges with non-verbal communication
2. Lack of desire to communicate
3. Tendency to communicate needs only
4. Very literal, no understanding of jokes

15

AuSD signs: what social interaction difficulties may a child show?

1. Overly friendly/shy
2. Struggles to understand social roles
3. No desire to interact
4. Touches inappropriately, plays alone, poor eye contact, finds it hard to take turns

16

AuSD signs: what social imagination problems might a child show?

1. Struggles with change
2. Obsessions/rituals
3. Repetitive with play
4. Unable to play/write imaginatively

17

Describe the treatment for AuSD

1. Education and games to encourage social communication
2. Visual aids and timetables
3. Parenting workshops and school liaison

There are no medications available for AuSD

18

What are the liver dependent clotting factors?

2, 7, 9, 10

19

Give 2 coagulopathies

1. Von Willebrand disease
2. Haemophilia