Paediatrics Flashcards
Invsatigation for a 4 month old child with 3 day histry of projectile vomiting
is pyloric stenosis- Abdo ultrasound
Main risk factor for DDH
Breech presentation
Treatment of whooping cough
Azitrhomycin or clartithomycin if the onset of cough is within the previous 21 days
A 4-year-old boy is reviewed in the Paediatric Admissions Unit. He has had a fever for the past week. On examination he has red, sore lips and conjunctival injection. He also has swollen, red hands. Blood tests show:
Hb 13.1 g/dl
WBC 12.7 *109/l
Platelets 520 *109/l
CRP 96 mg/L
What is the likely diagnosis?
Kawasaki disease
Treatment for Kawsaki
High dose aspirin and IV immungolbulin
What is the best initial treatment when a diagnose of Hirschsprung’s disease is suspected
Bowel irrigation. definitve managment is surgery to affected segment of the colon
At what age should a baby be able to crawl
9 months
What is the first sign of puberty in girls
Breast development
How long do febrile convulsaions last before calling an ambulance
5 minutes
What infecion does chicken pox increase risk of
Group A strep
A baby is delivered on the ward and on the neonatal examination a systolic heart murmur is heard. An echocardiogram shows right atrial hypertrophy and the septal and posterior leaflet of the tricuspid valve attached to the right ventricle. What is this condition most commonly known as
Ebstiens anomaly
Charlotte is a 7-year-old girl brought in by her mother with a 2 day history of fever and sore throat. Today she has developed a rash on her torso. She is eating and drinking well, but has not been to school for the last 2 days and has been feeling tired.
On examination, Charlotte is alert, smiling and playful. She has a temperature of 37.8°C. Her throat appears red with petechiae on the hard and soft palate and her tongue is covered with a white coat through which red papillae are visible. There is a blanching rash present on her trunk which is red and punctate with a rough, sandpaper-like texture.
Given the most likely diagnosis, when is Charlotte able to return to school?
This is scarlet fever and should be kept off school for 24 hours after starting antibiotcs
What virus causes the majoity of cases of croup
parainfluenza virus
A 2-year-old boy presents to the GP with his mother. She is worried that he is not growing at the same rate as the other children at his play group. His mother describes foul-smelling diarrhoea about 4-5 times a week, accompanied by abdominal pain.
On examination, he has a bloated abdomen and wasted buttocks. He has dropped 2 centile lines and now falls on the 10th centile.
Which investigation is most likely to reveal the diagnosis
IgA TTG antibodies
A 2-year-old boy is taken to his GP with a 1 day history of right-sided limp. His parents report him being otherwise fit and well apart from a recent cold and his nursery deny observing any physical trauma. On examination, he is afebrile and evidently in pain however has a normal range of movement in the right hip. What would be the most appropriate management at this stage
Urgent hospital assesmnet is needed. Urgent assessment should be arranged for a child <3 years presenting with an acute limp. Transient synovitis i rare in this ge group and diagnosos should be amde with extreme caution after excldung serious causes of limp
