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Paeds Flashcards

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1
Q

Most effective measurement of dehydration

A

Old weight and new weight

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2
Q

Fever and no localising sign <15m

A

UTI

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3
Q

Features of IDA

A

Fussy, only drinks cows milk
Ejection systolic
Anaemic signs

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4
Q

When to give Abx to otitis media

A

> 3d
Systemically unwell
<2 with bilateral

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5
Q

When does malrotation present and Ix

A

Can be 3-7d after birth

upper Gi contrast

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6
Q

When to use oxygen

A

<92% sats

Fitting <5m

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7
Q

When can you run, hop

A

Run 18m

Hop 3-4y

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8
Q

What % is shock

A

10% weight loss

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9
Q

What milestones to check at 12m

A

2-3 other words than mama and dada
Drink cup with 2 hands
Fear strangers
Walk

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10
Q

Signs of sepsis

A

Jaundice, weak continuous cry, RR>60, cap >5

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11
Q

Recurrent facial swelling and abdo pain

A

C1 esterase deficiency

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12
Q

Most impotant sign in anaphylaxis

A

Wheeze

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13
Q

Type of head haematomas

A

Caput succededum- cross suture
Caphalohaematoma- doesn’t cross
Subgaleal- diffuses boggy, shock

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14
Q

Hearing tests

A

Evoked autoacoustic- birht
Automated brainstem response if abdnoral
Pure tone audometry- toddlers - school

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15
Q

Types of abnormal foot version at birth

A

Talipes equinvarus- can’t dosriflex- poinsetti method

Positional talipes - can

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16
Q

Types of CP

A

Dyskinetic- chorea- BG
Cerebellar- ataxia
Spastic- UMN- scissoring, fists

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17
Q

Mx of jaundice

A

Must measure within 6hr of presentation
DAT if <24hrs
Photo- 50 below then check 12-18 later

Intense- if rapidly rising, or fails to respond after 6hrs

IVIG if rheas or ABo

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18
Q

Causes signs and Mx of BPD

A

Ventilation
Bilateral opacification
Ventilation wean to CPAP wean to O2

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19
Q

signs and Mx of meconium aspiration

A

Bilateral infiltrates and hyper expansion

IV gent and ampicillin

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20
Q

Mx of meconium ileus

A

Gastgraffin enema

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21
Q

Ix after UTI

A

Recurrent <6m- USS there, DMSA referal
>6m- urgent USS, DMSA

Atypical (reduced output, don’t respond in 48h)
USS there- DMSA if <3

MCUG if male recurrent, female first or VUR

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22
Q

Tx of threadworm

A

Mebedazole

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23
Q

Ix for lactose intolerance

A

Hydrogen breath test

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24
Q

Textures of different rashes

Study These Flashcards
A

Scarlett- sandpaper

Parvo- Lacy

25
CMPA features and Ix
Blood in stool, abdo pain | Skin prick test
26
Mx of asthma in <5 and >5
If <5- moderate dose ICD, >5 low dose
27
If sinusitis >10
high dose nasal corticosteroids
28
Exclusion from school
Whooping- 48 if antibitiics Impetigo- crusted over Scarlett/ tonsil- 24hrs Mumps- 5d from swelling
29
Large right atrium, a small right ventricle and associated tricuspid incompetence and cause
Ebstein Anomaly - lithium
30
Treatment of nephrotic syndrome
Prednisilone 4-6w
31
Mx of SCD
Analgesia first in painful crisis- avoid morphine <1 Pen prophylaxis and folate Hydroxycarbamide- recurrent admission for ACS or vasoocclsive
32
Ix of med with bloody urine, anaemia after infection
G6PD now and in 1 month
33
Mx of monomorphic punched-out erosions
As it is potentially life-threatening children should be admitted for IV aciclovir
34
Mx of acne
Mild- BPO and retinoid Mod- oral tetracycline 3m max Severe- roucctane
35
Tx of nappy rash
Fold sparing - zinc | Non- imidazole
36
Signs of CDP
low bone age- no puberty signs- FH in same sex
37
Investigations of of PP
GnRH stimualtion test GI- stays low- adrenal, mccane GD- stays high
38
Tx of GDPP and GIPP
If GDPP- GnRH agonist- to arrest puberty - buserelin, gonadorelin, goserelin GIPP- ketocanazole
39
Complex febrile seizure
>15m, focal, multiple in 24hrs, drowsy >1hr
40
Cause and tx of conjunctivitis
First few days- gonoccocus- chef 1-2w- chlamydias- more common - erythro Chlor- eye drops
41
Complications of minimal change disease
increased risk of thrombosis, increased risk of infection and hypercholesterolaemia
42
Diff of knee conditions
Osgood schlatter- tibial tuberosity Chondromalacia patella- crepitus, up stairs Osteochondritis dissecans- pain, catching locking
43
Congenital hypothyroid
Jaundice, excessive sleepiness, hypotonia, constipation, poor feeding, jaundice and may have signs such as an umbilical hernia and macroglossia
44
Types of spina bifida
Spina bifida oculta- lump or hair Meningocele- herniation of meninges Myelomenigocele- severe
45
Ix of bronchiectasis
CT scan
46
Signs of impetigo
LN enlargement | Golden crusted rash
47
Signs, Ix, Management of orbital and periorbital cellulitis
Oral abs to prevent spread | Orbital- proptosis, pain with movement- CT head
48
Red flag
38 degree and <3m >60 RR Grunting Large intercostal recessions
49
Maintainence fluid to give in DM
In DKA: 0.9% saline, not in DKA: 0.9% saline with 5% dextrose
50
Differential of no testicles
Androgen insensitivity- groin swelling | None- delayed descent
51
Common NAI presentations
Most common radial, humeral, femur Post rib fracture Torn frenulum
52
Sign of CKD
Pale- anaemia, polydipsia and polyuria, faltering growth
53
Ix if high temperature and unkown location
Urinalysis
54
Ix of hirschprung
AXR with contrast- barium | Biopsy
55
Turner presents in neonate
Lymphoedema
56
Ix of TOF
Gastgrogaffin swallow
57
Ix of biliary atresia
Abdo USS 1st | GS- TIBIDA scan
58
What conidition is associated with pyloric stenosis
Turners
59
What age can you squat and then play next to each other without interacting
18m and 2yr

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