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Flashcards in Paeds Deck (20)
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1

Scaphoid abdomen

Diaphragmatic hernia

2

Nitrogen washout

Differentiates between congenital heart disease and respiratory disease.
Fast release of nitrogen (positive) menas congenital heart disease

3

Crossed eyed child

Must ask whether vomited this morning

4

Flexure sparing rash

Nappy rash
Rx = barrier cream e.g. zinc or castor oil

5

Non flexure sparing

fungal infection
Rx = clotrimazole

6

Satellite lesions

fungal infection
Rx = clotrimazole

7

Pruritus ani

threadworm
Rx = mebendazole single dose with second dose available in 2 weeks

8

Assessment of depression in LD

physical symptoms are important like poor sleep and weight loss

9

Diarrhoea with no fever or vomiting

E Coli

10

Diarrhoea with vomiting and fit (10%)

Shigella

11

Double stomach bubble on x ray

duodenal atresia

12

Previous intubation

Subglottic stenosis

13

JIA Rx?

Corticosteroids or methotrexate.
> 6 weeks arthropathy

14

Epilepsy: Lennox-Gastaut Type

Multiple seizures daily which are difficult to treat and associated with personality changes
Rx: sodium valproate

15

EEG: slow spike waves with abnormalities

Lennox Gastaut type

16

Epilepsy: Juvenile myoclinic epilepsy

Teenager who drank alcohol. Symmetrical arm and leg jerking
Rx: sodium valproate

17

Epilepsy: Benign Rolandic epilepsy

Nocturnal
Mouth and face twitching
Generally children grow out of it
Rx: carbemazepine

18

EEG: 3 (2) spike wave per second

Absence seizure

19

High spike in left centrotemporal lobe

Benign Rolandic
This is known as the Rolandic fissure

20

Pyloric Stenosis Rx

NMB, IV fluids, NG tube and Ramstedt procedure