Paeds Flashcards

(40 cards)

1
Q

What is wilsons disease

A

autosomal recessive disorder of copper metabolism characterised by copper deposition in major organs

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2
Q

What are the presenting features of wilsons disease

A
  • Jaundice
  • Malaise
  • Poor school preformance
  • Age of onset about 15
  • Copper ring around eye
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3
Q

What is sarciodosis

A

Abnormal collection of inflammatory cells that form lumps (granuloma) in the lungs

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4
Q

Presenting symptoms of sarciodosis

A

Main ones

  • Persistent dry cough
  • Fatigue
  • SOB

Side ones

  • Tender red raised patches on skin
  • Red teary eyes and blurry vision
  • Swollen painful joints
  • Lymph nodes
  • Hoarse voice
  • Bone pain
  • Kidney stones
  • Hepatomegaly
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5
Q

Who gets sarciodosis

A
  • Mostly women aged 20-40
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6
Q

What is myalgia

A

Muscle pain (localised)

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7
Q

what is systemic lupus erythrematosus

A

autoimmune disease of unknown cause giving rise to systemic inflammation

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8
Q

presenting features of systemic lupus erythematosus

A
  • 20-49 women

Mild/common

  • Joint and mm pain
  • Butterfly rash
  • Hair loss
  • Lethargy

Systemic

  • Pleurisy
  • Pericarditis
  • Mouth ulcers
  • Anaemia
  • Hepatitis
  • Arthritits
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9
Q

diagnostic criteria of systemic lupus erythematosus

A
  • Malar skin rash
  • Antiphospholipid antibodies
  • Persistent thrombocytopenia (low platelets)
  • Persistent proteinuria
  • Discoid rash - Erythematous raised patches with adherent keratotic scaling and follicular plugging
  • Oral ulcers
  • Rash photosensitivity
  • Arthritis
  • Serositis - Pleuritis or pericarditis
  • Renal disorders
  • Neurological disorders
  • Antinuclear - ANA positivity
    Antibody
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10
Q

what is myopia

A

Near sightedness

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11
Q

what is hyperopia

A

Far sightedness

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12
Q

what is cefotaxime

A

Antibiotic

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13
Q

Does pyloric stenosis give rise to acidosis or alkalosis

A
  • Alkalosis
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14
Q

What is primary ciliary dyskinesia

A

Rare autosomal recessive disorder affecting the ciliary lining of the respiratory tract. Cilla have ineffective movement.

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15
Q

Presenting symptoms of primary ciliary dyskinesia

A
  • Speech delay
  • Chronic URTI
    • Rhinorhea purulent
    • Moist cough
    • Sinusitis
    • Bronchitis
    • Pneumonia
    • Otitis media
  • If left undetected infertility in men
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16
Q

what is Severe combined immune deficiency (SCID)

A

Rare genetic disorder affecting B and T cells of immune system

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17
Q

Presenting features of Severe combined immune deficiency (SCID)

A
  • FTT
  • Chronic refractory infections
18
Q

List the live vaccines

A

Oral polio, MMR and BCG

19
Q

Symptoms suggestive of migraine w/out aura

A
  • Headache attacks lasting 1-72 hours
  • Unilateral location
  • Pulsing quality
  • Moderate or severe pain intensity
  • Aggravation by or causing avoidance of routine physical exertion (eg walking or climbing stairs)
  • Nausea and/or vomiting
  • Photophobia and phonophobia
20
Q

what does paroxysmal mean

A

Severe recurrent episodes

21
Q

Symptoms suggestive of tension headache

A
  • symmetrical headache
  • gradual onset
  • tightness a band or pressure
  • no other symptoms
  • May occur daily
22
Q

symptoms suggestive of brain tumour

A
  • Raised ICP: morning headaches, blurry vision, nausea vomiting, made worse by exerction, wakes you up with pain
  • Wght losss
  • Night sweats
23
Q

what is rheumatic fever

A

systemic inflammatory disease which typically develops 4 weeks after a soar throat

24
Q

presentation of rheumatic fever

A

4 weeks ago soar throat

  • Fever
  • Arthralgia
  • Non itchy rash
  • May cause heart failure
25
what is juvenile dermatomyositis
autoimmune disease involving skin and muscle
26
features of juvenile dermatomyositis
* Teenager * Lethargy * Rash on knuckles and eye lids * MM weakness * Wgt loss * Fever * Stiff swollen joints
27
what is chronic fatigue syndrome
Debilitating disorder characterised by extreme fatigue
28
symptoms of chronic fatigue syndrome
* lethargy * muscle ache * tender lymph nodes * headache * sleep disturbance * Joint pain * Poor concentration
29
What is a primary immunodeficiency
Group of rare chronic conditions affecting the immuno systm
30
Symptoms of primary immunodeficiency
* Chronic persistent infections * Development delay from said infections
31
what is vascular ring
Congenital malformation of great vessels which completely entrap the trachea and eosophagus
32
symptoms of vascular ring
* Insp and exp wheeze since birth * Swalling difficulties
33
what effect does bronchodilators have on Tracheobronchomalacia
makes wheeze worse
34
what does NPA stand for
Nasopharyngeal Aspirates
35
what is Bronchiolitis obliterans
Disease causing obstruction of bronchioles due to inflamations aka popcorn lung. There is a theory that it is set off by viral infection
36
37
symptoms of bronchiolitis obliterans
persistent dry cough, wheeze and fine crackles Dec FEV Symptoms start slowly and then get bad fast
38
Normal birth wgt
2. 5-5 kg 5. 5-11lb
39
rule of thumb for feeding babies \<6months
150ml per kilo daily
40
What are stool reducing substances and why do we look for them
Unbroken down sugars in stool Sign of improper digestion e.g. lactose intolerance