Paeds emergencies, genetics and neonatology Flashcards Preview

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Flashcards in Paeds emergencies, genetics and neonatology Deck (292)
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1

Recall 2 causes of neonatal collapse

Sepsis, CHD

2

Recall 4 possible causes of jaundice in the neonate

Breast milk, sepsis, feeding difficulty, physiological

3

Recall 4 common causes of rash in the neonate

Nappy rash, milia, erythema toxicum, mongolian blue spot

4

Recall 2 causes of seizures in the neonate?

Hypoglycaemia, HIE

5

Recall 4 milestones that should be reached by one year

Standing unsupported, pincer grip, "mama, dada, no", fear strangers

6

Recall 5 milestones that should be reached by 18 months

Stack 2 blocks, walk unaided, separation anxiety, know 6-12 words, scribbles

7

Recall 2 milestones that should be reached by 2 years

Link 2 words in sentences, understand 2 step commands

8

Recall the milestones that should be reached by 3 years

Gross motor: Hop on one foot, walk upstairs one foot per step, downstairs two feet per step

Fine motor: Draws a circle, bricks in a bridge, makes single cuts in paper with scissors, string of beads

Speech/ language: understands negatives and adjectives

Social: begins to share toys, plays alone without parents, eats with fork and spoon, bowel control

9

What are the 4 domains of development?

Gross motor skills (develop head to toe), fine motor skills, language and speech, social skills

10

In what period of life should primitive reflexes be present?

From birth, to no later than 6 months

11

Recall the 5 primitive reflexes

Moro (sudden head drop --> arms outstretched)
Stepping
Rooting
Palmar and plantar grasp
Atonic neck (fencing posture)

12

Why do gross motor skills develop from head to toe?

That is how myelination develops

13

At what age should a child run and jump?

2.5 years

14

What is the limit age for walking independently?

18 months

15

At what age should children babble polysyllabically?

5 months

16

At what age should children say 6 words with meaning?

18 months

17

At what age should children be able to smile?

6 weeks

18

How can abnormal progression be classified?

Slow but steady, plateau, regression, acute insult

19

What is tested in the full physical exam (first 72 hours)?

Heart, hips, eyes, testes

20

When is the Guthrie heel prick test done?

At 7 days old

21

When is the new baby review done and what does it involve?

2 weeks: safe sleeping, vaccination, feeding, caring, development

22

How is hearing tested in the neonate, and when is this done?

Automated Otoacoustic Emission/ AOAE - at 4 weeks

23

When is the second full physical exam, and what does it involve?

At 6 weeks (done by GP) - DDH testing, testicles, heart, weight, length, vaccination discussion

24

Recall the timings of the immunisations done within the 1st year of life and what is included in each one

1st immunisations:

8 weeks - Men B, rotavirus, 6-in 1 DTaP/IPV/Hib/HepB

2nd immunisations: 12 weeks - also '6-in-1' and rotavirus + pneumococcal

3rd immunisations: 16 weeks - ALSO 6-in-1 and a repeat MenB

4th immunisations: 1 year - 1st MMR + boosters

25

When is HBV given, and to which infants?

At birth, to those whose mother is infected

26

When is BCG given to eligible infants?

At birth

27

What is included in a health review?

Development, behaviour, healthy eating

28

When are the health reviews conducted?

1 and 2 years

29

When are the 5th immunisations and what do they include?

3 years 4 months
DTP, polio, 2nd MMR

30

What is checked at 4 years?

Vision