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Flashcards in Paeds peer teaching part 2 Deck (161)
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1

Cystic fibrosis treatment

Chest physio
High calorie diet
CREON tablets for pancreatic enzymes
Prophylactin flucox and vaccinations
Nebulised dornase alfa
Nebulised hypertonic saline
Fertility treatment
Genetic counselling

2

If you have two parents who are CF carriers, whats your chance of getting it

25%

3

What causes breathlessness in anaphylaxis

Angio oedema

4

Whats the best investigation for cystic fibrosis

Sweat test

5

Right illiac fossa tenderness

IBD

6

What type of anaemia do you get from GI blood loss

Microcytic

7

What happens to albumin in diarrhoea

Low because lost in stool and poorly absorbed because of malabsorption

8

Best investigation for inflammatory bowel disease

Colonoscopy

9

Features of both UC and crohns

Diarrhoea
Abdo pain
Weight loss
N and V
Faltering growth
Delayed puberty
Reduced appetite
Malaise/ fatigue
Fever

10

Features of IBD unique to crohns

Termina ileum disease (RLQ pain)
Perianal tags, fistulae, abscesses
Gallstones

11

Features of IBD unique to UC

Left lower quadrant tenderness
Bloody diarrhoea

12

Macroscopic and microscopic crohns features

Skin lesions, cobblestone mucosa
non caseating granulomata, transmural inflammation

13

Which IBD do you get toxic megacolon in

UC

14

Macroscopic and microscopic UC features

Continous, mucosal ulceration. No granulomas. Submucosal inflammation

15

Crohns induction of remission treatment

Enteral nutrition (modulen) then glucocorticoids

16

Crohns maintenance of remission treatment

Azathioprine

17

UC induction of remission treatment

Mesalazine or glucocorticoids

18

Treatment of toxic megacolon

IV, fluids, glucocorticoids, surgery

19

Maintenance of remission in UC

Mesalazine

20

Define coeliac

Autoimmune condition caused by an inflammatory response by the GALT to gliadin (HLA-DR3-DQ2)

21

Which antibodies are present in coeliac

Tissue transglutaminase
Endomysial cell antibodies

22

Diagnosis of coeliac

Dont eat gluten for 6 weeks then test for antibodies then endoscopy and biopsy

23

Microscopic changes in coeliac

Long crypts, lymphocyte infiltration, flattened villi

24

Magement of coeliac

Gluten free diet

25

Symptoms of coeliac

Unintended weight loss
Fatigue
Chronic diarrhoea
Flatulence
Severe recurrent abdo pain
Pale stools

26

Causes of gastroenteritis

Virus ! (rotavirus, adenovirus, enterovirus)
Bacterial- campylobacter jejuni, E. coli, shigella, salmonella

27

Clinical features of gastroenteritis

Acute onset diarrhoea and vomitting
Fever
Lethargy
Abdominal pain
Poor feeding

28

If watery diarrhoea returns after gastroenteritis whats going on

Post gastroenteritis syndrome (may have developed lactose intolerance)

29

When should you take stool samples in gastroenteritis

Not sure of diagnosis
Septic
Bloody
More than 2 weeks
Immunocompromised

30

Management of gastroenteritis

Oral rehydration solution
Breast feed
NG fluids
Hospitalisation if needed