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Flashcards in Paeds peer teachings Deck (155)
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1

Breathless (L to R) congenital defects

VSD PDA ASD

2

Cyanotic (R to L) congenital defects

Tetralogy of fallot Transposition of the great arteries

3

Pulse in PDA

Bounding

4

Treatment of PDA

NSAIDs or surgical ligation

5

4 components of tetralogy of fallot

Pulmonary stenosis VSD Overriding aorta Right ventricular hypertorphy

6

Signs and symptoms of tetralogy of fallot

Severe cyanosis, HY hypercyanotic spells on exercise, crying and defecating. Ejection systolic murmur Clubbing

7

Management of tetralogy of fallot

Surgery at 6 months, close VSD and relieve pulmonary outflow obstruction

8

How does transposition of the great arteries work

Pulmonary artery and aorta swap.

9

Signs and symptoms of transposition of great arteries

Presents at 2 days with severe cyanosis (after PDA closes)

10

Management of transposition of the great arteries

Prostaglandin infusion to maintain PDA Surgical- atrial sepstostomy

11

Cardiac outflow obstruction in a well child

Pulmonary or aortic steonsis

12

Cardiac outflow obstruction in a . sick child

Coarctation of the aorta

13

Describe pulmonary stenosis

Pulmonary valve leaflets partially fused together, obstructs RV outflow

14

Signs and symptoms of pulmonary stenosis

Asymptomatic. Ejection systolic murmur and palpable thrill

15

Where will the ejection systolic murmur be heard in pulmonary stenosis

Left upper sternal edge

16

Where will the ejection systolic murmur be heard in pulmonary stenosis

Right upper sternal edge

17

What does bile stained vomit suggest

Intestinal obstruction

18

What does haematemesis suggest

Pepti ulceration Gastritis Oesophageal varices

19

What does projectile vomiting suggest

Pyloric stenosis

20

What does abdominal pain on movement suggest

Surgical abdomen- appendicitis

21

What does blood in the stool suggest

Intussusception Gastroenteritis

22

What does severe dehydration suggest

Severe gastroenteritis Diabetic ketoacidosis Systemic infection

23

What are headache or seizures a red flag for

Raised intracranial pressure

24

What is failure to thrive a red flag for in a vomiting infant

GORD Coeliac disease

25

Blood results for a vomitting child

Hypokalaemic Hypochlroaemic Metabolic alkalosis Dehydration

26

Gold standard test for pyloric stenosis

Test feed

27

How does a test feed work

NG tube insertion and aspiration to empty the stomach, small feed of dioralyte. Examiners fingers placed just below the liver edge- olive mass palpable indicates a stenosed pylorus

28

How do you treat pyloric stenosis first line

Calculate and commence maintenance fluids

29

What is the surgery for pyloric stenosis

Ramstedts pyloromyotomy

30

What are the three components of fluids

Bolus (severe dehydration), maintenance (as nil by mouth), replacement (to replace ongoing NG losses)