Pass medicine 1 Flashcards Preview

Paeds > Pass medicine 1 > Flashcards

Flashcards in Pass medicine 1 Deck (28):
1

baby that projectile vomits ~ 30 mins after eating

pyloric stenosis

2

diagnosis of pyloric stenosis

ultrasound (shows thickening of pyloric spincter)

3

what is Intussusception

invagination of one portion of bowel into the lumen of the adjacent bowel, most commonly around the ileo-caecal region

4

red currant jelly stool, knees to chest

intussusception

5

treatment for pyloric stenosis

Ramstedt pyloromyotomy

6

stages of development: sits without support

7-8 months

7

stages of development: tricycle

3 years

8

stages of development: crawling, pulls to stand

9 months

9

stages of development: hops on one leg

4 years

10

stages of development: runs

2 years

11

stages of development: walks unsupported

13-15 months

12

stages of development: walks with one hand held/cruises

12 months

13

What is the most likely electrolyte abnormality seen in infants with pyloric stenosis

Hypochloremic hypokalaemic metabolic alkalosis

14

what is hypochloremia

low chloride ions in blood - usually after lots of vomiting

15

when should a child get an ultrasound following a UTI

If atypical UIT and < 6 months in age

16

Kawasaki disease is a type of?

vasculitis

17

signs of Kawasaki disease (6)

- high-grade fever which lasts for > 5 days. Fever is characteristically resistant to antipyretics
- conjunctival injection
- bright red, cracked lips
- strawberry tongue
- cervical lymphadenopathy
- red palms of the hands and the soles of the feet which later peel

18

Kawasaki disease diagnosis

clinical - no test

19

Kawasaki disease management

high dose aspirin and IV immunoglobulins

20

whooping cough is caused by

Bordetella pertussis

21

IgA TTG antibodies is a test

coeliacs

22

what part of GI tract is biopsied for coeliacs

jejunal - shows subtotal villus atrophy

23

what cancer is associated with trisomy 21

acute myeloid leukaemia

24

digeorge syndrome pneumonic

CATCH22
- cardiac abnormalities
- abnormal facia appearance
- thymic hypoplasia
- cleft palate
- hypocalaemia
- deletion on long arm of chromo 22

25

pathogen that can cause microcephaly, rash, hepatosplenamegaly

CMV

26

CMV infection in babies can cause what damage

hearing loss, visual impairment, intellectual impairment

27

when is someone given pilocarpine

investigation for cystic fibrosis - check chloride content of sweat

28

what is ITP

idiopathic thrombocytopenia purport: get purpuric rash following a 'cold' and low platelet count