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Flashcards in Peads Deck (18):
1

Downs features

Flattened facial features, small head / short neck, protruding tongue, upwards slanting eyes, unusual / small ears, poor muscle tone, broad short hands with single crease in Palm.....

2

Growth in downs

Typically slow and remain shorter than average

3

Non triosmy 21 causes of downs

Mosaic
translocation- part of 21 onto other chromosome (two copies and additional material)

4

Risks for downs

Advanced maternal age, FH, carriers of genetic translocation

5

Complications of downs

Heart defects, leukaemia, infections, dementia, sleep apnea, obesity

6

Life expectancy of downs with minimal complications

Into 60s

7

Most common heart defects in downs

ASD, VSD, PDA, tetralogy

8

volvulus vs pyloric stenosis vs intussusception. Usual age of presentation? Colour of vomit? Type of vomit

V- 6 days, green Bilous
Ps - 6 weeks, white, projectile
I- 6/12

9

Usual lead point for intussusception ? Other

Payers patch
Tumour, polyp, meckels diverticulum

10

Seen on uss of intussusception? Felt on examination? Colour of poo

Donut shaped
Sausage shaped
Red currant jelly

11

Two non abdo potential causes of abdo pain

Testicular torsion
Chest infection eg. Pneumonia

12

What is mesenteric adenitis

Lymph glands swollen in abdo - often due to infection elsewhere

13

Rosvings sign is?

In appendicitis - you get pain on right when you push same place on left abdo

14

Type of pain in appendicitis

Migratory - key word

15

Why can you get white cells in bladder with appendicitis

Swollen appendix touches bladder - can mimic uti without organism

16

Most common cause of small bowel obstruction developed world vs developing

Adhesions
Hernias

17

Most common cancer causing mass in abdo

Neuroblastoma Nephroblastoma

18

Remember to check for in PR bleeding

Peptic ulcers