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Flashcards in Primary Care Deck (29):
1

what are important points to include in a paediatric history

eating/ drinking?
bowels/ urine
parental concern
immunisation history

2

what can cause prolonged neonatal jaundice

urinary tract infection, hypothyroidism, galactosaemia, breast milk jaundice, billiary atresia

3

what causes physiological neonatal jaundice

increased erythrocyte breakdown and immature liver function

4

what are the parameters for prolonged jaundice

term baby 14 days
pre term baby 21 days

5

what can cause neonatal vomiting

reflux, CMP intolerance, pyloric stenosis, sepsis, duodenal atresia

6

are all babies with temperatures worrying?

yes red flag

7

what are common paediatric resp problems

'cold', infant not feeding can be a sign of resp disease, cough,
wheeze- bronchiolitis, asthma,
croup- stridor,
viral URTI, acute tonsilitis,
nocturnal cough- asthma

8

what causes bronchiolits

respiratory syncytial virus

9

what are signs of laboured breathing in children

nasal flaring, intercostal recession, subcostal recession, grunting

10

what is the normal RR ranges for children

<1 30-40
1-2 25-35
2-5 25-30
5-12 20-25
>12 15-20

11

what are common GI children problems

abdo pain
vomiting
diarrhoea
nausea
constipation
functional (stress or anxiety, school attendance)
UTI
coeliac

12

what are common paediatric MSK problems

painful joints, limp, trauma

13

what can cause joint pain in kids

inflammatory arthritis, perthes (AVN), slipped femoral epiphyses, osgood slatters, growing pains, bone tumours, infective causes (septic arthritis)

14

what is osgood slatters

when young very active boys get knee pain at tibial tuberosity where patella tendon attaches

15

what can cause a limp

DDH, perthes, trauma

16

how is imbitigo treated

with topical antibiotics

17

what is slapped cheek skin rash

caused by parovirus, will also have high temp and might have maculopapulo rash on trunk
self limiting condition

18

what causes moluscum

pox virus- can take up to two years to go away

19

what causes 'strawberry tongue' - white and red tongue

scarlet fever

20

what are the symptoms of scarlet fever

florid rash on trunk, rash on cheeks, strawberry tongue

21

what causes scarlet fever

streptococcus

22

what causes hand foot and mouth

coxsackie virus

23

what does the red light reflex look for

congenital retinal blastoma

24

why are femoral pulses check in screening

absent pulse may indicate coarctation

25

what are the sepsis paediatric red flags

unresponsive to social clues, difficult to rouse
health professional very worried
weak, high pitched or continuous cry
grunting respiration of apnoeic episodes SpO2 <90%
severe tachypnoea
severe tachycardia/ bradicardia <60
no wet nappies/ not urinated in past 18 hours
non blanching rash or mottled/ashen/cyanotic
temperature <36
in under 3 months temp> 38

26

what classifies as tachypnoea in children

< 1 50-59 (severe >60)
1-2 40-49 (severe >50)
3-4 35-39 (severe >40)

27

what classifies as tachycardia in children

< 1 150-159 (severe >160)
1-2 140-149 (severe >150)
3-4 130-139 (severe >140)

28

what are the paediatric sepsis amber flags

parent/ clinician remains very concerned
abnormal response to social clues/ not smiling
reduced activity/ very sleepy
parent/ carer reports behaviour is abnormal
maderate tachypnoea/ tachycardia
SpO2 <91% or nasal flaring
capillary refill >3 seconds
reduced urine output
pale or flushed
leg pain or cold extremities

29

what is intussuception

complications of rotavirus- vaccinated against