Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
8 Cards in this Set
- Front
- Back
|
What is the differential for chestiness in a child? (Upper airway, lower airway)
|
Upper airway:
- croup - viral URTI - pertussis Lower airway: - bronchiolitis - asthma - viral LRTI - pneumonia |
|
|
What are the basic investigations in chestiness in a child?
|
CXR
FBC Sputum culture Nasopharyngeal aspirate |
|
|
What are the Jones major criteria for acute rheumatic fever? (5)
|
Polyarthritis
Carditis Nodules Erythema marginatum Chorea |
|
|
What are the Jones minor criteria for acute rheumatic fever? (5)
|
Fever
Arthralgia Raised inflammatory markers (CRP/ESR/WBC) Prolonged PR interval Previous rheumatic fever or rheumatic heart disease |
|
|
What are possible causes of acute abdo pain in a child?
|
In the gut:
Intussusception Appendicitis Constipation Inflammatory bowel disease Mesenteric adenitis Bowel obstruction In the GU tract: UTI PID Ectopic pregnancy In the lungs: Lower lobe pneumonia Other: Diabetic ketoacidosis |
|
|
What investigations should be done in a child with acute abdo pain, and why?
|
FBC, ESR/CRP - elevation suggests infective (e.g. appendicitis, UTI) or inflammatory (IBD)
Urine dipstick, microscopy and culture (if dipstick +ve for nitrites) - should always rule out UTI X-ray abdo - dilated loops (obstruction), rounded edge against dilated lumen distally (intussusception), faecal loading (constipation) USS abdo - for renal tract, intussusception (donut sign) Barium/air enema - diagnose and treat intussusception |
|
|
How do you manage mild acute asthma?
|
Salbutamol 100 mcg via spacer
Prednisone (based on history) |
|
|
How do you lower the temperature in fever?
|
Paracetamol 15 mg/kg
Ibuprofen Sponging/bathing |
