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20 Cards in this Set

  • Front
  • Back
Primitive reflexes
What are they
When are they present
Present birth - 6mths
Sucking + rooting
Palmar grasp
Stepping
Moro
Babinski (downgoing = normal)
ATNR (asymmetric tonic neck reflex)
(Fencers pose)

Head righting
Parachute
Developmental delay
What is meant by:
Delay
Specific delay
Global delay
Consonant
Dissonant
Delay: stage x has not occurred by the time stage x+1 should occur

Specific: Delay in 1 area only

Global: Delay in ≥2 areas

Consonant: Delay is equal across domains

Dissonant: Domains affected to differing extent
ASD
What are the 3 key areas affected
Social delay
Speech delay
Obsessive/repetitive behaviours
Vaccinations given
HMM DRIP FAT

Hib
MMR
Men C
Diphtheria
Rotavirus
Inactivated Polio
PCV – pneumococcal conjugate vaccine
Flu
aP – acellular pertussis
Tetanus

Also HPV
HBV + BCG for at risk individuals

Give on chronological age not corrected for prem
Gastroschisis
What, SFX, Mx
Herniation of intestine through abdo wall
No sac

Can have multiple atresias/stenosis

Sx to repair
Omphalocele
What, SFX
Herniation of abdo viscera through abo wall
Into sac

Assoc w/: ↑α feto prot, other defects, Beckwith-Wiedemann, Patau, Edwards
Duodenal atresia
Ante natal symptoms, symptoms after birth
X ray, associations
Polyhydramnios
Bilious vomiting
X ray: Double bubble

Assoc w/: Downs, other cardiac + GI abnormalities
Hydrocele
Signs + symptoms
Painless
Can’t get above
Transilluminates
Transmits cough impulse

Usually resolves <6/12
Epididymo-orchitis
Signs + symptoms, Rx
Pyrexia, malaise
Ascending urethritis
Prehn’s sign: relief upon elevation of the testes

Rx: Ciprofloxacin
Cryptorchidism
Symptoms, Mx, Px
Absences of 1 testicle
Usually found in inguinal canal

Sx: orchiopexy to bring down testicle >2yrs old

4-40 x ↑ seminoma – even after correction
Hypospadias
What, assoc, Sx, contraindications
Opening of urethra on ventral surface

Assoc w/: Cryptorchidism, inguinal hernia
Sx to repair

N.B. circumcision contraindicated
Epispadias
What, assoc, Sx
Opening of urethra on dorsal surface

Assoc w/: incontinence

Sx to correct
Hydatid of Morganii
What, symptoms, Px
Embryological remnant at upper pole of teste
Tenderness localised only to upper pole

Benign BUT can become torted – blue dot sign
Patau
Genetics, key features
Trisomy 13

Microcephaly
Cleft lip/palate
Polydactyly
Edward’s
Genetics, key features
Trisomy 18

Low set ears
Rocker bottom feet
Micrognathia
Overlapping fingers
FraX
Genetics, key features
Xq27

LD
Everything is larger
Macrocephaly
Long face
Lg ears
Macroorchidism
Noonan
Genetics, key features
Aut dom (various)

Webbed neck
Pectus excavatum
Short
Pulmonary stenosis
Pierre-Robin
Genetics, key features
Unknown cause

Micrognathia
Cleft palate
Posterior displacement of tongue – can cause airway obstruction
Prader-Willi
Genetics, key features
15q11

Hypotonia
Hypogonadism
Obesity
William’s
Genetics, key features
7q1 del

Elfin
Short
LD
Happy, extrovert
Transient neonatal hypercalcaemia
Supravalvular aortic stenosis