P year‎ > ‎Paediatrics‎ > ‎

12.10.05 Quiz

Notes
  • RDS
    • White-out / ground glass
    • Air bronchogram
  • Eczema in infants
    • Neonates: Face, scalp, extensor surfaces
    • Older infants: Flexor surfaces
  • Nappy rash 
    • In creases, plus satellite lesions => Thrush
    • Sparing creases => Faeces/urine
      • => Zinc oxide cream (as barrier)
  • HSP
    • Florid, severe rash
    • Palpable
    • On buttocks + extensor surfaces (knees)
    • Can cause nephrotic OR nephritic syndrome
  • Developmental Dysplasia of Hip => Pavlik harness 
  • Hydroxyurea in sickle cell
  • Hirschprungs: Late presentation, with persistent diarrhoea
  • Mean BP in neonates = Weeks gestation
    • e.g. 26 weeks => MAP 26 mmHg
  • G6PD - Mediterranean
  • Croup
    • Oral dexamathasone
    • OR inhaled budetanide
    • Can use adrenaline nebs to buy time
  • Crawl 9, Walk 12
  • GBS => BenPen + Gent
    • Gram +ve => BenPen
    • Cover Gram -ves with Gent just in case
    • BenPen + Gent work synergistically => Often used together
  • Taz for pseudomonas
  • Vanc for pneumococcal / resistant bugs
  • Flucloxacillin for Staph.
  • Meropenem: Great broad spectrum but use sparingly because of resistance
  • Amphoteracin: antifungal
  • Transient synovitis / Irritable hip
    • Low inflammatory markers
    • Not weight-bearing
  • Neonatal BM <2.6 => Intervention
    • cf Poor neurodevelopment
    • => IV dextrose
    • Can use IM glucagon as adjunct if unresponsive
  • Kids in the UK are very rarely >10% dehydrated
    • >15% => Unconscious
  • Can't feel femorals => Coarctation
    • => Prostaglandins to keep duct open
  • Periventricular leucomalacia => Spastic diplegia type cerebral palsy
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