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