Paeds

  1. Formula to calculate children's BP
    • 65 + (2 x age; in yrs) mmHg
    • - this is the lowest normal
    • Normal is 20 higher than this
  2. Difference between petechiae, purpura, ecchymosis
    • Petechie - pin-prick spots, ~1mm
    • Purpura - larger spots, 3-10mm
    • Ecchymosis - large collection of blood, >10mm
  3. Blood disorder in paeds
    1. Platelet d/o (platelet destruction) - ITP

    • 2. Coagulation d/o
    • - hemophilia A (factor 8 deficiency)
    • - hemophilia B (factor 9 deficiency)
    • - vonWillebrand disease

    3. Vascular d/o - HSP
  4. Difference b/w HSP & ITP
    • HSP
    • 1. Symmetrical Palpable purpura
    • 2. Distribution of petechiae & purpura - LL & butt

    • ITP
    • 1. Non-palpable & non-blanching purpura
    • 2. Generalised distribution of petechiae & purpura
  5. Characteristic of hemophilia
    • Hemarthrosis (bleeds into joint cavity)
    • - x-linked recessive (male)
    • - 9-12 months
  6. Hallmarks of HSP
    • 1. Non-palpable purpura
    • 2. Arthritis/Arthralgia
    • 3. Abdominal pain
    • 4. Renal disease
  7. Stridor vs Wheeze
    • Stridor
    • - upper airway obstruction
    • - occur during inspiration

    • Wheeze
    • - lower airway obstruction
    • - occur during inspiration & expiration
  8. Warning signs of dengue
    • Clinical
    • 1. Severe abdominal pain/tenderness
    • 2. Persistent vomiting
    • 3. Mucosal bleed
    • 4. Clinical fluid accumulation - pleural effusion, ascitis, tachypnea
    • 5. Lethargy, restlessness
    • 6. Liver enlargement > 2cm

    • Lab
    • 1. Increased hct with concurrenr rapid decreased of plt count
Author
nhr
ID
354424
Card Set
Paeds
Description
paeds
Updated