10815579
Description
Flashcards by Jonathan Cash, updated more than 1 year ago
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Created by Jonathan Cash
about 7 years ago
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| Question | Answer |
| The Paediatric Assessment Triangle | |
| Breathing Sounds | • Grunting = respiratory failure • Stridor = upper airway obstruction • Crackles = Asthma, pneumonia, bronchiolitis • Wheezes = Asthma, pneumonia, bronchiolitis • Colour: Visible cyanosis means that oxygen saturation level has fallen by as much as 50%. Evident when deoxygenated haemoglobin reaches 5g/dL |
| Focused Abdo Exam | • Cullens Sign: periumbilical bruising = pancreatitis • Grey Turners Sign: flank bruising associated with acute pancreatitis and abdominal trauma/haemorrhage • McBurneys Sign: Deep tenderness at McBurneys point = appendicitis • Aarons Sign: refered pain to the epigastrium = appendicitis • Rosenstein’s sign: Increased pain in the R iliac region as patient lies of their left side = appendicitis • Blumberg Sign: rebound tenderness = peritonitis |
| Bowel sounds | • Normally vary in frequency, pitch, and intensity and occur irregularly from 5 to 34 times per minute • Borborygmi is the loud, gurgling, splashing bowel sounds heard over the large intestine as gas passes through it • Hyperactive bowel sounds-loud, high-pitched, tinkling sounds that occur frequently-may be caused by diarrhoea, constipation, or early intestinal obstruction. • Hypoactive bowel sounds are heard infrequently. They're associated with ileus, bowel obstruction, or peritonitis and indicate diminished peristalsis. |
| Kernig’s sign | The leg is bent at the hip and knee at 90 degree angle, and subsequent extension in the knee is painful = may indicate subarachnoid hemorrhage or meningitis |
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