Febrile child — Flashcards

Flashcard 1: Threadworm infestations are asymptomatic in _____ of cases

Answer: 90%

Extra: Organism: *Enterobius vermicularis* (Pinworm). While many cases are asymptomatic, the most common symptom is perianal pruritus (worse at night).

Flashcard 2: Diagnosis of threadworms is made by applying _____ to the perianal area and sending it to the laboratory for microscopy to se the eggs

Answer: Sellotape

Flashcard 3: Features of Threadworm infestation includes: _____ vulval symptoms

Answer: perianal itching (particularly at night)

Flashcard 4: What is the taxanomical name for Threadworms? _____

Answer: Enterobius vermicularis

Flashcard 5: Management for Threadworms includes: _____ Anthelmintic with hygiene measures for all members of the household

Answer: Mebendazole

Flashcard 6: Aspirin should not be used in children under 16 due to the risk of _____

Answer: Reye's syndrome

Flashcard 7: Ostium Primum present earlier than _____

Answer: ostium secundum defects

Flashcard 8: A Patent Ductus Arteriosus connects the higher pressures aorta with the lower pressure PA. This results in _____

Answer: only the PA having intermediate oxygenation levels

Flashcard 9: A notable exception for Aspirin use in children under 16 years of age is _____.

Answer: Kawasaki Disease

Extra: Aspirin is generally avoided in children <16 years due to the risk of **Reye’s Syndrome** (especially following viral infections like Influenza or Varicella). **Exceptions include:** 1. Kawasaki Disease (Anti-inflammatory/Anti-thrombotic doses) 2. Acute Rheumatic Fever 3. Anti-platelet use in certain congenital heart diseases or post-surgery.

Flashcard 10: What murmurs are VSDs classically associated with?

Answer: • Pansystolic murmurs