paeds844
What is the imaging modality of choice to assess for the presence of developmental dysplasia of the hip (DDH) in a baby born breech?
Archives: MRCPCH FOP/TAS
paeds845
What is the most common cardiac abnormality found in Noonan syndrome?
paeds846
What is the most important investigation to perform in a 2-week-old new-born baby boy who is well feed and thriving, but jaundiced?
paeds847
What is the most likely infectious agent implicated in mastitis?
paeds848
What post-birth event encourages closure of the ductus venosus in a new-born baby?
paeds819
A term baby is born through thick meconium. The baby has not yet cried and is making no respiratory effort. The baby appears to be covered in thick particulate meconium.What is the next most appropriate step?
paeds820
A term baby weighing 3.3kg is admitted to NICU at 3 hours old with increased respiratory effort. The baby was delivered by spontaneous vaginal delivery following an uncomplicated pregnancy. Membranes ruptured 30 hours before delivery and there are no other risk factors for infection. On examination the baby is visibly tachypnoeic with intercostal recession and nasal flaring. Heart sounds are normal with no murmurs. Femoral pulses are present bilaterally. Capillary refill time is 3 seconds centrally and baby has cool hands and feet. Respiratory rate is 90/min, heart rate 170/min and oxygen saturations measured on the right hand are 85% in room air. IV access has been obtained and antibiotics are being given. Enough blood was obtained for culture, blood sugar and venous blood gas. Blood sugar is 2.6 mmol/l. Blood gas shows: pH 7.25, CO2 8.5 kPa, BE -8. Despite low flow nasal cannula oxygen baby’s saturations remain around 88%. What should be the next step in this baby’s management?
paeds821
A term baby with a birth weight of 3.6 kg with hypoxic ischaemic encephalopathy is intubated and ventilated. Cooling treatment has started. The baby is sedated and paralysed and is being ventilated on the mode continuous mandatory ventilation (CMV). Settings are: targeted tidal volume 14 ml, maximum PIP 25, PEEP 5, rate 60/min, FiO2 0.21. Baby’s oxygen saturations are 100%. Blood gas shows pH 7.47, CO2 2.8 kPa, BE -6.What is the first change that should be made to the ventilation?
paeds824
A well 2-week-old baby born at term is referred to hospital with a discharging umbilicus. The cord separated at 10 days and there is no peri-umbilical swelling or erythema. There is a small red mass at the site of cord separation, which is discharging a small amount of yellow fluid. The GP had taken a swab of this which grew Staphylococcus epidermidis.The MOST appropriate course of action is which of the following?
paeds825
A well, breastfed term infant presented with jaundice at 36 hours of age. The serum bilirubin was 286 µmol/L, direct Coombs test negative, blood film showed spherocytes and reticulocytes. The baby’s blood group was A rhesus negative and mother’s blood group O Rhesus negative.Which of the following is the MOST likely diagnosis?