case 3 tutorial Dr Patel

Question 1

what is irritability a sign of?

Answer 1

cerebral hyperexcitability

Question 2

Jitteriness vs seizures;
how do you differentiate?
-2

Answer 2

hold child and jerking stops then it jitters (seizures will not stop)

jitters = small movements seizures = bigger movements

Question 3

Causes of irritability

-6

Answer 3

infection
sepsis
meningococcal septicaemia
encephalitis
neonatal drug withdrawal (aka neonatal abstinence syndrome)
hypoglycaemia

Question 4

main Ix for Meningitis?

Answer 4

LP

Question 5

main Ix for seizures?

Answer 5

EEG

Question 6

main Ix for abstinence syndrome?

Answer 6

toxicology

Question 7

main Ix for sepsis?

-3

Answer 7

blood gas, urine output, lactate

Question 8

child has irritability signs,

why do you U+Es?

Answer 8

high or low Na+ affects brain