12/23/12 Flashcards
What Abx must be administered to a CF pt. w/ acute lung disease exacerbation?
double covereage against Psuedomonas:
cephalosporin/penicillin + aminoglycoside
Which cephalosporins are effective against Pseudomonas??
ceftazidime, cefepime (NOT ceftriaxone)
Name a couple of penicillin derivatines appropriate for Pseudomonal infection.
ticarcillin, piperacillin
At what level of serum bilirubin would you consider begining phototherapy in an infant with, say, breastfeeding failure jaundice?
17-25 mg/dL
At what level of serum bilirubin would you begin exchange transfusion in a jaundiced baby?
> 25 mg/dL
In a few words, what is the pathologic process of breastfeeding failure jaundice?
Too little enteral feeding –> slow passage of stools –> increased enterohepatic circulation –> unconjugated hyperbilirubinemia
What chromosomal deletion is responsible for Cri-du-chat syndrome?
5p
What’s another name for a cat that’s 5 letters long and starts with a P?
kitty
Which 2 common vaccinations of childhood use bacterial toxoids?
tetanus and diphtheria
What are the 3 most common treatment modalities for severe ITP in order?
corticosteroids
IVIG
anti-D
What treatment may be life-saving for severe, refractory ITP?
splenectomy
3-10 y.o. male w/ pain in hip or knee. Hip is flexed, slightly abducted, and externally rotated. Follows a viral infection or mild trauma. Dx?
transient synovitis
What is the Tx for transient synovitis?
rest and NSAIDs
_______ in children usu. follows a viral prodrome and may manifest w/ signs of heart failure.
Myocarditis
What are the typical X-ray findings of myocarditis?
cardiomegaly and pulmonary edema
