18 - Emed

Question 1

Common causes of accidental death worldwide in children ages 9-18:

Answer 1

MVC (#1)
Drowning
Burns
Falls
Toxins

Question 2

MC type of shock in kids>

Answer 2

Hypovolemic

Question 3

Causes of distributive shock?

Answer 3

Sepsis (MC)
SIRS
Anaphylaxis
CNS (spinal shock)
Drug intox

Question 4

Examples of dissociative shock:

Answer 4

CO poisoning

Methemoglobinemia

Question 5

Most frequently injured abdominal organ in children?

Answer 5

Spleen

Question 6

What is Kehr sign?

Answer 6

LUQ direct pressure causes left shoulder pain

Suggests splenic pathology

Question 7

When is splenectomy indicated?

Answer 7

Hemodynamic instability

Continued blood loss

Question 8

MC epiphyseal fracture?

Answer 8

Distal radius

Question 9

What is gymnasts wrist?

Answer 9

Distal radial physis injury from repetitive impact and upper extremity weight bearing

Txt - absolute rest to prevent premature closure of growth plate

Question 10

What is little leaguers elbow?

Answer 10

Medial humeral epicondyle apophysitis

Question 11

When to transfer to burn center

Answer 11

>10% TBSA <10 yrs old
>20% TBSA all else
Hands/face/feet/genitalia/perineum/major joints
Electrical
Chemical
Inhalation

Question 12

Txt for salicylate or methotrexate poisoning?

Answer 12

Alkalinization of urine