4/23-peds Flashcards
glucose in RA parapneumonic effusion
low, white blood cells eat it
cardio exam finding pulmonary edema
right ventricular heave
cardio exam finding thing septic shock
bounding pulses
what med can be used in early parsons for a young person
anticholinergics like trihexyphenidyl
what type of weakness does botulism have
descending
what does tetanus toxin do
blocks the release of inhibitory neurotransmitters: glycine and GABA
sx of inter cranial HTN
HA worse at night nausea vomiting AMS papilledema focal neurological deficit
where is atrophy in Alzheimers
temporal lobe- hippocampus
other name for vasodilation vagal
neurocardiogenic
what cells are seen on peripheral smear G6PD def
bite cells
most common sequela of congenital cmv
sensorineural hearing loss
most common causes of meningitis
Group B strep
Ecoloi
listeria
herpes
most common cause of meningitis > month
step pneumoniae
neisseria
first line med to stop drinking
naltrexone
short acting benzo
lorazapam
long acting benos
diazepam chlordiazepoxide
4 things in tetralogy of fallout
- VSD
- RVH
- overriding aorta
- RV outflow obstruction
Kawasaki labs
⬆️ ESR
⬇️ Albumin
sterile pyuria
Henoch Schonlein Purpura compliacations
intussusception, AKI- IgA mediated
Parainfluenza virus name
RSV/croup
croup age range
3 months and 5 years
croup sx
inspiratory stridor
barking cough
nasal congestion
dyspnea
what is steeples sign
subglottic narrowing in croup
severe croup tx
aerosolized epi and steroids
labs in necrotizing enterocolitis
metabolic acidosis, hypo Na
first sign of pediatric hypothyroid
prolonged jaundice
Glucose 6 phosphate deficiency characteristics and tx
DO NOT CONFUSE WITH G6PD the blood thing hepatomegaly Hypoglycemia seizures doll face thin extremities Avoid fructose, galactose, and sucrose
Fanconi anemia H/P
fatigue dyspnea infections short stature abnormal skin pigmentation horseshoe kidney thumb abnormalities
Fanconi anemia labs
pancytopenia
increased afp
diamond Blackman anemia h/p
fatigue cyanosis dyspnea pallor craniofacial abnormalities thumb abnormalities heart murmur ID hypogonadism
diamond Blackman labs
low Hgb
decreased retic
increased MCV
Tay-Sachs disease: inheritance, enzyme,sx, tx
AR, hexosaminidase def,poor development, cherry red spots, supportive care
where in brain is spastic CP, dyskinetic CP
Spastic = pyramidal tracts dyskinetic = extrapyramidal
what is increased in muscular dystrophy
CK
Moro reflex- description, when it goes away, 🧠 part
extension of the head causes extension and flexion of limbs , startle reflex
3 months
medulla, vestibular nuclei
Grasp reflex- description, when it goes away, 🧠 part
placing finger in palm causes grasping
3
medulla, vestibular nuclei
Rooting reflex- description, when it goes away, 🧠 part
rubbing cheek causes causes turning of mouth to stimuli
3
medulla, trigeminal nuclei
Tonic Neck reflex- description, when it goes away, 🧠 part
when head turned, arm faced side extends and arm on opposite side flexes
3
medulla, vestibular nuclei
Placing reflex- description, when it goes away, 🧠 part
rubbing of foot causes foot to foot to step up
2
Cortex
contra indications to rotavirus vaccine
intussusception
SCID
hep B vac schedule
birth,2-4 months, 6-15months
rota vac schedule
2,4,6months
DTaP schedule
2,4,6,15-18 months, 4-6 years
Hib vac schedule
2,4,6,12-15 months
PCV vac schedule
2,4,6, 12-15
IPV vac schedule
2,4,6-18months, 4-6years
MMR and VZV vac schedule
12-15 months, 4-6 years
Hep a vac schedule
X2 12-18months
meningitis vac schedule
11-12, 16-18 years
HPV vac schedule
X3 11-12 years
Di George syndrome sx/tx
no thymus =. no T cells ♥️ dz,abnormal facial features
tx= calcium vit d, thymie transplant, bone marrow transplants,ivig
x linked agammaglobunimea
no B cells low immunoglobulins
tx =ivig,abx
supportive pulmonary care
wiskott aldrich
x linked, eczema, thrombocytopenia
low platelets with low Igm, high IgG and IgA
tx = splenectomy, ivig, bone marrow transplant
ataxia-telangigctasia
AR, cerebellar dysfunction, telangigtasias, impaired WBC and IgA development
tx = ivig, fatal tho
hyper ige
chronic dermatitis, recurrent skin infection, pulmonary infection, coarse facial ft, retained baby teeth
Chediak- Higashi
AR, dysfunction of neutros, staph and strep, gram -, fungus, abnormal platelets, albinism, neurologic dysfunction
Leukocyte adhesion deficiency
integrin problem, delayed separation of the cord, skin and pulmonary infections, short stature, abnormal face,
increased neutrophils
prayer willi deletion
Paternal 15q11-15q13 deletion
Angelman deletion
Maternal 15q11-15q13 deletion
Fragile x codon
CGG
gonnerhea eye timeline
2-7days
chlamydia eye timeline
5-14 days
