Chapter 54: Pediatric Patients

Question 1

When to seek urgent care

Answer 1

• Age <3 months with a temp of 100.4F/38C rectal
• Age 3-6 months with a temp of 101F/38.3C rectal
• Age >6 months with a temp of 103F/39.4C rectal

Question 2

Bacterial Meningitis Common Pathogens and Tx: <1 month

Answer 2

Common Pathogens: Strep. agalactiae (group b strep), E. coli, Listeria, Klebsiella
Tx: Ampicillin + ceftotaxime or amp + aminoglycoside (gent)

Question 3

Bacterial Meningitis Common Pathogens and Tx: 1-23 months

Answer 3

Common pathogens: Strep. pneumoniae, Neisseria meningitidis, S. agalactiae, Haemophilus influenzae, E. coli
Tx: Vanco + 3rd gen cephalosporin (ceftriaxone or cefotaxime)

Question 4

Bacterial Meningitis Common Pathogens and Tx: 2+

Answer 4

Common Pathogens: N. meningitidis and S. Pneumoniae

TX: Vanco + 3rd gen cephalosporin (ceftriaxone or cefotaxime

Question 5

Measles Symptoms

Answer 5

• Koplick (white spots on the inside of the cheek)
• Maculopapular rash
• Transmission is airborne

Question 6

Mumps Symptoms

Answer 6

-Swollen and tender salivary glands

Question 7

Rubella

Answer 7

-Fine pink rash that begins on face and quickly spreads