Childhood Diseases II

Question 1

Which bacterium typically cause Early onset Neonatal sepsis?

Answer 1

Gram + GBS

Gram - E.coli and Klebsiella.

Question 2

Which bacteria cause late onset neonatal sepsis?

Answer 2

Staphylococci

H. influenzae

Question 3

What is Neonatal Respiratory Distress syndrome?

Answer 3

Lack of surfactant due to prematurity. 60% of infants born less than 28 weeks will have neonatal RDS.

Question 4

What is the leading cause for mortality and morbidity in premature infants?

Answer 4

Respiratory distress syndrome AKA Hyaline membrane disease.

Question 5

What are the two most common complications associated with Hyaline Membrane Disease?

Answer 5

Bronchopulmonary dysplasia

Necrotizing enterocolitis

Question 6

What causes Bronchopulmonary Dysplasia?

Answer 6

Infants placed on oxygen therapy for longer than 4 weeks under positive ventlation.
Lungs will have cobblestone exterior surface.

Question 7

What is
Generalized edema of the fetus called?

Localized edema of the fetus called?

Answer 7

Generalize: Hydrops fetalis

Localized: Cystic hygroma

Question 8

What causes immune hydrops fetalis?

Answer 8

Mother RH- giving birth to second Rh+ child Leading to IgG attack.

Question 9

What two pathological conditions follow in immune hydrops fetalis?

Answer 9

Hemolytic anemia and hyperbilirubinemia

Question 10

What is Kernicterus?

Answer 10

Accumulation of billiruben in the neonates brain seen in hydrops fetalis.

Question 11

90% of cases of Sudden infant death syndrome occur at what age?

Answer 11

Less than 6 months between 2-4 months.

Question 12

80% of SIDS babies will have what skin condition?

Answer 12

Multiple petechiae

Also have hypoplasia of arcuate nucleus with decreased brains tem activity.