CMS peds 8 forma points Flashcards
Had OM. now tympanic membranes are pealy gray and retracted. decr. mobility bilateral = no middle ear inflammatory findings. Dx?
otitis media with effusion
had OM. now tympanic membranes are pealy gray and retracted. decr. mobility bilater. Mx?
otitis media with effusion = no mx inficated.
Apgar score.
0 - absent function
1 - diminished/irregular function
2 normal function
.
Bicuspid aortic valve => risk for what????
Bacterial endocarditis (shear forcer => damage => nidus for infection)
Bicuspid aortic valves prone to what?
early aortic stenosis or regurgitation.
Bicuspid aortic valves in peds and syncope? sita zymejau
Syncope may result from one of the condition related to bicuspids, eg advanced HF, BUT NOT DIRECTLY ASSOC. with syncope risk.
Bicuspid aortic valves = abnormal structure => risk for infection. same as with joints and septic arthritis.
.
Cyclic neutropenia = rare disease. CP?
Inherited immunodeficiency. Occurs as neutropenia + infection.
pattern: reoccurs every 21 days and lasts for 3-6 d.
Cyclic neutropenia = Dx?
monitoring neutrophil count several times weekly for at least 6 weeks.
Cyclic neutropenia = Tx?
granulocyte-colony stimulating factor
Severe congenital neutropenia CP?
more severe and occurs in the first few months of life.
Same as cyclic: neutropenia, infections.
in cyclic case girl was 2 y.o.
Nr.6 rocky mountain - spausdinti ir skaityti, tupos infekcines ligos
.
Global developmental delay defined criteria?
significant delay in 2 or more domains of development.
total are: gross motor, fine motor, cognitive, social, language milestones
Rubella triad?
cataracts, sensorineural deafness, congenital heart disease (PDA)
Parvovirus 19 = hydrops fetalis, High output cardiac failure.
.
Listeria?
chorioamnionitis => stilbirth.
Newborns: sepsis, pneumonia, meningitis.
Other: GRANULOMATOSIS INFANTISEPTICA (diffuse, pale, granulomatous cutaneous nodule)
Toxoplasma triad?
chorioretinitis, hydrocephalus, intracranial calcification (ring-enhancing).
CMV?
intrauterine growth restriction, microcephaly, INTRACRANIAL CALCIFICATIONS, hearing loss, seizures, hepatosplenomegaly, jaundice, decr. PLT, petechiae.
intrauterine growth restriction, microcephaly, INTRACRANIAL CALCIFICATIONS, hearing loss, seizures, hepatosplenomegaly, jaundice, decr. PLT, petechiae.????
CMV
chorioretinitis, hydrocephalus, intracranial calcification (ring-enhancing).
toxoplasma
cataracts, sensorineural deafness, congenital heart disease (PDA)???
rubella
tetralogy. murmur = holosystolic best heard on left sternum. Mechanism?
RVOT, not due to VSD.
Nr. 11 Osteomyelitis S. aureus vs Pseudomonas.
S aureus – hematologis (sepsis) or inoculation (iv drugs). Pseudomonas – hematologic spread of existent skin/soft tissue infection or trauma. In case: nail punctured lef through shoe, got tetanus vaccine. Idea is that it was dirty trauma/PUNCTURE WOUND.
PUNCTURE WOUND or DM = Pseudomonas.
Osteomyelitis Dx?
Xray or MRI