Common Pediatric Complaints

Question 1

Fever phobia

Answer 1

Misinformation

Pre-vaccine era

Question 2

Febrile seizures

Answer 2

Cannot be prevented

Question 3

Can fever cause brain damage?

Answer 3

No. It is not possible to exceed the hypothalamic temperature that will cause brain damage

Question 4

Tylenol or ibuprofen are given for sypmtom-relief yes or no?

Answer 4

Yes

Question 5

Do cool baths help or cure fevers?

Answer 5

No. They increase the metabolic demands on the child

Question 6

GAS Pharyngitis

Answer 6

Examine ears, throat and mouth

Question 7

Pneumonia

Answer 7

Most common type is viral
Tachypnea and hypoxia. Also fever, belly pain and cough
Round (pneumococcus)

Question 8

Viral syndromes

Answer 8

Ex: Bronchiolitis (caused by RSV)

Wheezing, respiratory distress

Question 9

Viral exanthems

Answer 9

Typical for Coxsackie virus

Question 10

Croup

Answer 10

Fever, cough, sublingual narrowing

Question 11

Roseola

Answer 11

High fever and pinpoint macular (flat) rash. Usually doesn’t come on palms and soles of feet. Not bothersome to kids
Rash only starts after fever

Question 12

Other causes of fever

Answer 12

Kawasaki’s disease, rheumatologic disease

Question 13

Are labs/imaging needed for acute infectious fevers in kids?

Answer 13

Typically not

Question 14

Neonate (0-28 days) symptoms

Answer 14

Change in feeding, alertness, hypothermia and fever

Question 15

What sort of testing needs to be done for neonates?

Answer 15

All neonates need a FULL WORKUP

Question 16

29 days- 3 months exam?

Answer 16

Urinalysis on exam

Question 17

3mths- 3 years

Answer 17

Always consider the urine

Question 18

UTI presentation and labs

Answer 18

Well-appearing febrile girl.

Check urinalysis

Question 19

Rx for low risk patients over 6 months with fever

Answer 19

Alternate Ibu and Aceta every 3 hours

Question 20

Things to check for in children

Answer 20

Change in activity level, refusing to drink or not wetting diapers normally, difficulty breathing

Question 21

Causes of abdominal pain in kids

Answer 21

Constipation
GERD
Gastroenteritis
Vomiting
Diarrhea
hematemesis or hematochezia

Question 22

Intususseption

Answer 22

Bowel loops on itself causing edema

Surgical emergency

Question 23

Mallory-Weiss tears

Answer 23

Tear of esophagus with forceful vomiting

Question 24

Getting a good belly exam in infants

Answer 24

Avoid making them scream
Don’t put them on exam table
Use distraction
Use caretakers

Question 25

Why should abdominal CT scans in kids?

Answer 25

High level of radiation, likelihood of developing malignancy

Question 26

Coxsackie virus presentations

Answer 26

Fever, won’t drink, papular rash and blisters in hand, foot and mouth, no exudates
Rx: Maalox+Diphenyhydramine solution(numbs blisters so infant can drink)

Question 27

Acute limp

Answer 27

Pay attention to identify what leg is causing the limp

Question 28

Common causes of acute limp

Answer 28

Fracture (toddler’s fracture-mid shaft of tibia)

Transient synovitis

Question 29

Runny nose and cough

-Presentation and Rx

Answer 29

Breathing fast and hard

Rx: Hydrate

Question 30

Sore throat (Pharingitis)

Answer 30

Hand on throat

Causes: Mono

Question 31

Ear infection (otitis media)

Answer 31

Buldging, redness, usually unilateral
Pulling ears
Rx: Ask parents to see how things go first

Question 32

Wheezing Differential

Answer 32

Heart failure, foreign bodies, asthma, viral pneumonia, reactive airway disease, viral pneumonia

Question 33

Are rashes that blanch good or bad?

Answer 33

They are good

Question 34

Are petechiae and purpura blanching or non-blanching?

Answer 34

They do not blanch and are more concerning. Also, vesicular rashes (ex: Coxsackie)