CPS Review Flashcards
treatment of scabies in > 3 months of age
5% permethrin cream - leave on 12-24 hrs, repeat after 7 days
treatment of scabies in infants and pregnant women
sulphur in petroleum jelly daily x 3 days
potential benefits of circumcision (lowest NNT)
HPV reduction, HSV reduction, reduced risk of UTI in those with risk factors
CPS recommendations re circumcision
not recommended routinely, parents can make choice based on their personal beliefs
what is a risk in the first week after rotavirus vaccination?
intussusception
when should you give the rotavirus vaccine?
after 6 weeks of age and before 8 months (to reduce risk of intussusception)
ankyloglossia - prevalence, incidence, genetics
prevalence 4-10%, typically isolated congenital anomaly, may be genetic predisposition
organisms causing neonatal opthalmia
neisseria gonorrhea, chlamydia trachomatis
treatment of neonatal opthalmia
erythromycin is NOT recommended (up to 25% of strains of gonorrhea are resistant, not effective against chlamydia)
- should do conjunctival culture, then ceftriaxone 50mg/kg IV/IM
what is pediculosis
infestation with head lice
treatment of head lice
topical head lice insecticide i.e. 1% permethrin/pyrethrin (2x, 7-10 days apart)
- do not recommend excluding children from school, no environmental decontamination required
when to consider UTI abx prophylaxis
grade IV or V VUR or significant urologic abnormality
what antibiotic would you use for UTI prophylaxis
septra or nitrofurantoin
risk factors for severe bronchiolitis
- preterm < 35 weeks, < 3 months old, hemodynamically sig cardiopulm disease, immunodeficiency
consider admission for bronchiolitis when…
- severe resp distress, O2 required to keep sats > 90%, dehydration, cyanosis/apnea, risk factor for severe disease, family unable to cope
recommended for management of bronchiolitis
oxygen, hydration
equivocal recommendation for management of bronchiolitis
may trial epineb, superficial nasal suctioning, 3% hypertonic saline neb, combined epi/dex
early presentation of lyme disease
erythema migrans, presents in 7-14 days, non-pruritis, spontaneously resolves in 4 weeks
diagnosis of lyme disease (early vs late)
early: clinical diagnosis, late disease: ELISA screen followed by western blot
when is the highest risk of severe bacterial sepsis after splenectomy?
first 3 years post-splenectomy, but risk always present for life
vaccinations in splenectomized patient
Pneumococcus (PCV13, PPV23), meningococcus (MCV4, 4CMenB), hemophilus influenza B (primary + booster), influenza (for patient and household contacts)
when to consider imaging after concussion
focal neurologic signs, seizures, prolonged LOC
