Deck 1 COPY Flashcards
what are some consequenses of gestational diabetes on the newborn
macrosomia (–> shoulder/hip dislocation), hypoglycemia from overactive beta cells during pregnancy, heart defects, polycythemia, organomegaly, hypertrophic cardiomyopathy
what is myositis ossificans
this is when there is trauma to a muscle and it filled with new lamellar bone instead of repaird (heterotropic ossification)
myositis ossificans presentation
pain on movement, no pain at night, following an injury, swelling/induration
adolescent privacy allowances
adolescents have a right to protect certain aspects of their care such as sexual, drug use, and mental health topics so records should be transferred very carefully
how does labial adhesion present
itching and normal development
treatment of labial adhesions
estrogen cream due to low estrogen in a child
what is spondylosis
this is just a general term for degenerative disc changes that cause pain in the spine due to nerve compression
how does spondylosis present in a child
typically they will be in sports and forward extension of the spine makes the pain worse
should you do a CT scan in a child
NO!!
what should you do if you suspect GBS in a child
spirometry then intubate based on function
fetal alcohol presentation
thin vermillion border, small palpebral fissures, smooth philtrum
eosinophilic esophagitis presentation in a toddler
food aversions especially solid foods! eczema, weight loss
how do you dx EoE in a child
endoscopy and biopsy
signs of opiod overdose in a child
sleepy, low bp, low HR, prolonged QT, acute change in mental status
history findings of an opiod OD in a child
child with grandparents, recent surgery etc.
signs of alcohol ingestion in a child
drowsiness, bradycardia, hypotension (no miosis)
signs of clonidine injestion by a child
obtundation, miosis, bradycardia, NO QT prolongation
immediate eval of a possible ingestion of a toxic drug
spot glucose to make sure the obtundation is not due to hypo/hyperglycemia
what is a pulmonary finding (as in function test) of opioid toxicity
decreased tidal volume, residual volume does not change
what is a morbilliform rash
this is a macular rash that has big macules that merge into each other to form one big macule, typically from a drug reaction
signs of acute mono infection
fatigue, cervical lymphadenopathy, tonsillar exudates, fever, splenomegaly
dx of mono
monospot- tests for heterophile Ab
CBC results from a pt. with acute mono
abnormal lymphocytes (downy cells which are T cells!) and lymphocytosis
describe what type of virus EBV is
EBV is a DNA virus, it is a herpesvirus