Deck 4 Flashcards
how does scarlet fever present
sandpaper rash, strawberry tongue, fever
presentation of serum-sickness like reaction
fever, rash, arthralgia, lymphadenopathy
causes of serum-sickness like reaciton
mostly drugs like penicillin, TMP-SMX, cephalosporins
if a patient has precocious puberty and advanced bone age what test should you order
MRI bc likely a central caues
prophylaxis for rheumatic fever (after you had it once)
penicillin every 4 weeks injection
when infection are infants with galactosemia at risk of
ecoli sepsis
if a testes is undescended what age do you have to do orchiopexy
> 6mo
what imaging do you do for a suspected volvulus in an UNSTABLE infant
abdominal xray
what is physiologic thelarche
this is normal physiolgic breast development in an adolescent
signs of endocarditis in a child
new onset murmur, leukocytosis, splenomegaly, arthralgias, fatigue, low grade fevers
at what age is eneuresis pathologic
> 5yrs
treatment for refractory ITP
Rhogam if Rh+, splenectomy
what is ADEM
acute disseminated encephalomyelitis –> where you have multiple white matter lesions like MS but they are more spread out
what kids get ADEM
post infection
rare complication of measles that occurs years later
SSPE
phases of measles
1) prodrome of fever (mild <102) and 4 C’s 2) exanthem phase cephalocaudal spread
dx of measles
serum IgM, CBC with evidence of fever
what antibiotics do you give for otitis media if theyve had amox in the past 30 days
still amox but add clavulanate (augmentin)
PEP for VZV exposed neonate
passive varicella immune globulin
what is pseudoappendicitis
this is a feature of campylobactor infection, not real appendicitis
what is the rash of a child with perianal well demarcated no satellite lesioned diaper rash
perianal strep
what is prune belly syndrome
this is when there is an irregularity in the abdominal wall musculature but there is skin overlying the intestines
is gastroshesis associated with other defects or omphalocele
omphalocele!
what nerve injury causes claw hand
C8/T1
signs of hemophilia
large amounts of bleeding and bruising after falls
varicella PEP in an immunocompetant non vacced child
vaccine
beta thallessemia results of hemoglobin electrophoresis
no HbB all HbF no HbS
treatment of beta thall
transfusions and chelation therapy to avoid excess iron
when can you not get consent for a minor
for emergency procedurs that are life saving/disability saving
osteogenesis signs
frequent fractures, hypermobility, transluscent teeth, short stature, blue sclera
in a large VSD, what will it look like on xray
because of the excess blood in the right ventricle, there will excess blood that goes through pulm circulation that then goes extra into the LA and LV so you will see increased left heart markings on the xray
tests for renal tubular acidosis
phosphorus levels to see if it is being reabsorbed, will be low if child has RTA/fanconi syndrome
signs of rickets
widening of the wrist joints, bowing legs
what two rashes can be on the hands and feet of babies
congenital syphilis or coxsackie
how do differentiate between congenital syph and HFM
syph is not in the oral mucosa and no fever, HFM fever and in oral mucosa but both are on hands and feet
signs of gaucher in an teenager
delayed puberty, hepatomegaly, small
acute iron poisoning
anion gap metabolic acidosis, vomiting, diarrhea
signs of beckwith wiedman syndrom
large tongue, macrosomnia, omphalocele, wilms tumor, hemihyperplasia (one limb bigger than the other)
prader willi facial features
almond shaped eyes, downturned mouth, narrow forhead
signs of prader willi general
macrosomnia, obesity, intellecutual disability, hypogondadism, hypotonia
if you have a child with moderately high lead levels, what is the next step
confirm with venous lead (POC are usually just fingerstick)
signs of pertussis in a neonate
harsh cough that causes cyanosis, emesis following harsh cough, low grade fever
what does a tight anal sphincter indicate
hirschsprungs
how do you manage non suicidal adolescent injury
directly inform parents and involve them in care, they do not need imeediate hospitalization
most common risk factor sinusitis
previous URI
causes of meningitis in a 1-2yo
strep pneumo, neisseria meningitditis
pathophys of infant anemia
their RBCs degenerate faster AND they have decreased EPO because theyve had adquate O2
management of CGD infection
a patient should undergo biopsy to test their bacteria so therapy can be targeted
rash: hyperpigment/hypo, face and trunk, mildy pruritic
tinea versicolor
what age do vision screenings take place
all well child visits
exam findings of otitis media with effusion
normal TM but visible air fluid levels
treatment of otitis media with effusion
observation and followup
what respiratory disease of newborns shows air bronchograms on xray
NARDS
Xray description of transient tachypnea of the newborn
patchy bilateral infiltrates with lung hyperinflation
