Deck 5 Flashcards
bone deformities in babies with congenital syph
metaphyseal erosions, lucencies and periosteitis
when do children get the MMR vaccine
first dose 1 yr, second dose 4yrs
signs of rubella
fever and cephalocaudal maculopapular rash
tethered cord reflexes
hyporeflexia
atlantoaxial instability signs
hyperreflexia, urinary accidents, etc.
patients that can have atlantoaxial instability
down syndrome
when do the electrolyte changes of congenital adrenal hyperplasia show
1-2 weeks later
presentations of placental aromatase deficiency
both maternal and infant virulization
what are testosterone levels like in infants with congenital adrenal hyperplasia
elevated! bc the 17-hydroxy gets converted to testosterone
signs of transfusion overload
respiratory distress, increased HR, increased BP, pulmonary edema
treatment of transfusion overload
furosemide
what is first line management of eneuresis
urinalysis
which type of leukemia can have a mediastinal mass
T-ALL
what is constitutional small growth
this is when babies are just small bc their parents were also small
describe the growth patterns seen in fetal growth restriction
can be symmetric or asymmetric where the head and length are normal but the weight is <3rd percentile
what causes fetal growth restriction
placental insufficiency
timing of insult that causes asymmetric vs. symmetric FGR
asymmetric is typically later in like 2nd or third trimester, symmetric is earlier in first semester
signs of tularemia
cough, fever, malaise, ulcers, tender lymphadenopathy
causes of unilateral cervical lymphadenitis
anaerobic bacteria from dental caries, bartonella, tularemia, staph and strep
in bartonella what are the features
cervical lymphadenitis and a scratch elsewhere
antibiotic therapy for cervical lymphadenitis
clinda!
what is considered hepatomegaly in a neonate
> 3cm below costal margin
risk factors for hyperbilirubinemia
ABO incompatiblitly, cephalohematoma, coombs neg hemolysis, polycythemia