Deck 8 Flashcards
when do you treat children for lead poisoning
> 45BLL
karyotype of androgen insensitivity
46 XY
internal sex organs seen in androgen insensitiivty
no uterus, YES testes, no penis, externally female
appearance of a person with androgen insensitivity
feminine features bc the androgens are converted to estrogen
histology of alport
longitudinal basement membrane splitting
contradinications to breast feeding
galactosemia, HIV infection, active herpes, TB, substance use disorder, chemo treatment
can you be on methadone while breastfeeding
yace
unilat or bilat hearing loss in CMV
either
where is the thymus on CXR
it is to the right of the heart in a triangle
biggest complication of sickle cell trait
hematuria
hemoglobin electorphoresis of sickle cell trait
HbA and HbS minimal HbF
hemoglobin electorphoresis of sickle cell disease
NO HbA and mostly HbS
major sequelae of meningococal meningitis
adrenal hemorrhage, DIC, shock
how do you test for DIC
fibrinogen levels, they will be low because it is being consumed
management of NARDS
first bag then cpap then intubate
where is the freckling in NF1
they are typically in the axilla and groin/trunk
what do the nodules look like in the eyes of NF1
dark brown spots (lisch nodules)
next step in a child thats tripoding
intubation
blood streaked stool vs. blood mixed into the stool
streaked it just constipation (add prunes), blood mixed is protocolitis (switch formula or stop eating dairy for BFing)
precautions for neisseria meningitidis
droplet
what does pneumonia look like in CXR
follows fissures
complications of sickle disease
acute chest syndrome, dactylitis, ischemic stroke, splenic infarction, osteomyelitis
what does squatting do to afterload
it kinks the femoral arteries which increases afterload!
signs of otitis externa
pain with manipulation of the external ear and often from swimming
imaging findings of CF
hyperinflation, bronchial thickening, patchy atelectasis throughout both lobes
factor 8 deficiency PT or PTT
PTT
von willebrand features
increased PTT, prolonged bleeding, menorrhagia in people with peridos
what does VWF do
it stabilizes VIII so there will be less of it in circulation which is why the PTT is often slightly prolonged
what is elvated in rickets
alk phos
what is maturational delay
this is where the child has primary eneuresis where they never achieve nightime dryness
FSH levels in turners
high, trying to get ovaries to produce estrogen
what are posterior urethral valves
this is when there are extra folds in the membraneous urethra obstruct the membraneous and prosthetic urethra
signs of posterior urethral valves
detruser hypertrophy, hydronephrosis, hydroureter,
Hep B vaccine schedule
birth, 2 mo, 6mo
Dtap vaccine schedule
2, 4, 6, and 15 mo
polio vacc
2, 4, 6 mo
rota vax
2, 4, 6 mo
HiB vax
2, 4, 6, mo
pneumoccocal vax
2, 4, 6 mo
hep A vax
12, 18mo
MMR vax
1 yr , 4yrs
varicella
1, 4 yrs
HPV vax
12 yrs, 12.5 or > yrs
meningococcal vax
11 yrs, 16 yrs
influenza
> 6mo olds every year in fall
nature of a PDA murmur
continuous machine like aka it is not crescendo ing
pulmonic stenosis auscultation
early systolic mumur in pulmonic area, radiates to lung fields/back and has a wide S2
location of neuroblastoma and wilms
neuro typically crosses midline and wilms is unilateral in the kidney
inheritance of CGD
x linked recessive
pulmonary findsings of DKA
increased tidal volume
what are kussmall respirations
long deep breaths
how is a person in DKA breathing
kussmall, long deep breaths
what organisms do you get from a human bite
mixed flora, staph, strep, oral flora (actinomyces)
does hyponatremia cause decreased oncotic pressure
no this is mostly just protein
epinephrine effect on glucose levels
increased glucose due to stimulation of glycogen breakdown
osteomyelitis vs. septic arthritis
osteo is more focal pain on palpation but septic is pain with range of motion
birth head trauma differentiation
caput succadeaum crosses suture lines // cephalohematoma does not cross sutures
