Derm and UTI ID

Question 1

Fever

Answer 1

A temp that exceeds 100.4

Question 2

Empiric abx for toxic FUO

Answer 2

Ceftriaxone 50 mg/kg

Question 3

Nonbullous Impetigo

Answer 3

Most common skin infxn in kids, especially in humid environments.
Red, crusty
Staph A.
GABHS

Question 4

Bullous Impetigo

Answer 4

Impetigo with fluid filled sores.

Staph A.

Question 5

Impetigo Tx

Answer 5

Bacitracin
Septra DS
Clindamycin

Question 6

Impetigo dx

Answer 6

Honey colored crusts around face, arms and legs

Question 7

Molluscum Contagiosum

Answer 7

Benign viral infection found in children and imunosupressed with characteristic skin lesions.

Question 8

Molluscum Skin Lesions

Answer 8

Rounded, dome shaped pink, waxy papules. Umbilicated

Contagious when lesions are present.

Question 9

Molluscum Tx

Answer 9

Usually self limiting and resolves within months.

Question 10

Pediculous

Answer 10

Lice

Ectoparasites that live on the body and feed on human blood.

Question 11

Pediculous Capitis

Answer 11

Head lice

Question 12

Pediculous Corporis

Answer 12

Body lice

Question 13

Lice dx

Answer 13

Woods lamp

Pruritis

Question 14

Lice Tx

Answer 14

Permethrin cream
Malathion
Remove lice
Treat environment

Question 15

Most common UTI bug?

Answer 15

E. Coli

Question 16

Can the decision to initiate abx be made from a clean voided bag collection UA?

Answer 16

No, you have to cath the child

Question 17

An infant younger than 1 month with suspected UTI should be?

Answer 17

Hospitalized

Question 18

UTI Empiric Tx

Answer 18

2nd or 3rd gen ceph

Augmentin

Question 19

Sepsis Tx, first 8 weeks of life

Answer 19

Ampicillin and {Gentamycin or 3rd gen ceph)

Question 20

Older infants Sepsis tx

Answer 20

3rd Gen Ceph and Vanc

Question 21

Meningitis triad

Answer 21

Fever
HA
Neck stiffness

Question 22

Gonorrhea Tx

Answer 22

Rocephin IM
plus
Zithromax

Question 23

Chancroid

Answer 23

Caused by H. Ducreyi
Mainly found in developing world
Painful, open ulcer on gneitals