Dz/Tx

Question 1

What is the DDx for chronic cough in a ped pt?

Answer 1

reactive airway dz

PNA (mycoplasma - tx azithromycin)

Question 2

What is the treatment for atypical PNA?

Answer 2

aka walking PNA - mycoplasma

tx: Azithromycin 10mg/kg x 1 day + 5mg/kg x 4 days
alternative: clarithromycin

Question 3

What is the treatment for PNA in peds?

Answer 3

Textbook: Amoxicillin

Question 4

What is the treatment for GERD?

Answer 4

1) positioning - keep infant upright (in car seat) for at least 1 hour after meals
2) thickening agent with rice cereal
3) meds: antacids, H2 blockers (ranitidine), PPI (lansoprazole/prevacid)

Question 5

Motrin

Answer 5

NSAID

for >6months

Question 6

Which second generation H1 blocker can be used in a pts 6 months old?

Answer 6

Zyretc (Cetirizine)
or
Desloratadine (Clarinex)

[Clariton = loratatdine only approved for >2 years)

Question 7

How do you treat poison ivy?

Answer 7

prednisolone = orapred

Question 8

Promethazine

Answer 8

phenergan

1st generation h1 blocker

Question 9

Loratadine

Answer 9

Claritin
2nd generation h1 blocker
>2 years only

Question 10

What is the definition of colic?

Answer 10

<3 month old baby crying for >/= 3h/d, 3x/week

Question 11

What is the treatment for colic?

Answer 11

soothing techniques (pacifier, car ride, white noise) 
alt (not technically recommended): gripe water

Question 12

Eczema

Answer 12

atopic dermatitis
part of the atopic triad (allergic rhinitis, asthma, eczema)
pruritic

tx: low potency corticosteroid
Mild dz: desonide 0.05%, hydrocortisone 2.5%
Mod dz: fluocinolone 0.025%, triamcinolone 0.1%