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1- Peds clerkship > emma holiday > Flashcards

emma holiday Flashcards

1
Q

milia

A

shows up on 1 week of life not first day

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2
Q

neonatal acne

A

shows up on first day of life

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3
Q

nevus simplex

A

neck and face tends to get brighter when baby cries

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4
Q

erythema toxicum

A

eosinophilic pusutlar

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5
Q

nevus sebaceous

A

ornage color part of the head with no hair

remove them since malignant risk

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6
Q

cradle cap

A

sebhorric dermatitis

get a better shampoo

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7
Q

3 day old baby, bili at 10 direct at 0.5 and pooping well

A

physiological jaundice

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8
Q

7 day old, bilia at 12 direct at .5 dry mucus not gaining weight

A

breastfeeding jaundice

lack of brest feeding jaundice

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9
Q

14 days old, 12 direct 0.5 gaining weight

A

breast milk jaundice

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10
Q

when is it a pathologic jaundice

A

if bili is above 12

oor direct is above 2 in the first 24 rs

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11
Q

what would you see in biliary atresia

A

7 days old
bili at 12
direct at 8
FLTare high

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12
Q

inheridted causes of indirect bili

A

crigler and gilbert

crigler is more dangerous and criples

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13
Q

1 week old baby cyanotic when feeding and ink when crying ?

what else do you look for

A

choanal atresia

look for CHARGE- coloboma, heart defect, retard growth, GU anomaly and ear anomaly and deafness

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14
Q

transeint tachypneic neoante

A

resolves in a few days

due to lung fluid not squeezed out

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15
Q

41 week AGAborn after rupture of membrane yielded greenigh brown fluid ? patho ?progno?

A

meconium aspiration syndrome
intubation and suction BEFORE STIMULATION
pulmoanary htn and pneumoitis

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16
Q

gastrochemiss complication ?association with disease ?

A

no association
can have high AFP
may become necrotic and reqire removal
past midline

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17
Q

omphalocele association

A

associated with becwith weigdman and edward and patau

think pitting of ears in beckwith (big baby wwith big tongue decreased glucose and ear pits )

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18
Q

umbelical hernia associated ? treatment

A

associated with hypothyroidism

do nothing until 2 or 3years (if not resolved by then the do surgery)

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19
Q

4 wk non bilious vomiting ? how to treat

A

pyloric stenosis

treat via myotomy

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20
Q

2 wk bilious vomiting - pregnancy had polyhydrmaniaos? associated with ?

A

intestinala tresia or anular pancreas

associated with down syndrome

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21
Q

1 wk old baby with bilious vomiting draws up legs and has distended abdo

A

volvulus and malrotation

22
Q

name two disease that present as newborn that has not passed meconium ? how to test ?

A

CF-test via enema

hirschsprung - explosion of poo

23
Q

born a 33 weeks a 5 days old with bloody diarrhea ? imagine ? treat ? risk factors ?

A

necrotising entreocolitis
Xray shows -pneumocsttis intestinalis
treat via NPO, surgery and antibiotics
risk factors premature gut, formual feeding

24
Q

cy\ryptochordism how to chek ? what is it associated with

A

associated with prune syndrome (ventral msucalture doesnt form so can see the underlyig peristalsis of the gut
check via ultrasound

25
Q

urethral opening on the ventral surace ? what should you NOTdo ?

A

hypospadias

DONOTremove foreskin/circumcise since that part is used for eventual repair of the urethra

26
Q

anterior midline mass and doesnt peefor 2 days

A

poster urtheral mass

treat with catheterize and then suregry

27
Q

most comon bugs causing neonantal sepsis

A

group b stre ,E coli, listeria

28
Q

limb hypoplasia, cutaneous scars, cataracts, chorioretinitis and cortical atrophy ? when to treat baby ?

A

vericella - if mom infected in 1st or 2nd trimester

treat if mom gets vericella 5 days before or 2 days after delivery

29
Q

1-3 day old red conjunctiva and tearing ? what type of conjunctivits is this

A

chemical caused by silver nitrate

30
Q

3-5 day old with purulent conjunctivits and corneal ulceration

A

gonococcal conjuctivitis

31
Q

mucoid discharge from the eye with lid swelling in a 7-14 days old

A

chlamdiya

32
Q

holoprocencecephaly severe mental retadation, microcephaly cleft palate multiple others

A

patau syndrome

33
Q

IUGR, hypertonia, distinctive facies, limb deformities, self injurious behavior hyperactive

A

cornelia delange

34
Q

most common cause of metnal retardation ? most common in men ?

A

common- fetal alcohol syndrome

boys- fragile X

35
Q

2 yo multiple ear ifections, dirrhea no tonsils and pneuonia

A

brutons gamma -labs show absence of b cells

36
Q

adolescent with normal b cells but low immunglobulins

A

combined immune def

37
Q

3 wk old, seizure, micrognathia and truncus arteriosus

A

degeorge

38
Q

regaine birth weight by ?double by ? triple by ?

A

2 weeks, double by 4-6 months and triple by 1 year

39
Q

babies increase their length by 50% when they are what age ? double it by ?

A

50% by 1 year

double by 5 years

40
Q

describe constitutional growth delay and familial growth delay ? what is the bone age in both ? what is the bone gae in obesity

A

constitutional delay kid is short but parent are tall but they were late bloomers. on lab bone age is less than real age
famiial bone growth is equal to real age
obesity bone age is greater than real age

41
Q

urinary continece by

A

5 years

42
Q

enuresis causes

A

1 uti cosntipation diabetes

43
Q

vaccines due at 2, 4 and 6 months

A 
Hep b
rrota
Dtap
HiB 
Pcv
IPV
44
Q

what vaccine do youa void in egg alergic patient

A

flu vaccince

45
Q

vaccine due at 12 month

A

MMR, vericella and hepA (neomycin and strptomycin allergic patient cannot recieve MMR)

46
Q

non pathologic murmur

A

cenous hum and stills murmur
venous hum heard at the necka nd goes away when jugular ein is pressed
stills murmur happens at sytolic lower mid sternum

47
Q

baby cyanotic at birth adn remains cyanotic when osygen is supplied what hear defect is present ? what is it associated with ?what is the immediate treatment ?

A

transpositiion of great vessels
associated with diabetic mothers
treat with PGEto keep PDA patent

48
Q

bipolar women gives birth to achild with holosytolic mumur worse on inspiration

A

ebstein anomaly associated with wolf aprkinson

49
Q

can you give doxy under 8 yars old

A

NOPE give amox for lympe disease (only rocky mountain gets doxy at any age)

50
Q

epiglottis causes in unvaccinated kid ? in vaccinated ikid ?

A

unvaccinaed - /h flu B

vaccinated - strep pyogenes, strep pneumo, staph

51
Q

what do you see in bordatella pertussis o labs

A

lymphocytosis !

1- Peds clerkship (6 decks)

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