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Peds > Exam 4 - Customized > Flashcards

Exam 4 - Customized Flashcards

1
Q

When the circulations of blood vessels is obstructed by abnormally shaped RBCs causing ischemia & infarction

A

Sickle Cell Disease

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2
Q

Physical Cues of Sickle Cell Disease

A

Extreme fatigue or irritability
Pain in abdomen, thorax, joints, and digits
Dactylitis
Cough, increased WOB, fever, tachypnea, hypoxia (Acute Chest Syndrome s/s)
Splenomegaly
Jaundice (from hemolysis) or pale conjunctiva, palms, soles, and skin

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3
Q

Sickle Cells Labs

A

Decrease H&H and reticulocyte count
Increase Platelets (SC increase plt activation)

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4
Q

Sickle Cell Vaso-Occlusive Episodes

A

Pain Control (Distraction, NSAIDS, acetaminophen, warm compression - PCA or regular schedule)

Hydration (double maintenance fluid requirement (150 ml/Kg/day)

Hypoxia (O2 via NC if SpO2 <92, incentive spirometry)

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5
Q

Radiation Skin Integrity Care

A

Wash skin with mild soap and water
Avoid lotion/powder/ointments
Avoid sun and heat exposure
Diphenhydramine or hydrocortisone cream for itching
Antimicrobial cream for desquamation
Moisturize with aloe vera

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6
Q

BM aspirate Medication

A

Fentanyl and Versed (anesthetic and sedation meds)

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7
Q

BM Aspirate Post-procedure

A

Hold pressure and monitor for bleeding and infection

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8
Q

Neutropenia Precation

A

Assess for infection Q8H and PRN
No raw fruits, vegetables, fresh flowers, or live plants

Other precautions: Private room, avoid invasive procedures, soft toothbrush, and wear mask when child is outside.

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9
Q

Lab test for Skin

A

Blood test (CBC, ESR, IgE)
Culture and sensitivity
KOH prep (positive fungal hyphal indicates ringworm)
Allergy testing
Woods Lamp (light exposure)

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10
Q

KOH can make me shine
I prefer hanging out on arms and legs and a contagious personality
My nickname is ring worm

A

Tinea Corporis

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11
Q

Topical antifungal

A

Clotrimazole - use for at least 4 weeks, and used clothing, etc have to be washed to reduce spread

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12
Q

Tinea pedis Education

A

Do not walk barefoot

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13
Q

Tinea Versicolor

A

Resolve by itself in several months

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14
Q

Medication for Tinea Capitus

A

Oral Griseofulvin (4-6 wks) cannot use topical

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15
Q

Verruca Cues

A

warts - Elevated, rough, gray-brown firm papules, single or in groups

Viral

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16
Q

Molloscum Contagiosum

A

Flesh-colored papules on stalk (extremities, face, and trunk) - Resolves spontaneously in 18 months
Complicated cases can use chemical or curettage, cryotherapy, or electro-dissection to remove

Viral

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17
Q

Daiper Dematitis Non-candida Care

A

Skin Barriers - Zinc Oxide, A,D, and E ointment, petroleum)

18
Q

Daiper Dematitis Candida Medication

A

Nystatin (antifungal)

19
Q

Temperature Change and sweating makes me come out to play
I can make you wiggle and scratch all day and night
Sometimes I bring my friend Wheeze
I amke IgE levels Rise

A

Eczema - Atopic Dermatitis

20
Q

Atopic Dermatitis Physical cues

A

Extreme itching, erythema, and inflammation
Lesions/rash (plaques, papules, scaling, vesicles) can affect everywhere but abd, chest, hands, and feet.

21
Q

Atopic Dermatitis Management

A

Topical Corticosteroids and Immune modulations tacrolimus
Avoid hot water but shower 2 times a day in warm water
Do not use soaps containing perfumes, dyes or fragrances but you can use moisturizers
Use 100% cotton product

22
Q

When Staph aures or MRSA come to town that’s when I come around
My favorite hang outs are around the nose and mouth
My spots fill up with fluid then erupt
Some say I look liekt he color of honey

A

Impetigo

23
Q

Impetigo Cues

A

Honey color skin lesions; itchy and painful

24
Q

Impetigo Treatment

A

Soak impetigo with appropriate solution and apply topical or oral antibiotics

25
Q

Staph Aurues is my name and producing toxin is my game
I can make babies’ skin weep and peel
I sometime look like a bad sunburn

A

SSSS - Burn-like appearance

26
Q

SSSS Treatment and Education

A

Mild: Oral antibiotics
Sever: IV antibiotics, fluid management, and burn treatment

27
Q

Localized infection

A

Cellulitis

28
Q

Cellulitis treatme

A

Oral or parental antibiotics
Rest and immobilize affected areas

29
Q

What are the bacterial skin infection

A

Cellulitis
Impetigo
SSSS

30
Q

I come in many different shapes and sizes
Mom says this, Dad says that of how I came to be
Poverty, prematurity, and chronic illness can lead to me
The buttocks, back and thighs are hiding places of these
Pattern marking can be key

A

Intentional Skin Injuries (posterior location are the most suspecious)

31
Q

Risk factor of injuries

A

Poverty, prematurity, chronic illness, intellectual disability, parent with abuse history, and extreme stressor

32
Q

15 year-old male presents with areas of comodones on forehead and cheeks and scattered pustules on back with hypertrophic scaring

A

Acne

33
Q

Hx and Physical Cues of Acne

A

Family Hx,endocine disoreder,comodones, oily skin and hair

34
Q

Management of Acne

A

Avoid oil-based product cosmetics
Avoid picking comodone

Medication
Tretinoin, benzoyl peroxide, antibacterial, isotretinoin (severe cases), and oral contraceptives

Can lead to infections and cellulitis

35
Q

Sensorineural hearing loss Causes

A

Aging
Noise damage
Drug side effect
Auditory tumors
Explosion/blast
Meningitis
CMV

36
Q

Conductive Hearing Loss Causes

A

Fluid, foreign object, allergies, rupture eardrum, impacted earwax, and OM

37
Q

Mixed Hearing Loss Causes

A

Genetic, infection, Head trauma

38
Q

Glaucoma

A

Grey/Gray red reflex
Enlarged eyeball
Excessive tearing or conjunctivitis

After Surgery
No rough-housing or contact sport for 2 wks

39
Q

Neuroblastoma Diagnosis and cues

A

24 Hr urine test - elevated HVA and VMA

Unilateral Proptosis
Often Metastasize to other organs

40
Q

Lymphoma Cues

A

Night sweats (>10% wt loss)

41
Q

ALL cUE

A

eNLARGED lIVER AND lYMPH NODES

Peds (4 decks)

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