Final Exam Review Flashcards
glasgow coma scale
eyes
motor
verbale
febrile seizure
> 38.5
protect air way
4 mo and under most common
ICP s/s
hydrocephalus exam findings and emergency
visual changes, bounding fontelle, sunset eyes, diplopia
increase icp shunt malformations
conjuct (bacterial, viral, allergic)
bacterial: unilateral, purulent
viral: both, clear
allergic: bilateral, watery stirngy
otis externa
outside, swimmers ear, forgien body
otis media
bulging TM
bacterial infection can precede
inside ear
cleft lip and palate
can be bilateral or unilateral and one or the other and both
protect suture post op, supine
lip first and have to be weaned from bottle for palate (1 year)
keep upright and give breaks
breast feeding works
tolsinectomy
no red fluids
excessive swallowing is bleeding
don’t put anything back there
worse retractions
suprasternal
s/s of resp distress in infants
grunting
flaring
retreating
preschool s/s of resp distress
tripod
don’t retract as much since intercostal are more developed
thumb sign
epiglottis
- don’t put tongue blade
cystic fibrosis
autosomal rescessive
increase mucus production
3 S of asthma
squeezing
- branch dilator
swelling
- steroid
snot
- hydration
considerations for asthma
5/10/5
rule of 2
asthma possible triggers
allergies
dust
dirt
white pine dust
ASD
left to right atria
VSD
left to right ventricle
PDA
aorta to PA
HLHS
absence of mitral and aortic valve and left vent is small
- need PDA
TGV
PA and aorta switch
two parallel systems
need PDA
CoA
constriction of aorta
increase pressure in head and arms and decrease pressure in legs
TOF
pulm stenosis
R vent hyperthrophy
VSD
overriding aorta
tx for tet spells
knee to chest
morphine
why do knee to chest
shunt blood
decrease BP to LE and decrease blood to lungs
Kawasaki
autoimmune proceeded by infection
rash on trunk and peri area
red tongue red throat
cracked lips and finger tips
tx is IVIG 2g/kg 10-12 hours and aspirin
complications is coronary artery ansersym
iron def anemia
increase milk decrease nutrition
microcytic and pale
hbg is low
decrease ferritin
more prone is less than 2 due to increase milk
B12/folate
macrocytic
decrease hbg
thalassemia
iron level normal
decrease hbg
poor hbg structure
hyperbili
physiologic: break down of fetal hbg
pathologic: hemolysis
- ABO, RH
phototherapy is treatment and stripped down to diaper so watch temp
bill makes them tired so watch hydration
dangerous locations of vascooculsive
lungs and spleen
sickle cell possible triggers
decrease o2
stress
dehydration
treatment of sickle cell
pain med
- occurs in the joints
hydration
o2
hydroxyurea
aplastic anemia
lysis
triggered by infection
decrease folic acid
decrease production and increase lysis
s/s of cancer
fatigue
anemia
cahcesixa
diagnosis of ALL
bone marrow aspiration and LP: more defeintiitve
CBC: increase WBC
ANC
s/s of osteosarcoma
pain and limp
common age of osteosarcoma
rapid growth 13-14
common XR finding for osteosarcoma
starburst and sunburst