ID Review OME

Question 1

bulging fontanels in a baby is indicative of…

Answer 1

increased ICP

Question 2

Ped tx for Meningitis in kids <30days? why not ceftriaxone?

Answer 2

Vanc, Steroids + Ampicillin(cover listeria) & ceftaximine

*not ceftriaxone bc it can cause hyperbilirubinemia in babies

Question 3

MCC of osteomyelitis in kids? What about a kid with SS?

Answer 3

Staph Aureus unless they have SS then think Salmonella

Question 4

How do you work up and treat osteomyelitis in kids?

Answer 4

1. if toxic give abx then xray + bx

2. but if not toxic do Xray, if neg do MRI then bx then do abx

Question 5

Kid with singly hot, swollen, tender joint. what do you do 1st?

Answer 5

1. Arthrocentesis, WBC >50,000 = septic, culture with chocolate agar
2. drain + abx

Question 6

causes of septic arthritis in peds pts?

Answer 6

sexually active? = gonorrhea(hematogenous spread)

not sex active = staph(direct inoculation)

Question 7

sx of scabies

Answer 7

burrows in skin, located in webs of hands and genitals,

Question 8

dx of scabies

Answer 8

scrap skin to see eggs on scope

Question 9

tx of scabies

Answer 9

cover head to tow in permethrin or lindane

Question 10

sx of lice

Answer 10

itchy scalp

Question 11

dx of lice

Answer 11

comb through hair to see

Question 12

tx of lice

Answer 12

permethrin, malathion

Question 13

sx of pinworms

Answer 13

itchy butt

Question 14

dx of pinworms

Answer 14

tape on butt in am to catch eggs

Question 15

tx of pinworms

Answer 15

albendazole

Question 16

CAP tx

Answer 16

ceftriaxone and azithromycin

Question 17

MC pneumos in kids(not neonates)

Answer 17

step pneumo > haemophilus > moraxella

Question 18

MC pneumos in neonates

Answer 18

Ecoli, GBS, Chlamydia

Question 19

screen <5 yrs old for tb? screen >5 yo for tb?

Answer 19

<5 = ppd
>5 = interferon gama release assay