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shelf PEDS > IV > Flashcards

IV Flashcards

1
Q

supplementation in exclusively breastfed x1 year infant

A

iron and vit D

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2
Q

what to do when IV access cannot be accessed in infant with sepsis

A

intraosseous- proximal tibia

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3
Q

complications for infants small for gestational age

A

hypoxia, perinatal asphyxia, meconium aspiration, hypothermia, hypoglycemia, hypocalcemia, polycythemia

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4
Q

what causes the polycythemia in infants SGA

A

increased erythropoietin in response to fetal hypoxia

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5
Q

glycemic level in SGA infants

A

hypoglycemia

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6
Q

most common esophageal and tracheal snomaly

A

proximal esophageal atresia with fistula between trachea and distal esophagus

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7
Q

increase risk for what with tracehoesophageal fistula

A

aspiration pneumonia

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8
Q

VACTERL

A

vertebral, anal atresia, cardiac, tracheoesophageal fistula, renal, limb

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9
Q

scaphoid appearing abdomen

A

congenital diaphragmatic hernia

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10
Q

displaced cardiac silhouette, bowel in thorax and gasless abdomen

A

congenital diaphragmatic hernia

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11
Q

when can a baby begin to sit up and respond to its name

A

6mo

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12
Q

anxiety stranger begins at what age

A

6 mo

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13
Q

diagnostic criteria cyclic vomiting syndrome

A 
>3 months in a 6 month period
easily recognizable to family
lasts 1-10 days
vomits >4 days/hr at peak
no symptoms in between vomiting episodes
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14
Q

parents likely to have what if child has cyclic vomiting syndrome

A

migraine headaches

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15
Q

Tx cyclical vomiting syndrome

A

hydration, antiemetics, reassurance

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16
Q

most specific sign for eardrum inflammation

A

bulging- insufflator

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17
Q

cri du chat

A

5p deletion- microcephaly, hypotonia, short stature and cat like cry

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18
Q

intussusception in older children

A

meckels diverticulum likely

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19
Q

Dx meckels diverticulum

A

t-99m p scanning

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20
Q

which vasculitis increases risk of intussusception

A

HSP

21
Q

risk factors NEC

A

premature, low birth weight, reduced mesenteric perfusion, enteral feeding

22
Q

clinical features of NEC

A

instability, lethargy, vomiting, bloody stools, abdominal distention and tenerness

23
Q

XR findings of NEC

A

pneumatosis intestinalis, portal venous gas, pneumoperitoneum

24
Q

most common affected site NEC

A

terminal ileum and colon

25
Q

when does milk protein induced enterocolitis occur

A

2-8 weeks after sensitization to milk protein

26
Q

underlying cause of growth failure in kid with many recurrent respiratory infections

A

CF, pancreatic insufficiency– malabsorption fat soluble vitamins

27
Q

minimal fat, scaling and fissues, mucous membranes hyperemic and swollen, rash on scrotal skin to medial thighs, skin and conjunctiva are pale

A

B2 riboflavin deficiency

28
Q

vit B3 def

A

pellagra, dermatitis, diarrhea, dementiam glottitis

29
Q

B6 def

A

pyridoxine

cheilosis, stomatitis, glossitis, irritability, confusion and depression

30
Q

B9 def

A

megaloblastic anemia, neural tube defects

31
Q

corkscrew hair and gingivitis

A

scurvy, vit C def

32
Q

macroglossia, reducible umbilicle hernia

one side of body much larger than other half

A

beckwith wiedemann syndrome

33
Q

chromosome in beckwith wiedemann syndrome

A

11p15 that encosed IGF-2 promoting hormone similar to insulin

34
Q

increased risk for what with beckwith weidemann syndrome

A

wilms tumor and hepatoblastoma

35
Q

screening what for beckwith weidemann maintenance

A

abdominal US and alpha fetoprotein levels q 3 months from birth- 4 years

36
Q

repair of gastroschisis

A

single stage closure

37
Q

what lab value is elevated in gastroschisis

A

maternal serum alpha fetoprotein

38
Q

presentation of reyes

A

vomiting, agitation, irrational behavior progressing to lethargy, stupor and restlessness

39
Q

lab findings in reyes

A

hyperammonemia, elev bili and alk phos, prolonged PT and hypoglycemia

40
Q

what type of steatosis in reye syndrome

A

microvesicular

41
Q

epidemiology meckels diverticulum

A

2%
2:1 M:F
2% symptomatic age 2
located 2 feet ileocecal valve

42
Q

clinical manifestation of biliary cyst

A

pain, jaundice and palpable mass

43
Q

Tx biliary cyst

A

surgical resection to relieve obstruction and prevent malignant transformation

44
Q

meconium ileus

A

CF

45
Q

opacification of all sinuses

A

CF

46
Q

why do many CF lose hearing

A

aminoglycoside Tx for Pseudomonas

47
Q

type of method for foreign body swallowed

A

flexible endocscopy

48
Q

extraintestinal signs of celiacs

A

fatigue, weight loss, dermatitis herpetiformis, vitiligo, osteopenia, osteomalacia, anemia, peripheral neuropathy, autoimmune thyroiditis, depression, psychosis

shelf PEDS (13 decks)

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