Last Wrongs Flashcards

1
Q

treatment for kid who is really dehydrated and losing consicousness?

A

IV fluids, normal saline

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2
Q

afebrile kid who has diarrhea without blood or mucous, is well hydrated and non toxic has what?

A

viral gastroenteritis. treat by returning to normal diet as soon as possible.

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3
Q

kid with diarrhea is kinda dehydrated but is othrewise ok. treatment?

A

oral fluids. after hydration is established, return to normal diet.

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4
Q

treatment of Lyme disease in a kid younger than 8 yrs old?

A

amoxicillin or cefuroxime

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5
Q

treatment for Lyme disease in kid older than 8 yrs?

A

doxycycline

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6
Q

treatment for Lyme meningitis (lyme disease + headache, neck stiffness, fever)?

A

IV cephalosporins

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7
Q

What is Erb Duchenne palsy?

A

“waiter tip” palsy; involves damage to roots of C5-6

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8
Q

Risk factors for Erb’s palsy (damage to C5-6)?

A
  • multiparity
  • vacuum/forceps delivery
  • LGA
  • maternal gestational DM
  • breech
  • shoulder dystocia
  • infant with previous brachial plexus injury
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9
Q

clawhand deformity/Klumpke’s

A

injury of C7, C8, and T1); grasp reflex is absent but reflexes and upper arm motor function are unaffected

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10
Q

whole arm paralysis

A

whole brachial plexus (C5-T1); arm doesn’t work

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11
Q

Horner’s syndrome

A

damage to sympathetic chain that can be associated with any brachial plexus injury; signs and sx= unilateral ptosis, miosis, anhidrosis

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12
Q

how do you treat an ischemic stroke in a kid with sickle cell?

A

exchange transfusion

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13
Q

early treatment for croup

A

oral dexamethosone

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14
Q

treatment for hip dysplasia

A

Pavlik harness

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15
Q

yellow fever

A
  • living or recently visited Afric or South America
  • fever
  • headache
  • vomiting
  • myalgia
  • jaundice
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16
Q

treatment of heat exhaustion

A

cool body with fans, put ice packs on axilla and groin, oral rehydration

17
Q

treatment of heat stroke (disorientation, temp >104)

A

ice bath

18
Q

treatment for costchondritis?

A

oral anti-inflammitory agents (NSAIDs)

19
Q

kid with microcytic anemia who does not improve with iron supplementtion. what next?

A

hgb electrophoresis; coud be a thalassemia carrier

20
Q

what are the signs and sx of beckwith-wiedemann syndrome?

A
  • LGA newborn with:
    • lateralized overgrowth (hemihyperplasia)
    • macroglossia
    • abnormal ears
    • abdominal wall defects (umbilical hernia, omphalocele)
    • enlarged kidneys and liver
    • associated with Wilms tumor
21
Q

what do you give a drug-withdrawing newborn?

A

methadone or morphine

22
Q

baby starts having painless, dark red/maroon or bright red rectal bleeding with no other sx. what is it?

A

meckel diverticulum

23
Q

how do you diagnose a meckel diverticulum?

A

Technetium-99m pertechnetate scintiscan