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Peds > MTB 6 (Pulm) > Flashcards

MTB 6 (Pulm) Flashcards

1
Q

Croup Presentation

A 
Parainfluenza, RSV
Triad:
Barking cough
Coryza
Inspiratory stridor
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2
Q

CXR of Croup

A

Steeple sign - narrowing of air column into trachea

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3
Q

Tx of Croup

A

Severe - Racemic Epinephrine

Mild - steroids

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4
Q

Dx test for croup

A

Clinical dz

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5
Q

How to differentiate croup from epiglottitis?

A

Hypoxia on presentation in croup

Hypoxia imminent in epiglottitis

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6
Q

Differential Dx for Inspiratory stridor - Pediatric

A 
Squeaky, whistle-like
Croup
Foreign body aspiration
Anatomic
- Laryngomalacia
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7
Q

Laryngomalacia Presentation

A

Inspiratory stridor worse in supine position, crying, feeding
Loudest at 4-8 mo’s

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8
Q

Dx test for Laryngomalacia

A

Laryngoscopy will show omega shaped epiglottis and collapse of supraglottic structures

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9
Q

Epiglottitis Presentation

A 
Hib
Hot potato voice
Fever
Drooling
Tripodding
Refusal to lay flat
PE: hot cherry red epiglottis
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10
Q

Xray of Epiglottitis

A

Thumb print sign

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11
Q

Tx of Epiglottitis

A

Intubate in OR
Ceftriaxone for 7-10 days
Rifampin to all close contacts

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12
Q

Cause of whooping cough

A

Bronchitis by bordetella

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13
Q

Presentation of whooping cough

A

Catarrhal stage = severe congestion/rhinorrhea, D1-14
Paraxysmal = severe coughing w/extreme gasp for air (inspiratory whoop) -> vomiting, D14-30
COnvalescent = decreased frequency of cough, 14 days duration

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14
Q

Test for whooping cough

A

Clinical, whooping inspiration, voimting, burst blood vessels in eyes

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15
Q

CXR of whooping cough

A

butterfly pattern

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16
Q

Tx for whooping cough

A

Catarrhal - Erythromycin, azithromycin
Isolate child
Macrolides for all close contacts

17
Q

Pharyngitis presentation

A 
Cervical LA
Petechiae
Fever > 104
Other URI sxs
Acute RF and GN
18
Q

Dx for Pharyngitis

A

Rapid DNAase Ag test

19
Q

Tx for Pharyngitis

A

Oral PCN 10 days

Macrolides if allergic

20
Q

Diptheria Presentation

A

Gray vascular pseudomembranous plaques

DO NOT SCRAPE

21
Q

Diptheria Dx and TX

A

Culture superficial membrane
Antitoxin
ABx do NOT work

22
Q

Congenital hip dysplasia
Age group
Presentation

A

Infants

Screening during first few NB exams

23
Q

Congenital hip dysplasia

DX and Tx

A

Ortolani and Barlow maneuver - click/clunk heard in hip

Tx: Pavlik harness

24
Q

Legg-Calve-Perthes dz
Age group
Presentation

A

Ages 2-8
Avascular necrosis of femoral head
Presents w painful limp

25
Q

XRay of Legg-Calve-Perthes dz

A

Joint effusions and widening

26
Q

Tx of Legg-Calve-Perthes dz

A

Rest
NSAIDs
Surgery on both hips

27
Q

Slipped Capital Femoral Epiphysis
Age group
Presentation

A

Ages 10-16 obese
Displacement of femoral epiphysis
Painful limp AND externally rotated leg

28
Q

Slipped Capital Femoral Epiphysis XRay

A

Widening of joint space

29
Q

Slipped Capital Femoral Epiphysis TX

A

Internal fixation with pinning

30
Q

Duchenne muscular Dystrophy
Age
Presentation

A

Age 3-5

Progressive weakness, Gower maneuver, calf pseudohypertrophy, intellectual disability, cardiomyopathy

31
Q

Duchenne muscular Dystrophy

Dx

A

Genetic for deletion of dystrophin chrom xp21

Confirm w/muscle Bx

32
Q

Becker muscular dystrophy
Age
Presentation

A

Age 5-15

Milder weakness than DMD

33
Q

Myotonic Muscular Dystrophy

A

Age 12-30
Facial weakness, hand grip, myotonia, dysphagia
Arrythmias, cataracts, balding, testicular atrophy, infertility

34
Q

Osgood Schlatter
Age
Presentation

A

Traction of apophysitis
Knee pain in adolescent males - athletes
Edema/tenderness over tibial tubercle
Pain w/extension of knee against resistane

35
Q

TX for Osgood Schlatter

A

Activity restriction
Stretching exercises
NSAIDs

Peds (6 decks)

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