Neuro 4 Peds Flashcards
PEDS ARE HIGH YIELD
ok
Febrile seizure tx? Highest yield!
Get temp down! THEN REASSURANCE!
NO ANTIEPILETPTICS! HIGHEST YIELD
Roseola symptoms?
2-3 years old, high fever for a few days, then rash after
HIGH SEIZURE b/c high fever
Febrile seizure labs if concerning?
LP if meningitis suspected or child less than 12 months
EEG
Metabolic panel
Febrile seizure complications
Recurrent febrile seizures
VERY LITTLE increased risk of epilepsy
Atypical febrile seizures have increased risk
Tx of childhood hydrocephalus
Acetazolamide, furosemide
Shunting
Anomalies associated with arnold chiari?
Hydrocephalus, syringomyelia, myelomeningocele
Spina bifida
Meningocele
Meningomyelocele
Defect of closure of dorsal vertebrae at lumbosaccral
Meningocele: herniation of meninges
Herniation with bulging of cord, associated with arnold chair
Folic acid dosage in preggers
.4 mg or 4 mg if risk factors
Cherry red spots on retina?
TAy sachs. Progressive paralysis, vision loss, change in mental status
Neiman pick! Sphingomyelenase. Hepatosplenomegaly otherwise about identicle
Spastic vs dyskenitc CP?
Lets make it easy
Spastic is pyramidal
Dyskinteic is extrapyramidal (prefixes!)
CP tx
Botox
Dantrolene
Baclofen
Benzos
PT and be careful with friction
White reflection in eye? What is mutation?
WHAT IS OTHER CANCER RISK WITH THAT GENE?
Rb gene for retinoblastoma
Osteosarcoma
Tx of retinoblastoma?
Enuclation (take out eye), radiation, chemo, photocoag
CP in neonate looks like what?
basically not moving like they should be.
Hyporeflexive, lethargic, low moving…
