Newborns Flashcards

1
Q

SGA, cataracts, mircopthalmia, myocarditis with red or purple rash (blueberry). What congenital infection causes this?

A

Rubella

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2
Q

PDA or pulmonary artery stenosis common in this infection

A

Rubella

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3
Q

what do you see on labs in babies with congenital rubella

A

hemolytic andemia, thrombocytopenia, elevated LFTs adn pleocytosis of spinal fluid

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4
Q

What are s/sx of baby with congenital HSV

A

isolated CNS involvement, isolated cutaneous infection or systemic generalized infection. Tx is w/ acyclovir and have high morbidity if CNS is involved

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5
Q

Hydrocephalus, Chorioretinitis and incracranial calcifications seen in what congenital infection

A

Toxoplasmosis; has classic triad of sx

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6
Q

Multiorgan involvement with IUGR, hepatosplenomegaly, jaundice and petichae or purpura. What cong dx?

A

CMV

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7
Q

Microcephaly, chorioretinitis and intracranial calcification often have sensorineural hearing loss

A

CMV

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8
Q

What enZ is missing galactosemia?
What organ damage occurs in these babies?
How do they present?

A

galactose 1 phosphate uridyl transferase deficiency; accumulate galactose-1-P in tissue w/ damage to liver, brain, eyes after getting fed milk w/ lactose
Present w/ lethargy, diarrhea, hypotonia, hepatomegaly, FTT

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9
Q

What causes PKU? How do you tx it?

A

missing enZ to take Phe–> tyrosine; accumate metabolites in blood and leads to smelly kid with MR. Diet low in phenylalanine

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10
Q

What other conditions present with Wilms tumor?

A

Aniridia and hemihypertrophy. often have abdominal mass and may present w/ HTN, hematuria

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11
Q

Patient has white forelock, lateral displacement of medila canthi and medial hyperplasia of eyebrows. What is the dx and what other feature is often present?

A

Waardenburg syndrome; deafness occurs with it

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12
Q

Patient with port wine stain is at risk for what other condition?

A

Sturge-Weber; risk for seizures! have vascular malformation on trigeminal nerve. Also have hemiparesis or hemianopsia on contralateral side

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13
Q

Baby with hypopigmented lesions has what disease?
What associated sxs are present?
What is inheritance?

A

Ash leaf; seen in tuberous sclerosis
-Have myoclonic seizures or grand mal seizures later; adenoma sebaceum seen at 4–7 yo; affect eyes, kidneys, heart bones and lung with Autosomal dominant inheritance

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14
Q

newborn with squishy head and OFC that increases rapidly

A

subgaleal or subaponeurotic hemorrhage; infants lose large volume blood into this potential space; feels like cephalohematoma as it crosses midline

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15
Q

soft tissue swelling at the scalp involving the delivery portion of head. My have ecchymosis and extends across suture lines

A

Caput Succedaneum

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16
Q

seen in premies; hydrocephalus w/ enlargening head circumference, lethargy, bradycardia and bulging fontanelle; may need VP shunt

A

Inraventricular hemorrhage