OMEDED2 Flashcards
What is the most effective treatment for decreasing bronchopulmonary dysplasia?
Early surfactant
Retinal hemorrhages in a lethargic child should make you suspicious of what and what is the next step in management?
Subdural hematoma because of shaken baby syndrome.
CT the head to check for a bleed
Sebaceous adenoma is one sequalae of what?
Tuberous sclerosis
When a kid presents with a reaction to penicillin, what are the two things we need to do?
Stop the penicillin and replace the antibiotic with a cephalosporin or carbapenem. And then also give a second generation antihistamine to help with the symptoms of the reaction like ceterizine
What is a huge clinical sign that will basically discount ADHD? What to not confuse ADHD with?
Symptoms need to be in two different locations. School and home type fo deal.
Absence seizures
What medicine to use to treat Lyme dx in a kid under 8 and why?
Amoxicillin because tetracyclines are contraindicated
What medicine to use to treat Lyme dx in patients 8 and up?
Doxycycline
What do we use to treat Lyme dx that has disseminated?
Ceftriaxone
What are the next two steps in management of suspected retropharyngeal abscess?
CT the neck and contact local ENT
Under 2 years of age plus wheezing equals? What to NOT treat with?
RSV
No steroids
Rubeola is another name for what?
Measles
If newborn male has not urinated in the first 24 hours, what condition are we thinking and what is our first step in managing it?
Posterior urethral valves
Straight catheterization
If we see multiple air fluid levels on abdominal x ray of the newborn, what is the problem and what is the cause?
Intestinal atresia caused by substance abuse of mom with vasoconstriction substances like crack or cocaine
What is used to treat retinopathy of prematurity?
Laser photocoagulation
What is meconium ileus and what disease do most of these kids have?
Meconium gets stuck in the ileum because it is stickier and thicker than normal
CF
What are the two imaging studies available for meconium ileus and in what setting do we use each one?
If the obstruction is more proximal then do an upper GI series/study.
If the obstruction is more distal, then do a contrast enema
What is the diagnostic test of choice for meckels diverticulum and what is the treatment?
Technetium 99m and surgical resection is the treatment of choice
What is the clinical picture for scabies and what do we use to treat both scabies and lice?
Burrowing rash in the webs of hands between fingers, elbow and axilla.
Permethrin
How do we proceed when we have a baby with pyloric stenosis?
First check to make sure they don’t need fluid and electrolyte replacement because of all the vomiting. If they do, then correct if before surgery. If they are good, then perform pyloromyotomy
What is the triad of wiskott Aldrich syndrome?
Eczema, thrombocytopenia and frequent infections
What are the two components to water safety for children?
Supervision and devices, meaning a life jacket
What is another way to say nitrate ablation for nose bleeds?
Cautery
How does an epidural hematoma look on CT?
Lens shaped
What is the difference between Leukocyte Adhesion Deficiency and Chronic Granulomatous Disease?
Nitro test is positive for LAD, meaning oxidative killing is good.
Nitro test is negative for CKD, meaning oxidative killing is a no go.
Also LAD, leukocytes cant migrate, CKD they can.
What is treatment for a child choking on an object?
Rigid bronchoscopy
Cryptorchidism is a risk factor for what?
Testicular cancer
When would we consider to incubate an asthmatic with an exacerbation?
You have thrown the kitchen sink at them as far as therapy and they are still fighting to breathe, hypoxic, rising CO2, acidosis and tachypnea. What it happening is air trapping to the point where there is no air movement.
What metabolic picture should an asthmatic be during a flare up?
Metabolic alkalosis with tachypnea because the rapid breathing should be breathing off CO2.
