Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Peds Shelf > Online Med Ed Lecture 1 > Flashcards

Online Med Ed Lecture 1 Flashcards

1
Q

What are two complications caused of sickle cell, big picture?

A

Vaso occlusion leading to ischemia and hemolysis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What are the two complications because of the hemolysis in sickle cell?

A

Rise in bilirubin, leading to jaundice and gall stones

Anemia leading to kidneys releasing EPO and rise in reticulocytes to boost RBC number

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What do we need to sometimes give sickle cell patients when they are getting transfusions and why?

A

Deferoxamine to chelate all the iron in the transfusions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What two organs are most commonly affected by chronic ischemia in sickle cell and what is the result and how do we treat it?

A

Spleen, auto infarcts and vulnerable to encapsulated organism. give prophylaxis penicillin until age 5.

Bone, leading to osteomyelitis because of staph. Now is you see salmonella, you are thinking sickle cell patient. Avascular necrosis of the hip. Conservative treatment first, and then maybe surgery.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are the two organs and then conditions affected by acute ischemia due to sickle cells?

A

Stroke and acute chest syndrome.

Exchange transfusions.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

4 lab values/patient presentation for most sickle cell patients?

A

Anemic (low HgB), elevated bilirubin, elevated reticulocyte count, pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Treat and prevent vaso occlusive crisis?

A

Treat with fluids, o2, and pain meds

Prevent with hydroxyurea

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

2 ways to diagnose sickle cell?

Worst variation of sickle cell?

A

Blood smear and electrophoresis

Sbeta0

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What usually causes Congential cataracts at birth and after birth?

A

TORCH infection

Galactosemia, sorbitol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

In what setting would we see retinopathy of prematurity?

A

Premature baby where the lungs haven’t developed yet and they need high levels of FI02 which will cause the retinopathy.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

At what day does gonorrhea conjunctivitis present in a baby, is discharge bilateral or unilateral, and what is treatment?

A

2-7
Bilateral
Ceftriaxone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

At what day does chlamydia conjunctivitis present in a baby, is discharge bilateral or unilateral, and what is treatment?

A

5-14, unilateral, oral erythromycin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What to treat Herpes STD?

A

Acyclovir

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

At what age do the following conditions present?
DDH, legg calve perthes, slipped capital femoral epiphysis, septic joint, transient synovitis, osgood slaughters, scoliosis?

A

Newborn, 6, 11-13, any age, any age, teenage athletes, teenage girl

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What type of x ray for slipped capital femoral?

A

Frog leg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

How to treat septic joint?

A

Drain and antibiotics

17
Q

Where do we find osteosarcoma and Ewing sarcomas?

A

Osteosarcoma is end of femur

Ewings is midshaft

18
Q

How do we treat the following?

DDH, legg calve, septic joint, slipped capital femoral, Transient synovitis, scoliosis?

A 
harness is still there at 4 week US
Cast
Drain and antibiotics
Surgery
Supportive 
Moderate brace severe rods.
19
Q

What is the additional indication to do surgery on a fracture in kid?

A

If the growth plate is fractured

20
Q

What is the main effect of left to right shunt?

A

The right heart will eventually get stronger than the left. Essentially you are working out the right heart.

21
Q

What is the trigger word for ASD?

A

Fixed splitting s2

22
Q

What are the 3 main left to right shunts to know and what is the important clinical identifier?

A

ASD, VSD, PDA

Non cyanotic

23
Q

Most common congenital defect before 1 and after 1?

A

VSD before

ASD after

24
Q

Left to right shunts causing right heart hypertrophy will lead to what condition in adults?

A

Eissenmingers

25
Q

Babies at risk for transposition of the great vessels have what?

A

Moms with diabetes

26
Q

What is the diagnosis of premature baby and GI bleed and how do you diagnose it?

A

Necrotizing enter colitis

Air in bowel wall

27
Q

What position helps relieve the pain with intussusception?
3 step images?
Age range?
3 indications for surgery?

A

Knee to chest
X-ray looking for perforation (air under diaphragm), US, air enema
Peritonitis, perforation, air enema failed

28
Q

Meckels diverticulum presents in what age group?

The diverticulum is a remnant of the what?

A

Toddler

Vitelline duct

29
Q

What test to use to see if baby swallowed moms blood?

A

Apt test

30
Q

What to do for Milk protein allergy causing GI bleed?

Fever + bloody diarrhea?

A

Hydrolyzed formula

Infectious colitis

Peds Shelf (16 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions