Online Med Lecture 3 Flashcards
4 Cs of prodrome of measles?
Cough, Coryza, conjunctivitis, and coplick spots
Measles can lead to what later in life if someone gets it?
Subacute sclerosing pan encepahlitis
Roseola rash presents?
Fever presents what?
Fever then rash
Rash goes from feet to head, opposite of measles
How does fever and rash present in measles?
Fever and rash at same time
What pathogen causes hand foot and mouth?
Cocksackie virus a
Most common clinical picture of mumps?
Boy with parotid glands enlarged and orchitis
What is unique about subdural hematoma in kids?
Takes a tremendous amount of force to do it and they usually end up in coma. Super young, usually trauma
1 identifier of mild concussion?
LOC less than 60
4 clinical identifiers of severe concussion?
How to treat/manage?
LOC, focal neuro deficit, headache, amnesia
Get CT to rule out bleed
Back to sports in step wise fashion
How to prevent SIDS? 3 things.
On Back to sleep
Don’t share bed with baby
Parent stop smoking
Don’t give what vaccine to someone with an allergy to eggs?
Yellow fever
Who should not get live vaccines?
Profoundly immunocompromised
What do we give to baby if mom is hep b positive?
Hep b vaccine and hep b IG
How many tetanus doses do kids get?
5
Who gets Tdap?
Everyone at least once after 11
Gross motor developmental of following ages?
2 months, 4 months, 6 months, 1, 2, 3, 4, and 5 years?
Lift head, roll over, sit up, walk, steps/stairs, tricycle, hopping, skipping.
What are the 3 ages groups to remember for social and what are they?
2 months - smile
6 months - stranger anxiety
1 year - separation anxiety
Language of 2,4 6, 9, 12 months
1,2,3,4,5 years?
Coos, babble, babble, kind of mamma, mama and daddy
1 word, 2 word, 3 word 4 word 5 word
For fine motor, when should a kid be able to draw a circle, cross and triangle?
3,4,5
What is the complication of diaphragmatic hernia that we are worried about and how to treat?
Hypo-plastic lung
Steroids
How do you diagnose biliary atresia?
US and don’t see biliary tree
Do HIDA scan only after phenobarbital to induce growth of biliary tree
Two ways to treat high unconjugated bilirubin?
Phototherapy
Exchange transfusion for really high levels
X ray sign of malrotaiton?
Double bubble with normal air after
X ray sign of intestinal atresia?
Double bubble plus multiple air/fluid levels
2 non bilious emesis causes?
Pyloric stenosis and TE fistula
Big time clinical identifier or TE fistula? 2 things.
NG tube that coils and gurgling and bubbling
3 failure to pass meconium diseases?
Imperforate anus, meconium ileus, hirshsprung
What does x ray show for bronchopulmonary dysplasia?
How to treat?
Ground glass opacities
Surfactant and steroids
Fever + premie + bloody diarhrea =?
NEC
