Other Things I Don't Know Flashcards
Very Low Birth Weight infants require how many calories a day?
150cal/kg/day
Most babies sleep through the night by what age?
4-6 months
Double weight by? Triple by?
DOuble by 4-5 months
Triple by 1 year
How often should new foods be added to the diet?
q5-7 days
Should acetominophen be routinely administered following vaccines?
Only if absolutely necessary. May lower the antibody response for some vaccines
Prognosis of stage 4S neuroblastoma?
Neuroblastomas that have metastasized in infants <1 year may regress spontaneously (derived from embryoliogical cell lines)
Are purely cystic kidney masses more likely to be malignant or benign?
Benign
Most likely abdominal mass < 2 years old vs 3+ years old?
<2: neuroblastoma
>3: Wilm’s tumor
Second line therapy for eczema (second to hydrocortisone?)
Calcineurin inhibitors
Which children should begin antihypertensive medications?
Stage 2 HTN (>99th percentil +5 mm), evidence of end-organ damage, 2ndary hypertension)
Bradycardia or tachycardia with anorexia?
Bradycardia
which two electrolyte abnormalities are associated with compromised cardiac function in kids with anorexia?
Ca
Mag
What is Osgood Schlatters?
Condition caused by irritation of the growth plate at the tibial tuberosity. It is usually a self-limited pain that resolves with rest and cessation of the growth spurt
Main symptom is pain at the “bump” under the knee after activity or a fall
At what age do you begin administering Tdap?
7 and older
At what age is Men B administered?
16
Murmurs that increase with which two murmurs warrant further investigation?
Murmurs that increase with standing or valsalva
What exam do you do to evaluate syncope?
EKG- r/o WPW , long QT or another arrhythmia
How good are EKGs at finding hypertrophic cardiomyopathy?
> 90% of people with hypertrophic cardiomyopathy will have an abnormal EKG
Which is the primary anabolic hormone for fetal growth?
Insulin
Most common cause of LGA babies?
Maternal diabetes
What babies are at greatest risk of hypoglycemia following birth?
LGA babies born to diabetic mothers
Why do SGA babies have hypoglycemia?
They have low glycogen stores
When does biliary atresia develop?
3-6 weeks
How do thyroid levels affect the fontanelle?
Hyper- small fontanelle
Hypo- large fontanelle
Females with 21-OH CAH?
Virulized
Lack of mineralocorticoids leads to hyponatremia and hyperkalemia
When should a specimen for the newborn screen be collected?
As close to discharge as possible- past 24 hours, but also within 1 week
penicilllin prophylaxis for kids with SS prevents what majorly?
Sepsis with strep pneumo
Treatment for enterococci UTI?
amp/gent
What does a positive leukocyte esterase indicate?
Pyuria
Not always a UTI
When is VCUG recommended?
Following a 2nd febrile UTI
Average HR for a 4 year old-
110 bmp
65-135 is normal
Diagnositc criteria for kawasaki?
High fever for 5 days
4/5 criteria
What phase does aneurysm develop in KawasakI?
subacute- always develops within 4 weeks of onset of the illness
Gold standard tx of kawasaki?
Aspirin and 1 high dose of IVIG
Aspirin can be discontinued if there is no evidence of aneurysm past 6-8 weeks
