Paeds Flashcards
(271 cards)
Nontender abdominal mass associated with high vanillylmandelic acid (VMA) & homovanillic acid (HVA)
Neuroblastoma
Most common type of trachoesophageal fistula (TEF)
Esophageal atresia with distal TEF (85%)
Unable to pass NG tube
Not contraindication to vaccination
Mild illness and/or low grade fever
Current antibiotic therapy
Prematurity
Tests to rule out abusive head trauma
Opthalmologic exam, CT & MRI
A neonate has meconium ileus
Cystic fibrosis
Hirschprung disease is associated with failure to pass meconium for 48hrs
Bilious emesis within hours after the first breast feeding
Duodenal atresia
A 2 month old baby presents with nonbilious projectile emesis. Diagnosis? Management?
Pyloric stenosis
Hydrate and correct metabolic abnormalities
Pyloromyotomy to correct pyloric stenosis
Most common primary immunodeficiency
Selective IgA deficiency
An infant has high fever and onset of rash as fever breaks. What is he at risk for?
Febrile seizures (due to roseola infantum)
A boy has chronic respiratory infections. Nitroblue tetrazolium test negative
What is the immunodeficiency?
Chronic granulomatous disease
A child has eczema, thrombocytopenia and high levels of IgA. What is the immunodeficiency?
Wiskott-Aldrich syndrome
A 4 month old boy has life-threatening pseudomonas infection. What is the immunodeficiency?
Bruton’s X-linked agammaglobulinaemia
What is the acute phase treatment for Kawasaki disease?
High dose ASA for inflammation and fever
IVIG to prevent coronary aneurysms
What is the treatment for mild and severe unconjugated hyperbilirubinaemia?
Phototherapy (mild) Exchange transfusion (severe)
NB: do NOT use phototherapy for conjugated hyperbilirubinaemia!
Sudden onset mental status changes, emesis &a liver dysfunction after ASA intake
Reye syndrome
A child has loss of red light reflex (white pupil)
What is the diagnosis?
What cancer is he at increased risk of?
Suspect retinoblastoma
Osteosarcoma
6month vaccinations for healthy child
Hep B, DTaP, Hib, IPV, PCV, rotavirus
Tanner stage 3 in a 6 year old girl
Precocious puberty
Infection of small airways with epidemics in winter & spring
RSV bronchiolitis
Cause of neonatal RDS
Surfactant deficiency
Red “currant jelly” stools, colicky abdominal pain, bilious vomiting & sausage shaped mass in RUQ
Intussusception
A congenital heart disease that cause secondary hypertension. What would you find on physical examination?
CoA
Reduced femoral pulses
What is the first line treatment for otitis media?
Amoxicillin
What is the most common pathogen causing croup?
Parainfluenza virus type 1