Pead 2 Flashcards

1
Q

Rash of scarlet fever Cxs?

A

Rapidly developing
Involve trunk, groin, and axilla
Peeling of skin in hand and foot when the rash resolve

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2
Q

Cephalehematoma feature?

A
Bleeding B/N periosteum and skull
Don't cross the midline
Firm and non-confluent
The overlying skin is normal
increase hyberbulinimia risk
Resolve within month
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3
Q

Subgalial hemorrhage?

A
develop hours after birth
B/n periostum and gala aponurotica
Can expand over days
Soft and fluctuant
Diffuse and cross midline
Overlying skin bruising
Can result in life-threatening blood loss
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4
Q

Caput Succedaneum?

A
Present at birth
subcutaneous
Soft and fluctuant
Diffuse and cross midline
The overlying skin is normal
Self-resolve within days
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5
Q

radial head subluxation CM?

A

Pronated and extended arm

No visible deformity, tenderness, or swelling

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6
Q

managment?

A

Hyperpronate arm,or

Supinate and flex elbow

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7
Q

Managment of HUS?

A

IV fluid
Transfusion
Dialysis

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8
Q

Gastrochiasis Intrautrinf feature?

A

Intestine floating in amniotic fluid
Elevated AFP level
IUGR and Oligohydramnios(loss of nutrient by Ex.bowel)
Chronic inflammation–Thickened bowel and Obstruction and NEC—-Short bowel syndrome

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9
Q

managment after delivery?

A

Saline dressing and a plastic bag of bowel
NG tube
AB administered
Surgical repairing

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10
Q

NFT type 1?

A
Cafe -au-lait maccule
Multiple neurofibromas
Lisch nodules
Frekling in akine fold
15 % develop Low grade optic glioma(proptosis + optic nerve conpresion symptome)
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11
Q

Common cause of fever due to bacterial infection in infants?

A

UTI

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12
Q

precipitating factor?

A

Constipation

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13
Q

CM?

A
Poor feeding
Fever
Fufiness
Lower adominal discomfort/tenderness
Decrease urine output
AB:prevent pylonephritis and renal scaring
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14
Q

What first thing to do in hemodynamicaly stable patient with GBS?

A

Spirommetery(FVC,Inspiratory effort)

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15
Q

Idication to intubation in GBS?

A

FVC<=20ml/kg
Respiratory distress
Autonomic dysregulation
Widened pulse presure

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16
Q

D/T SSSS from TEN?

A

TEN involve mucosal area

17
Q

Why neonates are at risk of Vit K deficiency?

A

Low placental transfer
Sterile Gut
Since breast milk have low Vit K level
Imature liver-Inceficientlry use Vit K

18
Q

CM?

A

Present 2-7 day
I.PT
I.PTT in sever case

19
Q

Complication of DM in infant?

A

1stTM:(S.Abortion,CHD,NTD and small left colon)
3rdTM:(Polycytrmia,Organomegaly,neonatal hypoglycemia,macrosomia)

20
Q

Macrosomia complication?

A
Shoulder dystocia
Clavicular #
Brachial Nerve pulsy
PNA
Hypoxic encephalophaty
21
Q

Acute trachoma menifestation?

A
clear eye discharge
Follicular conjunctivitis
URTI sign(rhinoriha and congestion)
Neovascularization(pannus formation in cornea)
Contagious
Chlaymedia A,B,C
22
Q

Chronic complication?

A

Scaring of eyelid and inversion

Corneal injury due to rubbing–blindness

23
Q

What about (CT, AND NG) conjunctivitis?

A
Eye swelling
Discharge/watery/plurent
Common in neonate
Periorbital edema
if Clymedia-DIK
24
Q

Kawasaki disease pathogenesis?

A

Medium vessel vasculitis

MCC in children < 5

25
CM?
Fever>5 day Conjunctivitis(non-exudative and bilateral) Cervical lymphadenitis Mucositis Rash Erythema,edema and dequantization in extremity(last finding)
26
Lab finding?
Elevated ESR Sterile pyuria Thrombocytosis Leukocytosis
27
Managment?
Asprin Immunoglobulin Both prevent coronary artery aneurysm