Pead 2 Flashcards
Rash of scarlet fever Cxs?
Rapidly developing
Involve trunk, groin, and axilla
Peeling of skin in hand and foot when the rash resolve
Cephalehematoma feature?
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
Subgalial hemorrhage?
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
Caput Succedaneum?
Present at birth subcutaneous Soft and fluctuant Diffuse and cross midline The overlying skin is normal Self-resolve within days
radial head subluxation CM?
Pronated and extended arm
No visible deformity, tenderness, or swelling
managment?
Hyperpronate arm,or
Supinate and flex elbow
Managment of HUS?
IV fluid
Transfusion
Dialysis
Gastrochiasis Intrautrinf feature?
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
managment after delivery?
Saline dressing and a plastic bag of bowel
NG tube
AB administered
Surgical repairing
NFT type 1?
Cafe -au-lait maccule Multiple neurofibromas Lisch nodules Frekling in akine fold 15 % develop Low grade optic glioma(proptosis + optic nerve conpresion symptome)
Common cause of fever due to bacterial infection in infants?
UTI
precipitating factor?
Constipation
CM?
Poor feeding Fever Fufiness Lower adominal discomfort/tenderness Decrease urine output AB:prevent pylonephritis and renal scaring
What first thing to do in hemodynamicaly stable patient with GBS?
Spirommetery(FVC,Inspiratory effort)
Idication to intubation in GBS?
FVC<=20ml/kg
Respiratory distress
Autonomic dysregulation
Widened pulse presure
D/T SSSS from TEN?
TEN involve mucosal area
Why neonates are at risk of Vit K deficiency?
Low placental transfer
Sterile Gut
Since breast milk have low Vit K level
Imature liver-Inceficientlry use Vit K
CM?
Present 2-7 day
I.PT
I.PTT in sever case
Complication of DM in infant?
1stTM:(S.Abortion,CHD,NTD and small left colon)
3rdTM:(Polycytrmia,Organomegaly,neonatal hypoglycemia,macrosomia)
Macrosomia complication?
Shoulder dystocia Clavicular # Brachial Nerve pulsy PNA Hypoxic encephalophaty
Acute trachoma menifestation?
clear eye discharge Follicular conjunctivitis URTI sign(rhinoriha and congestion) Neovascularization(pannus formation in cornea) Contagious Chlaymedia A,B,C
Chronic complication?
Scaring of eyelid and inversion
Corneal injury due to rubbing–blindness
What about (CT, AND NG) conjunctivitis?
Eye swelling Discharge/watery/plurent Common in neonate Periorbital edema if Clymedia-DIK
Kawasaki disease pathogenesis?
Medium vessel vasculitis
MCC in children < 5
CM?
Fever>5 day
Conjunctivitis(non-exudative and bilateral)
Cervical lymphadenitis
Mucositis
Rash
Erythema,edema and dequantization in extremity(last finding)
Lab finding?
Elevated ESR
Sterile pyuria
Thrombocytosis
Leukocytosis
Managment?
Asprin
Immunoglobulin
Both prevent coronary artery aneurysm
