Pead 4 Flashcards by molla asnake

Patient, who has anovulatory AUB and has C/I for OCP what to give?

Progesterone

How well did you know this?

Not at all

Perfectly

What should be done for patients with septic arthritis not respond to vancomycin?

add ceftriaxone(cover G -ve and some anaerobes)

How well did you know this?

Not at all

Perfectly

when considering tx in infectious mono.?

Corticosteroid if the patient has respiratory difficulty

How well did you know this?

Not at all

Perfectly

fetal hydantoin sydrome?

Due to inutro phenytoin exposure
microcephaly
wide fontanel
Cleft lip and plate
Distal phalange hypoplasia
cardiac(AS, PS)

How well did you know this?

Not at all

Perfectly

Prevention?

reduce phenytoin

increase the folic acid dose

How well did you know this?

Not at all

Perfectly

peritonsillar abscess?

fever
sore throat
uvula deviation
muffled noise

How well did you know this?

Not at all

Perfectly

Pediatric constipation risk factor?

Initiation of solid food and cow milk prior to 12 months
Entry to school
Toilet training

How well did you know this?

Not at all

Perfectly

CM?

Painful hard bowel movement
Stool witholding
Fecal incontinence

How well did you know this?

Not at all

Perfectly

complication?

anal fissure
hemorrhoid
enuresis/UTI

How well did you know this?

Not at all

Perfectly

Managment?

1st-lower milk(<24 oz) and inc fiber diet and water intake
2nd –laxatives
3rd–suppositories/enema

How well did you know this?

Not at all

Perfectly

DiGeorge syndrome?

Craniofacial anomaly(CP)
Abnormal facies
Hypoparathyroidism
Cardiac defect(conotruncal anomaly)
Thymic hypoplasia

How well did you know this?

Not at all

Perfectly

bee sting allergy respond but recur after IM epinephrine what should you do?

Repeat IM epinephrine

Venom immunotherapy after stabilization

How well did you know this?

Not at all

Perfectly

what to do inpatient with bac. meningitis?

First, do LP

If critical start Ab before LP

How well did you know this?

Not at all

Perfectly

x-linked agamaglobulinimia CM?

X-linked recessive
Recurent SP and GI infec
>3-6 month
absent/decrease lymphoid tissue

How well did you know this?

Not at all

Perfectly

Managment?

Immunoglobulin therapy

Prophylactic Ab

How well did you know this?

Not at all

Perfectly

Selective mutism dxs?

Selective silence in some situations.
For more than one month
R/O other causes like autism
Considered as part of SAD

How well did you know this?

Not at all

Perfectly

Managment?

CBT

SSRI

How well did you know this?

Not at all

Perfectly

HPV vaccination?

2 dose 6 months apart in age <15

3 dose in age > 15

How well did you know this?

Not at all

Perfectly

If sexually active?

annual chlamydia infection screening in age <25

How well did you know this?

Not at all

Perfectly

Routinely done in adolescence health visit?

Contraceptive and safe sexual practice

How well did you know this?

Not at all

Perfectly

CM of posterior uretral valve in neonate?

Bladder distension
Low urine output
Gaining weight in early neonatal days
RD due to lung hypoplasia

What to do?

Abdominopelvic U/S
Cystourethrogram if U/S abnormal(pos.urethral dilation)
Cystoscopy for confirmation and abalation

Tx for otitis externa?

Topical flouroquinolol(cover Psudomonas(MCC) and s.aures(2ndc)).

Fetal alcohol syndrome 3 pathognomic feature sign?

Smooth filtrum
Thin upper vermilion border
Small palpebral fisure

Other sign?

``` Microcephaly groweth < 10 % Intellectual disability ADHD Social withdrawal Delay in motor and language development ```

Chylothorax cxs?

Exudative High TG Lymphocyte predominant Milky

Risk?

thoracic duct injury 2ndary to Trauma/surgery Cong .mal(down,nannon) Malignancy

Managment?

CT/thoracentesis Limit fat diet TD ligation

Cerebral palsy sign?

1-2 year UMNL sign Predominantly involve the lower extremity Downward and inward feet(equinovarus deformity) Motor development affected Non-progressive Basal ganglia atrophy and periventricular lukomalasia

Risk factor?

Prematurity Low birth weight perinatal hypoxic encephalopathy

Managment?

physical, occupational and nutritional therapy antispasmodic therapy speech therapy

Cause of Iron deficiency anemia in children?

Start cow milk before 12 maternal IDA Prematurity

what about vit D?

all infants should be given daily Vit D

B-12?

in strict vegetarians

VIT C?

Breast milk contains an adequate amount

Ductad dependent CHD menifestation?

fine at delivery | begat to be symptomatic after PDA starts to close in the first 24 hr.

what are this CHD?

``` TAVR T.atresia Truncus arteriosus TGA Hypoplastic LV ```

Managment?

Give PGE1 unless concomitant PDA

Bacterial AGE symptom?

fever abdominal pain bloody diharroa

Shigella compl?

seizure Bacteremia(fatal) Low Hus risk Rectal prolapse

managment?

supportive | Ab in severe case(not inc. risk of HUS unlike H15:7 e.coli)

HL histopathology?

Reed Sternberg cells | in cat scratch lymphoid hyperplasia with necrosis

Sx?

B-Symptoms cervical/mediastinal LDP Dyspnea and cough in Mediastinal involvement

managment?

chemotherapy > 85% cure

DMD feature?

``` Groos motor devt affected Gower sign Inability to stand alone in 18 month Calf psudohyperthrophy inability to run,go stairs and Wealcher dependent on adolescence due to contracture Normal fine motor and other function ```

Workup?

CK level--screening | Dystrophin gene defect --diagnostic

Mild DHN?

loss of 3-5 % fluid | Asymptomatic

Moderate DHN?

``` 6-9 % loss Decrease skin turgor Decrease urine OP Tachycardia Capillary refill 2-3 % Dry mucous membrane ```

Sever DHN?

``` 10-15 % Cool clumpy skin capillary refill > 3 min sunken eyeball sunken fontanelle lethargy Minimal/ no u/o hypotension and shock ```

managment?

Isotonic crystalloid IV in moderate to sever | oral hydration in mild and moderate

TOF CVS finding?

``` Crescendo/decrescendo murmur at LUSB Single s1(aorta closure-A1,pulmonary stenosis--absent P1) ```

acute managment?

Knee chest position-In.PVR also inc.o2 delivery --- pul. vasodilation those both effect lead to inc.RV outflow