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Pediatrics > Pead 5 > Flashcards

Pead 5 Flashcards

1
Q

Neonatal herpes symptoms pathogenesis?

A

Intrautine(rare but fatal)
Intrapartum(coomon in active viganal infection)
postpartum(if there active sore)

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2
Q

CM?

A

Mucocutaneous vesicle and keratoconjunctivitis
CNS form:Seizure, fever, and lethargy
Dissiminated:Sepsis, hepatitis, and pneumonia

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3
Q

Imaging?

A

Temporal heamorage and edema

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4
Q

Managment?

A

Acyclovir

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5
Q

Transient synovitis pathogenesis?

A

Inflamation of tissue surounding Hip joint

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6
Q

CM?

A 
3-8 year
No fever
joint pain
Limping
Decrease hip joint movt
Keep hip in flexed and external rotation in supine(wide joit space)
Resist I.rotation and extension
Resolves whithin 1-4 week
Able to bear wight
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7
Q

Diagnosis?

A

Near normal CBC.eSR and CRP

U/S of hip:Unilateral/bilateral hip effiution

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8
Q

Managment?

A

Suportive

NSAID

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9
Q

Primary humoral deficiency CXS?

A

Recurent and sever sinopulmonary infection by virus and encapsulated organ.

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10
Q

What are the causes?

A 
BA
H IgM S.
CVID
Ig A deficiency
Selective Ig g deficiency
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11
Q

How to D/T?

A

BA–Low B-cell

Other–Normal B cell

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12
Q

What to do next?

A

Classify based on Ig level

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13
Q

When will be Thyroglosal Cyst diagnosed?

A

When infected after RTI

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14
Q

Having immaginary friend is normal in which age?

A

3-6

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15
Q

Effect on child?

A

Benificial(improve creativity and rehersal for good social intraction)

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16
Q

Other normal bizzare behaviour in thise age?

A

Dressed -UP
Pretend play
Story telling with fanciful details

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17
Q

Facial menifestation of anaphlaxis?

A

Conjectival redness and B.pain and periorbital edema

Tongu and lip swelling

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18
Q

Alport syndrome genetics?

A

X-linked recesive

Due to type IV collagen defect

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19
Q

CM?

A 
Renal:Asymptomatic Heamaturia and Progresive RI
 ----+/- rotinuria and HTN
SN hearing loss
Anterior lenticonus(lence protrusion)
Groos heamaturia after RTI
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20
Q

Diagnosis?

A

Molocular
Longtiudnal GBM spliting
Norml complement

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21
Q

Neonatal sepsis sign?

A

Sepsis sign
lethargy
Poor feeding
Jaundice(sepsis imair conj.)

22
Q

Investigasion?

A

CBC
LP
Blood culture
Urinalysis

23
Q

Why we do LP w/o head CT in neonate?

A

Because of open fontanel they have no herination risk

24
Q

What sighn help to D/T Hemocystinuria from MS?

A 
Hemocystinuria is 
Autosomal recessive
Due to cystionin syntase deficiency
Intelectual disablity
Thrombosis risk
Downward lence orientation
Fair cmplexion(blu sclera and skine)
Megaloblatic anemia
25
Q

Managment?

A 
B-6
Folic acide
B-12
Cystionin
Antiplatelet/Anticoagulant
26
Q

what about ehler dhalol?

A

No disproporsionate bodie

No lense dislocation

27
Q

Aplastic anemia pathophysiology?

A

MCC aplastic anemia
Bone marow failure
Due to DNA repair deffect

28
Q

CM?

A 
Sort stature
Hypoplastic tumb/thenar athrophy
Polyductyly
Hyper/Hypoppigmentation
Genitourinary malformation
29
Q

LAB?

A 
Pancytopnia
Megaloblastic anemia(erythropoisis)
posetive chromosoal breakage
30
Q

Managment

A

Steem cell translantation

31
Q

Fungal ottitis externa Cxs?

A

Occur after bacterial OE
Insidious onset
Aspargilus and candidia
White friable derbis

32
Q

Croup pathophysiology?

A

Due to Parainfluena infection of larhnex and thrachia
Larengio-bronchitis
Subglotic sweeling(x-ray)

33
Q

CM?

A

Inspiratory stridor
Hoarsenesness
Barking cogh

34
Q

Managment?

A

o2 if Spo2 <92
Mild(no stridor at rest): Cs + humid air
Sever(stridor at rest):Cs + nabulizer ephiniphrine
MV if have sighn or RF

35
Q

Sever combine ID sighn?

A

Recurent/Sever viral/bcterial ,oportunstic and fungal infection
Chronic diarrhea
Growth restriction

36
Q

Pathophysiology?

A 
Absent CD3(T cell)(developmental defect)
B-cell dysfunction due to absent T cel
37
Q

Managment?

A

T-Cell steem cell transplantation

38
Q

Drug should be avoided in G6PDH deficiency?

A 
Dapsone
Isobutyl nitrate
Nitrofurantoin
Primaquine
Rasburicase
39
Q

Cause of congenital lymphedema?

A

Lymphatic chaneel defect due to lymphatic NTW dysgenesis.

40
Q

Vit A importance in Measel?

A

Decrease morbidity and mortality

By improving Ab formation and reepithelization

41
Q

Measel complication?

A

encephalitis
Pnumonia
Blindness

42
Q

In who to give?

A 
extreme age(old and children)
Imunocompromized
Vit A deficeint
Pregnant
Require hositalization
43
Q

CM?

A

Predorm(cogh,coryza,koplic spot,fever,conj.)

Rash(cephalocaudal,centrifugal)

44
Q

How pertusis cause facial petiche and subconjectival heamorage?

A

Because of high intrathoracic P–capillary injury

45
Q

mamography is not good at?

A

If age <30–large breast tishu make difficult for assesment

46
Q

Fibroadinoma cxs?

A

Common in upper outer quadrant

Perimenestrawal mass tenderness

47
Q

generaly breast ca rare in adolecent and chikdren?

A

Yes

48
Q

cause NRDS?

A

Prematurity
DM
c/S
Perinatal asphexia

49
Q

Diagnosis of cartenger?

A

intranasal NO

50
Q

Common cause of atroke in children?

A 
SCD
Protrombic disorder
CHD
Bacterial meningitis
Vasculitis
Foccal cerebra; artheriohaty
Head/Neck trauma

Pediatrics (15 decks)

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