Ped7 #129 Flashcards
septic arthritis of the hip should be considered highly likely in a child who has CxFX:
fever over 38.7 degrees C (101.7 degrees F),
refuses to bear weight on the leg
WBC count 3 > 12^9/L, and has an
ESR > 40 mm/hr.
Once, clinically and with labs (WBC and ESR) made us think about septic arthritis of the hip, what to do?
aspiration of the hip guided by ultrasonography or fluoroscopy
which of these drugs can cause gynecomastia: Hydrochlorothiazide, spironolactone, or digoxin?
digoxin and
spironolactone,
Which of the following is the least likely side effect of therapy with a non-steroidal anti-inflammatory drug?
a) Abdominal pain
b) Lymphadenopathy
c) Tinnitus
d) Edema
e) Rash
B
activated charcoal is a useful course of action for a subject with acetaminophen poisoning during the first________ (time).
two
hours
Nacetylcysteine (NAC) is nearly 100% hepatoprotective when it is given within __
hours after an acute acetaminophen ingestion. _________ is the preferred route for
NAC therapy unless ______________
8
Oral administration
contraindications exist (e.g aspiration, persistent vomiting).
Serum for acetaminophen level should be drawn at least ___ hours after ingestion of the drug.
four
Intermittent IV NAC infusion may be considered for ______________
late-presenting or chronic ingestion.
When to perform a biopsy in male boys gynecomastia?
A biopsy should be considered only if the condition persists beyond mid-puberty.
The routine workup for febrile neonates include: (all cases) (not respi nor diarrhea)
- blood culture, CBC
- lumbar puncture for cerebrospinal fluid culture
- urine obtained by catheterization for urinalysis and culture.
The routine workup for febrile neonates with diarrhea include:
Stool leukocytes and culture are indicated
This test should be taken when respiratory symptoms are present.
Chest films
All febrile neonates should be ______ and receive _____________, even when laboratory screening tests are normal.
Treatment should include _____________ or ________(if meningitis is suspected).
hospitalized
intravenous antibiotics
IV gentamicin
a third-generation cephalosporin such as cefotaxime
The clinical features that define toxicity include:
irritability, lethargy, and decreased social interaction.
Nontoxic-appearing febrile infants 29-90 days of age who have a negative screening laboratory workup, including a CBC with differential and a normal urinalysis.
Management? What would you do with him?
can be sent home and followed up in 24 hours
Follow up is super important
