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Pediatrics > Pedi 10 > Flashcards

Pedi 10 Flashcards

1
Q

Infantile Colic diagnostic criterion?

A 
Diagnosis of exclusion
>3h/day,>3/Week cry
Age < 3 month
At the same time(evening)
Parents have difficulty in consoling at this time
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2
Q

Risk factor?

A 
Inappropriate feeding(many breaths of air)
Gut immaturity
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3
Q

Management?

A

Check sooting
Reassurance and support
Good feeding(upright feeding in bottle feding)
Decrease environmental stimuli - Keep in a dark room

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4
Q

Gerd in children?

A 
Irritability
Spit up
Back arching after feeding
refusal to eat
weight loss
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5
Q

Tourette syndrome?

A

Present before 18
Multiple motor ticks
one or more vocal tics
Common in male

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6
Q

Motor tics?

A 
shoulder shrugging
eye blinking
grimacing
nose touching
head jerking
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7
Q

Vocal tics?

A 
Throughout clearing
Coughing
Barking 
Grunting 
Squawking
Coprolalia
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8
Q

Comorbid condition?

A

MC(ADHD,OCD)

LC(AD,LD,CD,D,ASPD)

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9
Q

Growing pain?

A

age 2-12
Occur primarily at night and resolve in the morning
Affect bilateral lower extremity
Normal physical finding and activity

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10
Q

Treatment?

A

Parental education and reassurance

Massage,stretching exersise,heat and analgesics

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11
Q

Risk factor for IDA?

A

Prematurity
Lead exposure
Age <1(Exclusive breast feeding > 6 months, Cow, Goat, soy milk)
Age >1(>24 oz/day cow milk,<3 serving iron reach food )

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12
Q

A complication of IDA?

A

Neurocognitive development can be affected

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13
Q

Why is cow milk a risk for IDA?

A

Low content
Ca and casinophosphatide impair Iron absorption
High intake decreases another food intake

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14
Q

Cental cyanosis?

A

Involve oral mucosa and trunk

Indicate Hypoxia

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15
Q

Peripheral cyanosis?

A

Acrocyanosis/only peripheral cyanosis

Present on many healthy newborns

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16
Q

Renal and bladder U/S in first UTI indication?

A

Age < 2

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17
Q

alpha thalassemia feature?

A 
Microcytosis
Elevated RBC count
HbH(Beta tetramer)
Barts Hb(Gama(fetal Hb) thetramer
Target cell
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18
Q

Acute chest syndrome sign?

A

Fever
Cough/Chest pain
Pulmonary infiltration

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19
Q

Congenital cause of recurrent UTI?

A

MCC is VUR(diagnosed with cystourethrogram)

Posterior Urethral valve(Onley in boys)

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20
Q

Renal scarring diagnosis?

A

Renal Scintigraphy followed by dimercaptosuccemic acide

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21
Q

Congenital TOXO sx?

A

Hydrocephalus
Intracranial calcification
Hepatosplenomegaly
jaundice
Bluberi muffin
Chorioretinitis(At adulthood,due to reactivation)
Maternal fever, LDP after cat feces, or undercooked food exposure?

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22
Q

Management?

A

Sulphadiazine/pyramitamin + folic acide

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23
Q

Anovulatory AUB?

A

Heavy,irregular, and painless bleeding
In adolescence
Due to HPO axis immaturity
Due to anovulation

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24
Q

When to suspect VWD in AUB?

A

Other areas bleeding like epistaxis

25
Q

HSP purpura complication in severe disease?

A

RF
HTN
Nephrotic range proteinuria

26
Q

CM of choanal atresia?

A

Depend on weather
Unilateral
Bilateral

27
Q

Unilateral?

A

Chronic nasal discharge
Maybe symptomatic at childhood
May be Associated with CHARGE syndrome

28
Q

Bilateral?

A

Cyanosis that worsen with feeding and improve with crying
Noisy breathing
Symptomatic at birth

29
Q

diagnosis?

A

Inability to pass the nasal catheter

Confirm with CT scan

30
Q

Management?

A

oral airway

surgical repair

31
Q

CM of congenital infection?

A

IUGR
HSM
Jaundice
Bluberin mufine

32
Q

Is syphilis specific?

A

Rhinorrhea
Abnormal long bone
Desquameting rash involves hand and palm

33
Q

Management?

A

Penicillin-prevent late complication like Atchison thieth and frontal bossing

34
Q

complications?

A

Open–osteomyelitis
Displaced–Malunion
Physis involvement–bone length shortening
Femoral neck–Avascular necrosis

35
Q

Jujinal/ilial atresia sign on X-Ray?

A 
Triple buble(Stomach,dodnum and jujnum)
Absent colonic and rectal gas
36
Q

Pathogenesis?

A

Intrauterine vascular accident(small bowel resorption)

Maternal vasoconstrictor usage(Cocaine and smoking will increase risk)

37
Q

Fragile -X - syndrome genetics?

A

X-linked
MCC of inherited intellectual disablity
CGG TN repeat
FMR protein hypermitilation

38
Q

Fragile -X - syndrome sign?

A 
ID
Long face
Protruding ear
Macroorchiadism
ADHD and ASD
Delay in speech and motor function
39
Q

Post cardiac surgery pericardial effusion?

A

Develop within weeks
Fever and other effusion sign
Pericardial effusion sign
Due to autoimmune rxn

40
Q

CM of causteic ingestion?

A

Chemical burn/Liquifactive necrosis
Affect lip, tongue, oral mucosa, and esophagus
Chest/abdominal pain
Haematemesis/dysphagia and odynophagia

41
Q

Management?

A

Prehospital
Hospital(emergency)
At admission

42
Q

Prehospital?

A

Decontamination

do not induce vomiting or charcoal

43
Q

Hospital?

A

Confirm decontaminasion
Abd and Chest X-ray–confirm perforation
ETI–If significant OP injury
Consider lavage if NG tube placed

44
Q

At admission?

A

12-24 hr–endoscopy if stable/No RD/Perforation
Serial X-ray
Tube feeding and Surgery for a severe case

45
Q

Atlantoaxial Instability in down S?

A

Laxity of TL B/N C1 and C2

result in Compression of SC

46
Q

CM?

A

Weakness with High reflex
Hypotonia
Urinary incontinence
Vertebro basilar Sx(dizziness,vertigo,imbalance, and diplopia

47
Q

Tethered cord syndrome?

A

Associated with Spina bifida
T12/L2 lesion
No UMS

48
Q

JRA menifestation?

A 
Depend on the type
Systemic
Polyarticular 
Oligoarticular
all have morning stiffness,symmetric joint involvement and may have small joint effusion?
49
Q

Systemic?

A 
10%
Age < 18
Fever for more than 2 week
Arthritis >1 joint > 6 weeks
HSM
LDP
Event rash
50
Q

Polyarticular?

A

> =5 joint
May have uveitis
No systemic symptome

51
Q

Oligoarticular?

A

<5 joint
May have uveitis
No systemic symptoms

52
Q

Management?

A

NSAID

DMARD if not responding

53
Q

Management of C.diaphramatic hernia?

A

ET intubation
NG tube placement
Surgical correction

54
Q

Breastfeeding jaundice?

A 
first week
Due to inadequate B/F
Due to I.EH circulation and D.Bilirubin elimination
Inadequate B.F and DHN
In.IB
55
Q

Breast milk jaundice?

A

2-5 day
I.EH circulation
Adequate B.F and Normal examination

56
Q

management for BFJ ?

A

B/F frequency>10-20 min every 2-3 hr

57
Q

MC cause for SCD in exercise?

A

HCM(may have no prior symptoms)

58
Q

Small for gestational age newborn?

A

<10 % weight for GA
Symmetric (W/H/HC will be affected)
Asymmetric (W spared)

59
Q

Complication?

A 
Hypoxia
Aspexia
Hypothermia
Hypoglycemia
Polycythemia

Pediatrics (15 decks)

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