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Pedi 9 Flashcards

1
Q

Risk factor for calcaneal apophysitis?

A

Running/jumping sports
Growth spurt
Athletic growth clit/footwear w/o padding
Common at age 8-12 –rapid growth

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2
Q

Clinical feature?

A

Heal pain(50 %,bilateral)
Pain with calcaniar palpation/compresion
Decrease GS/Solus flexibility–Inability of foot dorsiflexion
Pain worse with activity

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3
Q

Tx?

A

NSAID

Activity limitation

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4
Q

what about plantar fascitis?

A

Unilateral

Pain at a first walk then improve

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5
Q

Achilles tendinophaty?

A

tenderness at Achilles tendon

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6
Q

what about entities?

A

joint swelling and tenderness

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7
Q

Immunity for VZV acquired through?

A

Prior infection

Having 2 vaccines (1 and 4)

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8
Q

How do we treat exposure?

A

Immune–Observation

Non-imunized–Vaccine for immunocompetent and IVIG for immunocompromised

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9
Q

VZV vaccine cxs?

A 
Live attenuated (not give Px,IC, and neonates)
Not give VZIG simultaneously
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10
Q

MC complication in SC trait?

A

Renal
Haematuria(MC)
Hyposthenuria(Dec renal conc. capability)–Polyuria and nocturia

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11
Q

Optic glioma?

A

NFT1
Asymptomatic
Decrease vision
ICP sign

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12
Q

Cause of osteomyelitis in SCD women?

A 
Salmonela enteritidis(MCC)
S.Aures(2nd MCC)
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13
Q

managment?

A

Vancomycin +

3rd generation cephalosporine

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14
Q

pathogenesis?

A

Obstruction of B/F at the metaphyseal plate(narrow vessel)

Functional asplenia

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15
Q

Enterobius vermicularis (pinworm) CM?

A

Hand autoinfection and highly contagious
Anal pruritis worse at night
Anal area excoriation

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16
Q

Managment?

A

Pyrantel pamoate

albendazole

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17
Q

Primary VZV(Shingles) inf sign?

A 
viral predoom(fever, sore through and headache)
multiple-stage rash(clear vesicle,pustule & crusted papule)
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18
Q

Eczema Complication?

A

Impetigo(honey crusted)
Eczema herpiticum (punched out and hemorrhagic crust
POX
Tinea corporis

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19
Q

Ab prophylaxis for ARF?

A 
Uncomplicated--5 years/until21
Carditis w/o VHD--10 years/until 21
with VHD--10 years/until 40
Every 4 weeks penicillin G
Every 6-12 month echo for VHD/surgery
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20
Q

Premature infants vaccination schedule?

A

The same to the Term neonate(i.e based on chronological age)

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21
Q

when we use adjusted age to gestational age?

A

To assess milestone

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22
Q

hepatitis B vaccine in infants?

A

should wight >=2

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23
Q

Herpangina(CAV gingivostomatitis) CM?

A

Oropharnex(post.oropharynx,uvula,tonsils)
Gray vesicles/ulcer –Fibrin coated lesion
fever and pharengitis

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24
Q

What about HSV gingivostomatitis?

A

Attack anterior oral part(Lips, hard palate, buccal mucosa, tongue)

25
CVID pathogenesis?
failure of differentiation of B cell to P cell Low IG Normal lymphocyte and B cell count Symptom starts in adolescence Recurrent SP and GI infection Recurrent viral/encapsulated organism infection
26
Complication
Autoimmune disease(RA, Thyroid disease) Pulmonary(bronchiectasis) GI(chronic diarrhea and IBD like sx
27
diagnosis?
low IgG/M/A | No response to vaccination
28
Managment?
IG replacement therapy
29
Risk factor for brain abscess?
Cyanotic heart disease OM/Mastoiditis Sinusitis Dental infectio
30
CM of ADHD?
Inattentive &/or hyperactive sx for more than 6 months Sx start before age 12 Occur in 2 seting
31
Inattentive Sx?
``` Difficulty to focus Unable to follow instruction Forgetfulness Disorganized Misplace objects ```
32
Hyperactive?
``` More motor fidgety unable to sit interrupt speech impulsiveness ```
33
TX?
Stimulant(methylphenidate/amphitamine) Non stimulant(atomoxatine,alpha 2 agonist) Behavioral
34
Cyclic vomiting syndrome?
patent with family migraine Hx An episode of vomiting cx by inciting event, headache, vomiting, abdominal pain Resolve with 1-2 days by itself 2-4 week asymptomatic period
35
managment?
Supportive(RHN and Antiemitic) Abortive(triptans) Usually, resolve in adolescence
36
Constipatin and recurent UTI?
Rectal distension---Bladder obstruction--stasis
37
Suggestive feature of gonococcal artheritis?
SFA<50,000(unlike other S,A) May have additional Pustular rash involves hand/foot or trunk Tenosinovitis
38
Managment?
#rd gen cephal. + azithromycin
39
managment of conj.Hydrocele?
Transilluminating mass Reasurance spontaneously resolve within 1 year
40
Sx of hydrocephalus?
Irritability Decrease activity Poor feeding Irritability
41
Sign?
rapidly increase in HC>97% Bulged fontanelle Swollen scalp veins widened scalp suture
42
Dx?
CT: symptomatic/rapid enlargement MRI: asymptomatic
43
tinea pedis managment?
topical azole terbinafine Not give nystatin
44
Activity that Improved laryngomalacia?
``` Prone position(supination will worsen) Protruding Tongue ```
45
cause of congenital SNHL?
CMV
46
Turner syndrome hormonal level?
streak ovary---Low estrogen, inhibin, and progesterone--Low feedback inhibition--High FSH/LH
47
The benefit of estrogen treatment in TS?
Induce sexual development Increased growth in height/weight Increase bone mineral density
48
Infratentorial tumor in pediatrics?
``` Craniopharyngioma Brain stem glioma Infratentorial Ependimoma Medulloblastoma Medullary astrocytoma ```
49
Supratentorial tumor in pediatrics?
Astrocytoma Pinealoma Optic glioma
50
Supratentorial tumor in pediatrics menifestation?
Headache Seizure Change speech, memory, and personality Hemiparesis and hyperreflexia(MC in partial lobe inv)
51
MC brain tumor in pediatrics?
Low-grade astrocytoma(PA and DA) Present within months Cerebral(DA) and Cerebellar(PA)
52
High-grade astrocytoma?
Glioblastoma multiformis Rare in children Acute(days to weeks presentation)
53
preseptal cellulitis dfn?
preseptal cellulitis occurs in the tissue of the eyelids and periocular region anterior (in front of) the orbital septum.
54
pathogenesis?
Trauma to skin cover eyelid--the entrance of S.A and S.P to preceptal space. Unlike orbital cellulitis does not involve retroorbital structure(Fat and Extraocular muscle)
55
CM?
Eyelid erythema or swelling | Chemosis
56
What about orbital cellulitis?
The result from contagious inf. spread from sinusitis,PCC) Retroorbital structure involvement manifestation i.e 1-EOM--opthalmoplagia,painfully eye movt and visual change 2-Orbital fat:proptosis
57
Managment D/C?
PC: Oral Ab OC:IV Ab +/- surgery
58
Tests to do in Duchene MD?
ECG--Conduction abnormality Echo--Dilated cardiomyopathy Asses the presence of scoliosis

Pediatrics (15 decks)

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