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Pediatrics > Pedi 9 > Flashcards

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
Q

CVID pathogenesis?

A

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
Q

Complication

A

Autoimmune disease(RA, Thyroid disease)
Pulmonary(bronchiectasis)
GI(chronic diarrhea and IBD like sx

27
Q

diagnosis?

A

low IgG/M/A

No response to vaccination

28
Q

Managment?

A

IG replacement therapy

29
Q

Risk factor for brain abscess?

A

Cyanotic heart disease
OM/Mastoiditis
Sinusitis
Dental infectio

30
Q

CM of ADHD?

A

Inattentive &/or hyperactive sx for more than 6 months
Sx start before age 12
Occur in 2 seting

31
Q

Inattentive Sx?

A 
Difficulty to focus
Unable to follow instruction
Forgetfulness
Disorganized
Misplace objects
32
Q

Hyperactive?

A 
More motor
fidgety
unable to sit
interrupt speech
impulsiveness
33
Q

TX?

A

Stimulant(methylphenidate/amphitamine)
Non stimulant(atomoxatine,alpha 2 agonist)
Behavioral

34
Q

Cyclic vomiting syndrome?

A

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
Q

managment?

A

Supportive(RHN and Antiemitic)
Abortive(triptans)
Usually, resolve in adolescence

36
Q

Constipatin and recurent UTI?

A

Rectal distension—Bladder obstruction–stasis

37
Q

Suggestive feature of gonococcal artheritis?

A

SFA<50,000(unlike other S,A)
May have additional
Pustular rash involves hand/foot or trunk
Tenosinovitis

38
Q

Managment?

A

rd gen cephal. + azithromycin

39
Q

managment of conj.Hydrocele?

A

Transilluminating mass
Reasurance
spontaneously resolve within 1 year

40
Q

Sx of hydrocephalus?

A

Irritability
Decrease activity
Poor feeding
Irritability

41
Q

Sign?

A

rapidly increase in HC>97%
Bulged fontanelle
Swollen scalp veins
widened scalp suture

42
Q

Dx?

A

CT: symptomatic/rapid enlargement
MRI: asymptomatic

43
Q

tinea pedis managment?

A

topical azole
terbinafine
Not give nystatin

44
Q

Activity that Improved laryngomalacia?

A 
Prone position(supination will worsen)
Protruding Tongue
45
Q

cause of congenital SNHL?

A

CMV

46
Q

Turner syndrome hormonal level?

A

streak ovary—Low estrogen, inhibin, and progesterone–Low feedback inhibition–High FSH/LH

47
Q

The benefit of estrogen treatment in TS?

A

Induce sexual development
Increased growth in height/weight
Increase bone mineral density

48
Q

Infratentorial tumor in pediatrics?

A 
Craniopharyngioma
Brain stem glioma
Infratentorial Ependimoma
Medulloblastoma
Medullary astrocytoma
49
Q

Supratentorial tumor in pediatrics?

A

Astrocytoma
Pinealoma
Optic glioma

50
Q

Supratentorial tumor in pediatrics menifestation?

A

Headache
Seizure
Change speech, memory, and personality
Hemiparesis and hyperreflexia(MC in partial lobe inv)

51
Q

MC brain tumor in pediatrics?

A

Low-grade astrocytoma(PA and DA)
Present within months
Cerebral(DA) and Cerebellar(PA)

52
Q

High-grade astrocytoma?

A

Glioblastoma multiformis
Rare in children
Acute(days to weeks presentation)

53
Q

preseptal cellulitis dfn?

A

preseptal cellulitis occurs in the tissue of the eyelids and periocular region anterior (in front of) the orbital septum.

54
Q

pathogenesis?

A

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
Q

CM?

A

Eyelid erythema or swelling

Chemosis

56
Q

What about orbital cellulitis?

A

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
Q

Managment D/C?

A

PC: Oral Ab
OC:IV Ab +/- surgery

58
Q

Tests to do in Duchene MD?

A

ECG–Conduction abnormality
Echo–Dilated cardiomyopathy
Asses the presence of scoliosis

Pediatrics (15 decks)

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