Pedia MUST KNOWS Flashcards
Best initial treatment for RDS
Oxygen
Most effective treatment for RDS
Intubation and Exogenous surfactant administration
tachypnea usually observed in infants delivered via CS or NSD with rapud second stage of labor
Transient Tachypnea of the newborn
Anterolateral defect CDH
morgagni hernia
Posterolateral defect CDH
Bochdalek hernia
premature infants exposed to prolonged high-pressure mechanical ventilation and high concentrations of inspired oxygen
BPD
Pathological findings of BPD
alternating regions of overinflation and atelectasis, airway smooth muscle hypertrophy, squamous metaplasia of the airway epithelium, peribronchial fibrosis, constrictive obliterative bronchiolitis, and hypertensive pulmonary vascular changes
DOC for Sinusitis
Co-Amoxiclav x 14d
Known complications of GAHBS pharyngitis
Rheumatic fever
Post-strep GN
Walking pneumonia
Mycoplasma pneumoniae
Lobar consolidation
Pneumococcus
Hyperinflation with bilateral interstitial infiltrates and peribronchial cuffing
RSV
Prominent areas of cavitations and multiple pneumatocoeles
Staphylococcus
Right sided hilar adenopathy
PTB
Tx Pyloric stenosis
Ramstedt pyloromyotomy
Imaging test of choice for diagnosing Malrotation
Upper GI series
Tx of Malrotation
Ladd procedure
Intussusception is associated with what infection?
Adenovirus/Rotavirus Infection
Gold standard for Dx of Hirschprung disease
Rectal Suction Biopsy
Only causes (3) of Renal insufficiency that causes decrease in C3
PSGN
MPGN
Lupus Nephritis
Strawberry skull
Trisomy 18
Most important primary treatment of IgA nephropathy
Blood pressure control
Major complication of nephrotic syndrome
Infection
Most frequent type of infection assoc with nephrotic syndrome
Spontaneous bacterial peritonitis
Most common bacteria causing SBP in nephrotic syndrome
Streptococcus pneumoniae
Single best test in diagnosing APSGN
Anti-DNAse antigen
T or F
Acyclovir is routinely given to patients with varicella infection
False
Acyclovir is most effective in treating varicella infection if given within ____ hrs from the onset of ____
24
Rash
Active vaccine for varicella can be given within ____ of exposure to modify course
5 days
Major Criteria For Rheumatic Fever
Joints (arthritis) Oh ny heart (myocarditis) Nodules (subcutaneous) Erythema marginatum Sydenham Chorea
Minor Criteria for Rheumatic Fever
Fever Risk factor Arthralgia Prolonged PR Elevated Acute phase reactants
Major Criteria for Infective Endocarditis
Duke’s Criteria
Blood culture
ECG findings
Minor criteria for infective endocarditis
Fever Immunologic (GN, Osler, Roth, RF) Vascular (Janeway, Emboli, Aneurysm, pulmonary infarct) ECG Predisposing condition Microbiological evidence
ORS composition
Glc 75 Na 75 Cl 65 K 20 Citrate 10
Growth deficiency Hypertension Flat nose Low set ears Micrognathua Limb position defect Impaired renal function, hyponatremia Heoatic fibrosis
Potter’s syndrome (Oligohydramnios Complex)
Indications for Rifampicin
TB
Prophylaxis for Meningococcemia and acute epiglotittis
Endotracheal tube drugs
Lidocaine
Atropibe
Naloxone
Epinephrine
Best single Ab titer to document skin infection
DNAse B antigen
MCC HUS
E. Coli
MCC of SBP
E. Coli
S. Pneumoniae
Upper limit of normal protein excretion in healthy children
150 mg/day
Edema
Proteinuria
Hypoalbuminemia
Hyperlipidemia
Nephrotic Syndrome
Oliguria
Hypertenson
Hematuria
Azotemia
Nephritic Syndrome
MC complication of Measles
Acute Otitis media
MC death in Measles
Pneumonia
MC complication in Mumps
Meningoencephalitis
Essential for Low BW infants
Cystine
Arginine
Taurine
MC esophageal disorder in children of all ages
GERD
PPI of choice for infants
Esomeprazole
Fully Immunized child
BCG1 HepB3 DPT3 Polio3 HiB3 RV3 PCV3 Measles1
MCC thrombocytopenic purpura in Childhood
ITP
MC inherited bleeding disorder
Von Willebrand Disease
Aplastic anemia with microcephaly, microphthalmia, hearing loss, limb abnormalities
Fanconi Anemia
Long term sequelae of bacterial meningitis
Hearing loss
Pure red cell aplasia
Diamond-Blackfan Syndrome
MCC nonbilious vomiting
Pyloric stenosis
Surgical procedure for pyloric stenosis
Ramstedt pylorotomy
Most frequent congenital GI anomaly
Meckel’s diverticulum
Age for definitive procedure for hirschprung
6-12 months
Appropriate time to surgically correct cleft palate
3 months
MCC intestinal obstruction between 3 months to 6 years old
Intussusception
Parts of brain affected by HSV
Frontal and temporal limbic system
Heterophile Ab in EBV
Paul-Bunnel Antibodies
Syndrome associated with Infectious Mononucleosis with symmetric rash on cheeks
Gianotti-Crosti Syndrome
Isolation of Polio Virus
End of 1st week- Blood
End of 2nd week- Throat
End of 3rd week- Feces
Uncommon- CSF
Viral cause if neuronal destruction of braimstem and medulla
Rabies virus
Histologic findings of rabies virus in the brain
Negri bodies
DOC for Rabies
Co-Amoxiclav 40 mkd x 7 days
Single best prognostic indicator of HIV
Plasma Viral Load
Most Feared Complication due to trauma in infectious mononucleosis
Splenic Rupture
MC Solid Tumors in Childhood
Brain Tumors
MC location of brain tumors in Children
Infratentorial (Posterior Fossa)
MC Infratentorial Brain Tumor
Cerebellar Astrocytoma
MC Location of Medulloblastoma
Cerebellum
Agenesis of Cerebellar Vermis
Cystic Dilatation of 4th ventricle
Enlargement of Post. Fossa
Prominent occiput
Dandy-Walker Malformation
Vertebral Adhesions
Decreased range of motion
Short webbed neck
Klippel-feil syndrome
Mass lesion
Cerebro-ocular dysgenesis
Walker-Warburg Syndrome
MCC of Non-communicating Hydrocephalus
Aqueductal Stenosis
Cracked-pot sensation on percussion of sku
Macewen Sign
HYDROCEPHALUS
MC anomaly of Upper airway
Laryngomalacia
Handedness
3 yo
20/20 vision
4 yo
Bedwetting until
Female: 4 yo
Male: 5 yo
Egg shaped heart
TGA
Boot shaped heart
TOF
Snowman Sign/ Figure of 8
TAPVR
Rib notching
Inverted 3 sign
CoA
Agenesis of Corpus Callosum
Infantile Spasm
Chorioretinallacunae
Aicardi Syndrome
Sinuses present at birth
Maxillary
Ethmoid
SINUS Pneumatized at 4 yo
Maxillary
Sinus Pneumatized at 5 yo
Sphenoid
Most characteristic finding of Kawasaki Disease
Aneurysm of Major Coronary Arteries
Site to determine Bone Age
Xray of Left Wrist
MCC of congenital hypothyroidism
Thyroid dysgenesis
Tx of TGA
Senning/Mustarf
Rastelli
Jatene
Tx of TOF
Blalock Taussig (>3 months) Gore-Tex Shunt (<3 months)
Tx of Tricuspid Atresia
Bidirectional Glenn shunt (4-8 months)
Modified Fontan Operation (1.5-3 yo)
Always present in Truncus Arteriosus
VSD
Tx for TA
Rastellu Repair
Tx for TAPVR
PGE + Van Pragh Procedure
Common cardiac anomaly in turner’s syndrome
CoA
Tx of AS
Ross procedure
Tx of PS
Brock’s procedure
Test to rule out abusive head trauma
Ophthalmologic exam
CT
MRI
Most common primary immunodeficiency
Selective IgA deficiency
Chronic Respiratory infections. Nitroblue tetrazolium test is negative
Chronic Granulomatous Disease
Eczema
Thrombocytopenia
High IgA
Wiskott-Aldrich Syndrome
Infant with life-threatening Pseudomonas infection
Bruton’s X-linked Agammaglobulinemia
Tanner stage 3 in 6 yo girl
Precocious puberty
Cause of neonatal RDS
Surfactant deficiency
PPD necessary prior to BCG vaccination on what reasons?
Suspected congenital TB
HX of close contact
Clinical findings suggestive of TB
Chest xray suggestive of TB
When will you give HepB vaccine to PRETERM infants born to HbsAg negative moms and are medically stable
1st dose may be given at the 30th day of life