pediatria Flashcards
bb presenta con policitemia + hipocalcemia
que tiene mama?
diabetes gestaciónal
sx bb:
1. policitemia (hto > 65%) > sx de hiperviscocidad > convulsiones y strokes en bb
2. hipocalcemia
3. hipomagnesemia
4. hipoglicemia
bb con caudal regression syndrome
que tiene mama?
PREGESTATIONAL diabetes
screening for substance use disorder in adolescence?
CRAFFT
C: Have you ever driven a car while high or ridden in a car with someone who was high?
R: Do you ever use alcohol or drugs to relax, feel better about yourself, or fit in?
A: Do you ever use alcohol or drugs when alone?
F: Do you ever forget things you did while using alcohol or drugs?
F: Do your family or friends ever tell you to cut back on your drinking or drug use?
T: Have you ever gotten into trouble while you were using alcohol or drugs?
Adolescents who answer affirmatively to ≥ 2 of these questions should be assessed further for substance use disorder
What complication of shoulder dystocia manifests as a “claw hand”?
Klumpke palsy: C8-T1 plexo braquial
- Impaired grasp reflex (claw hand)
- Horner syndrome (ptosis and mitosis)
neuroblastoma
sx, gen asociado
sx:
horner sd
abdominal mass that crosses the midline
equimosis periorbital (metastasis)
gen: N-myc
pyruvate kinase deficiency
sx y frotis?
anemia hemolitica no autoimmune en recien nacido causandomelos ictericia (anemia hemolitica se ve como: Low hemoglobin, increased reticulocyte count, indirect hyperbilirubinemia, increased LDH, and a negative Coombs)
aut recessive
frotis: equinocitos (rbc espiculados y pequenos)
rocket bottom feet + pointy ears +clenched hands
dx:
edward sd aka trisonomia 18
What complication of shoulder dystocia manifests as a “Waiter’s tip” with an impaired biceps/moro reflex in a newborn?
dx y a q se debe?
Erb palsy: due to damage to upper trunk of brachial plexus involving C5 and C6
congenital communicating hydrocele
por que sucede ? tx?
sucede por: failure of the processus vaginalis to obliterate after birth
Bb tiene menos de un año: Solo follow up. porque usualmente el proceso vaginal se cierra solo al año de vida
Bb tiene mas de un año: Ligation of the patent processus vaginalis
What is the diagnosis in a neonate with subperiosteal hematoma that is limited to the cranial suture lines? y como se llama si si hay limite x suturas?
Cephalohematoma
LIMITADO POR SUTURAS> cefalóhematoma
NO limitado x suturas> Caput succedaneum
delayed onset of puberty+anosmia
dx? otros sx? labs?
Kallman sd
otros sx:
cleft palate
renal agenesis
labs
GnRH bajo
LH bajo
FSH bajo
Estrogeno bajo
Testosterona bajo
conjuntivitis x clamidia vs gonorrea
tx? y diferencias?
Gonorrea: 2-5 d posparto, ceftrixona im una dosis// prevencion eritromicina topica al nacer
clamidia: 5-14 d posparto, eritromicina oral
paroxysms of abdominal pain that last 15–20 minutes+palpable mass in the right lower quadrant,
dx y metodo diagnostico?
intusepcion
dx: barium enema
hepargina, dx y tx?
Coxsackie A virus
tx: sintomatico
rash fino como papel de lija+lengua de fresa
dx? tx?
fiebre escarlatina causada por group A streptococo (strep progenies)
tx: penicilina V / amoxi oral
IgA vasculitis aumenta el riesgo de ____?
Intussepcion
midline neck mass that moves with swallowing or protrusion of the tongue
dx? quiste del conducto tirogloso.
clostridium BOTULIMUM
causa? trasmissione? sx?
Botulismo
transmitido al dar miel a bb, home canned vegetables
sx: HIPOtonico
paralisis HIPOtonica Descendente
fisiopato: Toxin that inhibits acetylcholine release
clostridium TETANUS
sx: HIPERtonico/ muscle spasms
tx: immunoglubilina+metronidazole
fisiopato: Toxin that inhibits GABA and glycine release
central precoucious puberty
dx? tx?
hacer x ray de muneca, si edad osea >1 año mayor q edad cronologica > medir LH, si esta aumentado > brain MRI
tx: leuprolide
a que edades genum vaRum y genum vaLgo son normales de tener?
genu varum: ≤ 2 years old
Genu valgum: 2 anos and 5 anos
a los 7 años ya tiene q tener las piernas alineadas
