Pediatric Flashcards
most common type of tracheoesophageal fistula
esophageal atresia w/ distal TEF - unable to pass NG tube
things that are not contraindications to vaccination
mild illness and/or low grade fever, current abx therapy, and prematurity
tests to r/o shake baby syndrome
ophthalmologic exam, CT, and MRI
neonate has meconium ileus
cystic fibrosis
bilious emesis w/in hours after the first feeding
duodenal atresia
2 month old baby w/ non-bilious projectile emesis. Dx? Lab abnormality? Tx?
pyloric stenosis; hypocholermic, hypokalemic metabolic alkalosis; surgical correction - pyloromyotomy
most common primary immunodeficiency
selective IgA def
infant w/ high fever and onset of rash as fever breaks
roseola infantum (risk for febrile seizure)
chronic respiratory infections w/ - nitroblue tetrazolium test
chronic gramulomatosis dz
male child w/ eczema, thrombocytopenia (purpura/bleeding), and recurrent infections (otitis media). pts have high levels of IgA/IgE and decreased IgM
wiskott-aldrich syndrome (x-linked recessive only in males)
acute-phase tx of kawasaki dz
high-dose ASA for inflammation and fever and IVIG to prevent coronary artery aneurysms
tx for mild and severe unconjugated hyperbilirubinemia
phototherapy (mild) or exchange transfusions (severe)
sudden onset of mental status changes, emesis, and liver dysfunction after ASA intake
reye syndrome
child has loss of red light reflex (white pupil). Dx? child has increased risk of what cancer?
suspect retinoblastoma. increased risk of osteosarcoma
vaccinations at a 6 month well child visit
HBV, DTaP, Hibb, IPV, PCV, rotavirus
infection of small airways w/ epidemics in winter and spring
RSV bronchiolitis
cause of neonatal RDS? risk factors?
surfactant deficiency. risk factors include prematurity and maternal DM
condition associated w/ red “currant-jelly” stools, colicky abdominal pain, bilious vomiting, and a sausage-shaped mass in the RUQ
intussusception
congenital heart dz that causes secondary HTN
coarctation of the aorta (find decreases femoral pulses)
first line tx for otitis media
amoxicillin x 10 days
most common pathogen causing croup
parainfluenza virus type I
defect in x-linked syndrome w/ mental retardation, gout, self-mutilation, and choreoathetosis
lesch-nyhan syndrome (purine salvage problem w/ HGPRTase def)
newborn girl has continuous machine like murmur
PDA
tx to close PDA
indomethacin