PEDIATRIC CHEST Flashcards

1
Q

hyperlucent lung; asymmetric. It is also known as Obstructive Bronchiolitis

A

Swyer-James-Macleod syndrome

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2
Q

NEONATE patient shows a lucency adjacent to the cardiomediastinal silhuoette with as SHARPLY DEFINED CARDIAC or DIAPHRAGMATIC MARGIN

A

pneumothorax in neonate

  • basal pneumothorax (medial) is more common in neonates
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3
Q

Differential diagnosis of neonatal pneumothorax

A

SKIN FOLD

*absence of thin white pleural line at the interface between the central higher attenuation and peripheral lower attenuation

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4
Q

What is the most common etiology of Pneumonia in INFANT AND YOUNG CHILDREN which has prominent areas of atelectasis that change rapidly “ WANDERING OR SHIFTING ATELECTASIS”

A

RSV

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5
Q

MC TRUE LUNG MASS in children. A solid mass that ABUTS the PLEURA AND MEDIASTINAL SURFACE

A

Inflammatory myofibroblastic tumor (IMT), plasma cell granuloma, and xanthogranuloma

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6
Q

MC LUNG mass in a child

A

pseudomass ( round pneumonia)

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7
Q

MC PRIMARY benign neoplasm in the pediatric population that presents as SOLITARY NONCALCIFIED LOBULAR MASS

A

Pulmonary Hamartoma

Pulmonart Hamartoma >Pulmonary Chondroma > Respiratory Papillomatosis

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8
Q

MC primary MALIGNANT pulmonary lesion in pediatric population

A

ENDOBRONCHIAL CARCINOID
PLEUROPULMONARY BLASTOMA

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9
Q

MC primary MALIGNANT pulmonary lesion in pediatric population

A

ENDOBRONCHIAL CARCINOID
PLEUROPULMONARY BLASTOMA

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10
Q

Pulmonary mass that begins as CYSTIC LESION that progresses to a solid one and occurs in children younger than 6 years old

A

PLEUROPULMONARY BLASTOMA

*indistinguishable to CPAM
Clues: pneumothorax, multiple lesions and family history (DICER1)

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11
Q

MC ANTERIOR mediastinal mass in children

A

Lymphoma

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12
Q

MC POSTERIOR mediastinal mass in children

A

Neurogenic tumor (usually neuroblastoma)

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13
Q

MC BENIGN CHEST WALL mass in pediatric population

A

Osteochondroma

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14
Q

MC MALIGNANT CHEST WALL mass in PEDIATRIC population

A

Metastasis

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15
Q

MC PRIMARY MALIGNANT CHEST WALL mass in PEDIATRIC population

A

RHABDOMYOSARCOMA

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16
Q

MC cause congenital abnormality of the larynx

A

LARYNGOMALACIA

  • MC cause of noisy breathing in infants
    *congenital softening of the soft tissue of the pharynx leading to airway collapse
17
Q

on LATERAL neck radiograph, widening of the retropharyngeal soft tissue is seen in

A

RETROPHARYNGEAL ABSCESS

*cause by Grp A Strep
* MC mechanism: spread of oropharyngeal flora to the retropharyngeal LN

18
Q

MC infectious diease of the UPPER AIRWAY that causes BARKING COUGH AND STRIDOR

A

CROUP/LARYNGOTRACHEOBRINCHITIS

*subglottic trachea
* Pathogen: PARAINFLUENZA
* 6mos to 3 y/o

19
Q

An UPPER airway infection showing a NARROWING of the SUBGLOTTIC airway with PENCIL POINT OR STEEPLE.

A

CROUP/ LARYNGOTRACHEOBRONCHITIS

  • NORMAL epiglottis and aryepiglottic fold
20
Q

a more virulent upper airway infection that affects OLDER CHILDREN demonstrating an INTRALUMINAL FILLING DEFECT , likely a SLOUGHED MEMBRANE

A

BACTERIAL TRACHEITIS aks bacteria/membranous croup

  • Moraxella catarrhalis and S. aureus
21
Q

Swelling of the involve ARYEPIGLOTTIC FOLD AND EPIGLOTTIS

A

EPIGLOTITTIS

*supraglottis
*Haemophilus influenzae

22
Q

MCC of PNEUMOMEDIASTINUM in WELL children

A

Idiopathic

23
Q

MCC of PNEUMOMEDIASTINUM in SYMPTOMATIC children

A

asthma

24
Q

MC lung injury in children

A

Pulmonary contusion

  • with subpleural sparing
25
Q

MC pulmo manifestation of RHEUMATOID AND COLLAGEN vascular disease in children

A

Diffuse lung disease

26
Q

MC CHEST finding in CHILDREN with sickle cell disease

A

mild cardiomegaly

27
Q

MC pulmo manifestation in sickle cell disease in children

A

ACUTE CHEST SYNDROM

28
Q

a defect in cell membrane chloride channel showing cystic bronchiectasis, mucus plugging and bronchial wall thickening

A

CYSTIC FIBROSIS