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I & E 2 > Pediatric Infections > Flashcards

Pediatric Infections Flashcards

1
Q

Mumps- Eti

A
  • Respiratory virus

- Avoidable with vaccine

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2
Q

Mumps- Sx

A
  • Salivary gland swelling
  • Variable fever
  • Facial lymphedema
  • Obliterated mandibular angle
  • Meningoencephalitis- HA
  • Pancreatitis
  • Orchiditis, oophoritis
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3
Q

Mumps- Dx

A

ELISA, PCR

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4
Q

Mumps- Tx

A

Supportive

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5
Q

Pertussis- Eti

A
  • Bordetella pertussis
  • Acute, highly communicable
  • Preventable with vaccine
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6
Q

Pertussis- Sx

A
  • Rhinitis, sneezing & cough
  • Whoop with inspiration
  • Vomiting
  • Cyanosis, diaphoresis, prostration and exhaustion
  • Slight fever
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7
Q

Pertussis- Dx

A

Culture or PCR

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8
Q

Pertussis- Tx

A
  • Immie

- Azithromycin or clarithromycin

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9
Q

Diptheria- Eti

A
  • Corynebacterium diphtheria

- Rare, 5 cases since 2000

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10
Q

Diptheria- Sx

A
  • Tenacious grey membrane
  • Peripheral neuritis
  • Sore throat, seroasnguinous nasal discharge
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11
Q

Diptheria- Dx

A

Culture

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12
Q

Diptheria- Tx

A
  • Prevent
  • Diphtheria antitoxin
  • Penicillin or erythromycin
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13
Q

Mono- Eti

A
  • Epstein- Barr virus

- > 10 yrs

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14
Q

Mono- Sx

A
  • Malaise, anorexia, myalgia
  • Lymphadenopathy
  • Transient bilateral upper-lid edema
  • Splenomegaly
  • Exudative pharynditis
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15
Q

Mono- Dx

A
  • Clinical- chronicity of disease

- IgM titers

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16
Q

Mono- Tx

A
  • Supportive
17
Q

Strept pharyngitis- Eti

A
  • Group A most common

- Exudative

18
Q

Strept pharyngitis- Sx/ Dx

A
  • Centor criteria:
  • Fever
  • Anterior cervical lymphadeonpathy
  • No cough
  • Pharyngotonsillar exudate
  • Rapid strept test
19
Q

Strept pharyngitis- Tx

A
  • Penicillin

- Erythro/ azithro for allergic

20
Q

Serious bacterial infections

A
  • UTI
  • Bacteremia/ sepsis
  • Bacterial meningitis
  • Cellulitis
  • Pneumonia
  • Septic arthritis/ osteomyelitis
21
Q

Rochester criteria

A
  • Assessment of occult bacteremia of febrile infants 28-60 days
  • All criteria present =
22
Q

Boston criteria

A
  • Assessment for bacteremia in febrile in 28-89 days
  • 5.4% had bactermia
  • No immies or abx in 48 hrs
  • No dehydration
  • Well, caretaker available
  • Labs
23
Q

Philadelphia criteria

A
  • Asses risk in
  • febrile infants 29-60 days
  • Well
  • WBC, bands, UA, CSF, CXR & stoll

I & E 2 (8 decks)

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