Pediatric Infections Flashcards
1
Q
Mumps- Eti
A
- Respiratory virus
- Avoidable with vaccine
2
Q
Mumps- Sx
A
- Salivary gland swelling
- Variable fever
- Facial lymphedema
- Obliterated mandibular angle
- Meningoencephalitis- HA
- Pancreatitis
- Orchiditis, oophoritis
3
Q
Mumps- Dx
A
ELISA, PCR
4
Q
Mumps- Tx
A
Supportive
5
Q
Pertussis- Eti
A
- Bordetella pertussis
- Acute, highly communicable
- Preventable with vaccine
6
Q
Pertussis- Sx
A
- Rhinitis, sneezing & cough
- Whoop with inspiration
- Vomiting
- Cyanosis, diaphoresis, prostration and exhaustion
- Slight fever
7
Q
Pertussis- Dx
A
Culture or PCR
8
Q
Pertussis- Tx
A
- Immie
- Azithromycin or clarithromycin
9
Q
Diptheria- Eti
A
- Corynebacterium diphtheria
- Rare, 5 cases since 2000
10
Q
Diptheria- Sx
A
- Tenacious grey membrane
- Peripheral neuritis
- Sore throat, seroasnguinous nasal discharge
11
Q
Diptheria- Dx
A
Culture
12
Q
Diptheria- Tx
A
- Prevent
- Diphtheria antitoxin
- Penicillin or erythromycin
13
Q
Mono- Eti
A
- Epstein- Barr virus
- > 10 yrs
14
Q
Mono- Sx
A
- Malaise, anorexia, myalgia
- Lymphadenopathy
- Transient bilateral upper-lid edema
- Splenomegaly
- Exudative pharynditis
15
Q
Mono- Dx
A
- Clinical- chronicity of disease
- IgM titers
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
