Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

COMAT - Surgery > Pediatric Part 2 > Flashcards

Pediatric Part 2 Flashcards

1
Q

What are the 3 left to right shunts?

A

ASD
VSD
PDA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What will be heard when an ASD is present?

A

Fixed split S2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What will be heard when a VSD is present?

A

Harsh holosystolic murmur at left sternal border

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

The smaller a VSD, the ____ the sound of the murmur

A

Louder

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

With VSDs, what are the treatment options?

A

Observe
Surgery if symptomatic

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is heard with a PDA?

A

Continuous machine-like/multiphase murmur

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

How do you close the PDA?

A

Indomethacin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

How do you keep the PDA open?

A

Prostaglandins

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What does the PDA connect?

A

Aorta and Pulmonary artery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Right to Left shunts will present with?

A

Cyanosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Transposition of great vessels often occurs in mothers with what condition diagnosed before pregnancy?

A

Diabetes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are the 4 components of Tetralogy of Fallot?

A

VSD
Overriding Aorta
Pulmonic Stenosis
RV hypertrophy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What will be seen on CXR with Tetralogy of Fallot?

A

Boot shaped heart

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

With certain Right to Left shunts, what should remain open to ensure survival?

A

PDA – give prostaglandins

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Why can Developmental Dysplasia of the Hip be present anatomically?

A

Acetabulum is not deep enough yet

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

If a newborn has clunky hips (barlow-ortolani) what is the treatment?

A

Harness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What is Legg-Calve-Perthes Disease and in who?

A

AVN of the femoral head
= Boys < 10 years old

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Symptom of Legg-Calve- Perthes Disease?

A

PainLESS limp

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Treatment for Perthe’s Disease?

A

Non-weight bearing
– Body will remodel the dead bone with time

20
Q

What is SCFE and in who?

A

Femoral head slips through the growth plate from the femoral neck
= OBESE boys > 10 years old

21
Q

Symptom of SCFE?

A

Painful limp

22
Q

What specific X-ray should be done for SCFE?

A

Frog-leg X-ray

23
Q

Treatment for SCFE?

A

Surgery

24
Q

How will Septic Arthritis present?

A

Acute, painful joint where a child refuses to put weight on it + FEVER

25
Q

How will Transient Tenosynovitis present?

A

Acute, painful joint where a child refuses to put weight on it following a viral illness

26
Q

What lab changes are present with Septic Arthritis only?

A

HIGH WBC, ESR, CRP

27
Q

What will the Arthrocentesis show with Septic Arthritis?

A

Cell count > 50K

28
Q

Treatment for Septic Arthritis?

A

Drainage and ABx

29
Q

Treatment for Transient Tenosynovitis?

A

NSAIDs/time because it will heal on its own

30
Q

Are there systemic signs with Transient Tenosynovitis?

A

NO

31
Q

Another name for Osgood-Schlatter’s Disease?

A

Tibial Tuberosity Apophysitis

32
Q

Describe how Osgood-Schlatter’s Disease occurs?

A

Tendons attach to the tibial tubercle which is attached to the apophysis that connects to the tibia
– Overuse causes the apophysis to become inflamed

33
Q

What is unique about the Apophysis compared to other growth plates?

A

It does NOT fuse until after age 18!
– The rest are much earlier than that

34
Q

Treatment for Osgood-Schlatter’s Disease?

A

Rest or play through the pain

35
Q

When will the pain most often occur with Osgood-Schlatter’s?

A

AFTER overuse of leg muscles

36
Q

Ewing’s Sarcoma is a neuroendocrine tumor with what translocation?

A

11;22

37
Q

How will Ewing’s Sarcoma present?

A

Local pain, swelling + fever, weight loss, cytopenias

38
Q

What will be seen on X-ray with Ewing’s Sarcoma?

A

Onion skinning

39
Q

What 2 conditions can lead to Osteosarcoma?

A

RB gene mutation
Pagets disease of bone

40
Q

How will an Osteosarcoma present?

A

Local pain and swelling ONLY

41
Q

What 2 things can be seen on X-ray with an Osteosarcoma?

A
  1. Sunburst lytic lesion
  2. Codman’s triangle
42
Q

What is unique about the pain with an Osteoid Osteoma?

A

Relieved by NSAIDs or aspirin

43
Q

What will be seen on X-ray with an Osteoid Osteoma?

A

Central lucency + cortical thickening

44
Q

Treatment for Osteoid Osteoma?

A

NSAIDs/Aspirin and time

45
Q

What 3 diagnostics are needed for Ewing’s and Osteosarcoma?

A

X-ray
MRI
Core needle biopsy

COMAT - Surgery (13 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions