Pediatrics

Question 1

What would you see in a 2 month old with pylor stenosis

Answer 1

Projectile vomitting
sunken eyes & fontanels w/ palpable nodules

NOT see a bulging abdomen

Question 2

what would need further assessment on a pediatric patient with down syndrome

Answer 2

cardiac assessment

Question 3

diagnosing osteosarcoma in pediatrics

Answer 3

Most common malignant bone tumor in childhood; originates from bone-producing mesenchymal cells.
Can extend beyond bone into soft tissues and disseminates through bloodstream, typically to lung
Common presenting complaint: pain. May be swelling, warmth, or redness. If lungs are affected then pulm symptoms.
Diagnosis: tissue biopsy.
Tx: surgery (limb salvage), multiagent chemo/radiation. Long term survival rate 5-10year survival

Question 4

how to identify osteosarcoma in children?

Answer 4

often present with pain in the affected bone

Question 5

what is enterobiasis?

Answer 5

pinworm infections from hand-mouth transmission

Question 6

what is the treatment for enterobiasis?

Answer 6

2 doses of medication 2 weeks apart; tx all members of family/classmates simultaneously!
Pyantel pamoate 1mg/kg - max 1g x1 dsoe
Albendazole 400mg PO x 1 dose

Question 7

what is the role of prostaglandin in transposition of the great vessel?

Answer 7

to produce vasodilation and provide adequate oxygen

** prostaglandin slows the closing of ductus arteriosus and PFO allowing O2 blood to cross from pulm circulation to systemic