Pediatrics Flashcards
Diagnostic test for duchenne
Ck elevated
Genetics for dystrophin del
Mm bx not necessary
Developmental dysplasia of hip vs Osteoid osteoma
Ddh - usually dx on infancy but if not presents with pain when weight bearing, limb length discrepancy etc, oa from misaligned hip
Oo- pain at night
Tourette criteria and tx
Motor and vocal tics over a year in <18yo
Tx: habit reversal training, antida meds (prefer second gen ap dt AEs), alpha2 agonist (clon, guanfacine)
Vs only motor or vocal tic is chronic tic disorder
Vs tics present for less than a year is provisional tic do
Dropping plts in baby, think
Sepsis
Intussusception dx and tx
Dx - us with bulls eye sign
Tx - enema to reducen else surgery
Management of hydrocele
Usu resolves within 1yo so can just watch it
Else surgery to avoid ing hernia
Apgar
Appearance (color)
Pulse (>100 bpm)
Grimace (active vs some flexión vs flaccid)
Activity (mvmt)
Respirations (crying)
Double bubble on X-ray think
Duod atresia
Annular pancreas
Malrotation
Volvulus
Kernicterus sx and tx
Sx - hypotonia, seizures, motor delay, hearing loss
Tx - exchange transfusion
Beckwith-wiedemann
Multi organ enlargement (igf), abdominal tumors (eg Wilms)
Most common pna cause under vs over five yo
Under - viral (RSV)
Over - bacterial (strep or atypical)
Treatment for gerd in infants
H2 blockers first bc safer but ppi more effective
Duodenal atresia vs pyloric stenosis
Duod has bile in vomit
PS nonbilious
Intermittent painless rectal bleeding, think
Meckel divertic
Tc-99m radionuclide scan for dx
May present with intuss or divertic
Scfe tx
Internal fixation with pinning
Legg calve perthes
Avasc necrosis of femoral head
Tx rest, nsaids, bilateral hip surgery
Kawasaki management
Ivig and high dose aspirin to prevent coronary involvement with clinical dx, no steroids
Ekg and echo at dx and at 2-3 and 6-8 wks
Add ac if high risk thrombosis (eg thrombocytosis)
Empiric tx neonatal sepsis
Amp gent until cx neg 48-72 hrs
Cefotaxime if worried about meng
Acyclovir if <28do
Meng ppx for contacts
Rifampin (for n meng and hib)
Treatments for torches
Toxo - pyr and sulfa to mom/fetus
Varicella - mom - oral acyclovir and varizig to mom and baby; congen give varizig and iv acyclovir
Rubella - vaccinate mom when not pregnant
CMV - foscarnet
NF1 vs NF2
NF1 - cafe au lait, neurofibromas in skin, optic gliomas, lisch
NF2 - no cafe au lait, acoustic neuromas
McCune Albright
Cafe au lait with irreg borders, fibrous dysplasia, precocious puberty, elevated GH
AOM causative organisms
Strep
Then nontypeable h flu (otitis-conjunctivitis)
Then moraxella
Consider tymp tubes if
AOM three times in six months or four times in a year or effusion >3mo
