pediatrics Flashcards
foreign body in kinderen
sudden onset of respiratory distress, geen koorts, unilateral wheezing, vaak rechts, en op de x thorax hyperinflation of the right lung with mediastinal shift to the left , to be removed by rigid bronchoscopy from the right main bronchus, to make the diagnosis hard you also need rigid bronchoscopy
kwashiorkor
have access to carbohydrates, bread grains or starches but no access to proteins, vocht in de buik = ascites
marasmus
deficiency of all macronutrients; M arasmus = M useebah; atrophy everywhere
how to calculate the expected height of a child
mid parental height is important or most important bedside test to evaluate short stature and it is of highest diagnostic value
insulin like growth factor
growth hormone defi, should you treat it immediately? no, evaluate after 1 year
consitutional growth delay
low igf1 but normal serum growth hormone with delay in teh grouth without other abnormalaities
nutritional rickets management?
give daily administration of vitamin D3
which combinations of rickets you might see?
low calcium, mildly high PTH, very high alkaline phsophatase, and widening of the growth plates on x ray
high calcium, low phsophate, lower leg long bone angulation and distal bone hypertrophy
familial hypophosphatemia rickets
the correct way to write an order of vitamin D?
vitamin D 400 units daily
een oude man met gastritis tgv nsaids met ijzer deficiencie
geen ijzer tabletten, alleen ijzer iv
een dame van 50 jaar oud, status na AVR met nu anemie en reiculocyte count percentage is high, hb laag , wbc en bloedplaatjes normaal
in the perpheral smear you see schistocytes and burr cells
een baby met ijzer defic
give iron supplements
ijnzer intox
to stop giv desferrioxamine iv
iron of 90 could be within normal range for some children but it could also indicate intox, so give desferrioxamine
recommended vaccines at 6 years old
mmr, varicella, dtp, en opv, these are pre schoold vaccination
most important quesiton in the assessment for the vaccination
whether the child has recently received ivig; intravenous imunoglobulin
hiv child from his mother with low t cell count
do not give them live vaccin such as varcella or mmr
in a mother with crohns disease on biological theray and azathiorpine, which vaccines should you avoid
live aatenuated vaccines for a period of 12 months
opv seems to be also live aatenautided
BCG is also live vaccine and it should not be given in verdenking immunodeiciency
true
is hepatitis b vaccine safe to any child with immunodeficieny or verdenkinging daarop ?
yes