Pediatrics Flashcards
What are the newborn screening tests?
“Please Check BBefore Going HHome”
- PKU
- Congenital adrenal hyperplasia
- Biotinidase, ß-thalassemia
- Galactosemia
- Hypothyroidism, Homocystinuria
What is VATER syndrome?
VATER
- Vertebral abnormality
- Anal
- TE fistula
- Renal
What is an average IQ?
85-100
What are the most common causes of mental retardation in the US?
EtOH
Fragile X
Down’s
What is Rubeola known as?
Measles
What is Rubella also known as?
German measles
= röteln
MMR = Masern Mumps und Röteln
What is the APGAR test?
Test at 1 and 5 min (normal >7)
Appearance (color)
Pulse
Grimace
Activity
Respiration
What is the most common eye infection the first day of life?
Clear discharge d/t silver nitrate
What is the most common eye infection the first week of life?
Gonorrhea => purulent discharge
What is the most common eye infection in the second week of life?
Chlamydia
What is the most common eye infection in the third week of life?
Herpes
What are the causes of Hyperbilirubinemia?
Sepsis
ABO incompatibility
Hypothyroidism
Breastfeeding
What is the cause of symmetrically small babies?
Chromosomal abnormality or ToRCHS
What is the cause of asymmetrically small babies?
Poor blood supply spares brain
=> small body, normal head
What is the cause of large babies?
DM or twin-twin transfusions
What is Milia?
Neonatal whiteheads on malar area
What is Nevus Flammeus?
“Stork bites” on back of neck
Look like flames
What is seborrheic dermatitis?
Red rash w/ oily skin
Dry, flaky hairline
What are Hemangiomas?
Flat blood vessels
What are Mongolian spots?
Melanocytes on lower back
What is Erythema Toxicum?
White vesicle on red area, has eosinophils
What is Subgaleal Hemorrhage?
Prolonged jaundice in newborns d/t birthing trauma
What is Caput Succedaneum?
Bleeding under scalp
(Edema crosses suture lines)
What is Cephalohematoma?
Bleeding under bone
(Blood not cross suture lines)
What is an Epstein’s pearl?
White pearls on hard palate
What is persistent eye drainage since birth usually due to?
Blocked duct
What are wide sutures due to?
Hypothyroidism
Down’s
What causes a Cleft Lip?
Medial nasal prominence did not fuse
What causes a Cleft Palate?
Maxillary shelves did not fuse
What is the most common cause of no red reflex?
Cataracts
What is the most common cause of a white reflex?
Retinoblastoma
What is the sign of a Clavicle Fracture?
Asymmetric Moro reflex
What is an omphalocele?
Intestines protrude out of umbilicus covered by peritoneum
What is gastrochesis?
Abdominal wall defect
Off-center
What is a Nephroblastoma?
Kidney “Wilms tumor”
Hemihypertrophy
Aniridia
What is a neuroblastoma?
Adrenal medulla tumor
Hypo arrhythmia
Opsoclonus
Elev VMA
What is polyhydramnios?
Too much amniotic fluid
Baby can’t swallow
What are the most common causes of polyhydramnios?
NM problem: Werdnig-Hoffman
GI problem: Duodenal atresia
What is Oligohydramnios?
Too little amniotic fluid
Baby can’t pee
What are the most common causes of Oligohydramnios?
Abd muscle problem: Prune belly
Renal Agenesis: Potter’s syndrome
What is Fifth disease?
Erythema infectiosum
“Slapped cheek” appearance
Arthritis in mom
Aplastic anemia
What is Sixth disease?
Roseola
Exanthema subitum
(Fever disappears, then rash appears)
What is Hand-foot-mouth disease?
Mouth ulcers => won’t eat or drink
Palm/sole rash
Coxsackie A virus
What are characteristics of Measles = Rubeola?
1) cough, coryza, conjunctivitis
2) Koplik spot
3) morbiliform blotchy rash
What is Molluscum Contagiosum?
Flesh-colored papules w/ central dimple
What is a characteristic of Mumps?
Parotiditis
=> red Stenson’s duct
What is Otitis Media?
Middle ear infection
What is Pityriasis Rosea?
Herald patch -> migrates along skin lines
“Christmas tree” appearance
What are manifestations of rubella (= German 3-day measles)?
Trunk rash
Lymphadenopathy behind ears
Don’t look sick
How is smallpox different from Chickenpox?
Smallpox on face
Same stage of development
Fever
What are manifestations of varicella (= chickenpox)?
1) red macule
2) clear vesicle on red dot
3) pustule
4) scab
What is a manifestation of Zellweger’s?
Neonatal seizures
What is the most common cause of delayed speech development?
Hearing loss
What are the signs of child abuse?
- multiple ecchymoses
- retinal hemorrhage
- epidural/subdural hemorrhage
- spiral fractures (twisted)
- multiple fractures in different healing stages
What should you rule out when child abuse is suspected?
- osteogenesis imperfecta
- bleeding disorders
- fifth disease
- Mongolian spots