Pediatrics Flashcards
Young woman with joint effusions, mild erythematous, non-puritic rash
Parvovirus 19 or erythema infectious
1-2 min episodes of pain in a less than 2 year old
Intussusception
Most appropriate antibiotic for cat scratch fever
Zithromax
What is Bartonella Henselae
Cat scratch
Most common cause of bronchiolitis?
RSV
What is SCFE, who is at risk and what is the tx?
Slipped Capital Femoral Epiphysis, black males, and surgery.
What causes 5ths Dx?
parvovirus 19
Timing of rotavirus immunization
Do not start past 15 months or continued past 8 months
How much Vit D do infants need?
When do you start it?
400 IU
Within 2 mos of birth
Characteristics of infant seborrheic dermatitis
Resolved within a few months. Cradle cap most common but can affect face, skin folds and diaper area
What is wheezing assoc with feeding usually due to?
Reflux
What is the work up for an adolescent with hypertension?
Blood and urine testing, renal ultrasonography, evaluation for endorgan damage with retinal evaluation and echocardiogram
What is the extrusion reflex and when does it go away?
Pushing foreign material out of the mouth with the tongue, around the age of four months
What does a venous hum do with inspiration and diastole?
It gets louder
What is a peripheral Paul my next enosis murmur (P P P S)?
Physiologic peripheral palm running stenosis – caused by physiologic changes in newborns, systolic murmur heard and axilla, disappears by nine months
What is Eisenmenger syndrome?
Multiple abnormalities of the hearts with significant signs and symptoms
When do you do chest compressions on an infant?
HR<60 bpm
What does the double bubble sign on plain film indicate?
Midgut volvulus (Billy is vomiting and abdominal pain, feeding problems)
What is pneumatosis intestinalis on plain film?
Gas in the intestinal wall which is diagnostic of necrotizing enterocolitis
What is the age range for intussusception?
Three months to five years, 60% in the first year, usually after six months
Most common congenital abnormality of the small intestine
Meckel’s diverticulum
Difference often seen between Meckels and appendicitis?
You get Frank bleeding with Meckels
What is the AAPA Recommendation for giving rotavirus vaccine?
2,4,6 mos
What food should be avoided with diarrhea in kids?
Fruit juices, carbonated sodas (as Monica load can worsen diarrhea) and fatty foods.
What causes cutaneous larva migrans?
Dog or cat hookworm (ancylostoma)
What is hydatid disease (echinococcsis)
In the liver or lungs (occasionally in other places)
What does dog or cat roundworm (toxocara) cause?
Visceral or ocular larva migrans (often found in playgrounds and sandboxes)
Presents in March April and May in North America with itching and beefy redness around the anus and vulva and children ages 1 to 11 years?
Group a strep of the perineum
How does a choledochal cyst present in an infant
Right upper quadrant pain, jaundice and a palpable mass
How does intestinal malrotation present and at what age in an infant?
This is the same as midgut volvulus I believe and presents within the first four weeks of life and is characterized by bilious vomiting.
