Pediatrics Flashcards
Sx of congenital toxoplasmosis (3)
microcephaly
IC calicifications
chorioretinitis
Sx of congenital rubella (4)
cataracts
sensorineural hearing loss
PDA/heart defect
meningoencephalitis
Sx of congenital CMV (2)
jaundice/hepatosplenomegaly
Blueberry muffin baby
Assc with fetal EtOH syndrome
hypospadias
renal/cardiac defect
Phenytoin on fetus
dysmorphic facies
hypoplasia of nails/distal phalanges
Tx for group B strep
gentamicin + ampicillin
Dx of hip dysplasia
ultrasounds
Physiologic jaundice of newborn
starts at 24hrs from birth
resolves after 2 weeks
Complications from premature infants (5)
respiratory distress bronchopulmonary dysplasia necrotizing enterocolitis retinopathy (from too much O2) intraventricular hemorrhage
When should child sit unsupported?
6 months
When should child crawl?
9 months
When should child start walking?
12 months
When should child roll prone to supine?
6 months
When does Babinski reflex dissappear?
4 months
When do the fontanelles close?
post- 2 months
ant- 12 months
Contraindications for breastfeeding
breast cancer herpes on breast street drugs active TB/HIV antimetabolites/chloramphenicol/methimazole/tetracycline CMV
Vaccines with egg allergy
influenza
yellow fever
Sx of Edwards syndrome
trisomy 18
rocker bottom feet
small mouth
Sx of Patuas syndrome
holoprosencephaly
midline facial defects
polycystic kidneys
Sx of Turners syndrome
hearing loss
ovarian dysgenesis
coractation/bicuspid aortic valve
Sx of Fragile X syndrome
CGG repeat macroorchidism protruding ears elongated facies autistic behavior
Sx of PKU
musty odor
hypopigmentation
severe MR if untreated
Tx for homocystinemia
B6 and B12
Sx of Hartnup Disease and tx
cutaneous photosensitivity
episodic psych changes
tx=high protein and B3
Sx of Tay-sachs disease
hyperacusis (increased startle)
cherry red macula
Sx of Niemann Pick
hepatosplenomegaly/jaundice
cherry red macula
foam cells in marrow
Sx of Gaucher disease
pancytopenia
avascular necrosis/bone fractures
Sx of Fabry disease
angiokeratomas/telangiectasias limb pain corneal deposits kidney failure/cardiac involvement hepatomegaly
Sx of Farber disease
nodules on joints and vocal cords
MR
cherry red macula
Sx of Hurler syndrome
corneal clouding
MR
enlarged tongue
hearing loss
Sx of Hunter syndrome
coarse facies
clear corneas
MR
Inheritance pattern of lysosomal storage diseases
all are AR except two
Hunter and Fabrys are X linked recessive
Sx of von Gierkes
fasting hypoglycemia
hepatomegaly
renal complications
elevated lactate, uric acid and TG’s
Sx of McArdles
muscle weakness
cramping with exercise
elevated CK at rest
Sx of Pompes
cardiomegaly
macroglossia
hepatomegaly
Triad of galactosemia
liver failure
renal tubular dysfxn
cataracts
Familial hyperlipidemias
I-chylomicrons
II-cholesterol
III-cholesterol and TG
IV-VLDL