Pediatrics Flashcards
kid with macrocytic anemia, low retic count and congenital anomalies, suspect what dX?
Diamond-Blackfan syndrome aka congenital hypoplastic anemia
see elevated fetal hemoglobin levels
tx: corticosteroids or transfusion therapy
adolescent with nasal obstruction, visible nasal mass and frequent nosebleeds
juvenile angiofibroma
4 yo with hypoglycemia, hyperuricemia, hyperlipidemia and lactic acidosis, doll-like face
Von Gierke’s
Type 1 glycogen storage disorder caused by deficient glucose-6-phosphatase
patients with precocious puberty and high LH, next step?
brain MRI
what immune deficiency predisposes to Giardia infections
IgA deficiency
kid is peeing protein, best first test?
repeat test in 2 weeks, then quantify with 24 hour urine
Tx for erythema toxicum?
reassurance
> 25% lymphoblasts is diagnostic for what illness
ALL
chorioretinitis, hydrocephalus and intracranial calcs
toxo
mgmt of kid with epiglottitis
endotrach intubation in the OR
mgmt of kid with bilious vomiting and decreased stool output
gastrograffin enema
newborn with cyanosis that is aggravated by feeding and resolves with crying
choanal atresia
MC complication of sickle cell trait
painless hematuria
mgmt newborn with scaphoid abdomen and respiratory distress
congenital diaphragmatic hernia
endotrach intubation
mgmt aplastic crisis in sickle cell
transfusion
when consider formula supplementation in a neonate
if loses >7% of birth weight
15yo with progressive muscle weakness, atrophy of thenar and hypothenar eminences, testicular atrophy? Dx? inheritance?
Myotonic dystrophy
AD
when intervene in a kid with cryptorchidism?
if testes haven’t dropped within 6 months of birth
newborn with irritability, high pitched cry, diaphoresis, sneezing: what drug did mom abuse?
heroin
kid with white eye reflex, next best step?
refer to optho
retinoblastoma until proven otherwise
pt with croup with respiratory failure, next step?
Rac Epi before intubate, decreases need for intubation
child with acute rheumatic fever with valvular dz
all pts wtih rheumatic fever should be treated with PCN. duration depends, but at least til 21 or in some cases 40 yo
girl with precocious puberty, pigmentation adn polostotic fibrous dysplasia, dx?
McCune Albright
Hep B is associated with what kind of nephropathy?
membranous!
see low C3