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PANRE > Pediatrics > Flashcards

Pediatrics Flashcards

1
Q

Membranous pharyngitis is cause by what disease ?

A

Diphtheria

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2
Q

Kid in the summer with staccato cough, then whoop and possibly post-tussive vomiting

A

Whooping cough

Bordatella pertussis

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3
Q

Tetanus can be contracted how

A

Wound in contact with contaminated soil containing spores from animal manure

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4
Q

Fever, cough, conjunctivitis, Coryza prodrome

Koplik spots
Maculopapular rash - starts on neck/trunk and spreads outward

Paramyxovirus

A

Rubeola

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5
Q

Salivary gland disease

Paramyxovirus

A

Mumps “parotitis”

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6
Q

Maculopapular rash starts on face and progresses to toes

Rash on Head, then down

Rubivirus

A

Rubella

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7
Q

“Dew drop on a rose petal”

A

Varicella

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8
Q

Erythema infectiosum

Fifths disease
Slapped cheek syndrome

A

Parvovirus B 19
School aged children
Facial flushing followed by Lacy, pink macular rash on torso and extremities

In pregnant women: can cause hydrops fetalis

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9
Q

Roseola

A

HHV-6
Benign, but seems bad, Can have febrile seizure

Abrupt high fever for 4 days then stops
Fever breaks, Then rash appears

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10
Q

Hand Foot Mouth

A

Coxsackievirus

Daycare and preschool age
Late summer and fall
Painful oral ulcers, low fever, gray red vesicles on palms and soles

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11
Q

Acute otitis media pathogens

A

H.flu, M.cat, strep. pneumo

Strep pneumo is most common

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12
Q

Why treat strep throat?

A

Prevent sequela of acute rheumatic fever

Prevent peritonsillar abscess, otitis media, sepsis

Prevent transmission to others

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13
Q

Viral pharyngitis

A

Sore throat with URI

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14
Q

Group A strep

A

Beefy red throat, tonsillar exudate, petechiae on soft palat

Scarlet fever rash (sandpaper rash)

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15
Q

Peritonsillar abscess

A

Complication of Group A strep throat

Asymmetrical tonsillar bulge
Displacement of uvula
Muffled voice, drooling, Trismus, high fever
Tx: I&D and antibiotics

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16
Q

Hallmark of epiglottitis

A

Child with severe sore throat, fever, drooling, sitting in sniffing position, with labored breathing

Lateral neck with “thumb print sign”

17
Q

Treatment of epiglottitis – if have this must not have been immunized!

A

3rd generation cephalosporin

18
Q

Steeple sign on xray Classic sign of what

A

Croup

19
Q

Treatment of croup

A

Hydration and humidity

Nebulized epinephrine and steroids if more sever

20
Q

Most common cause of inspiratory strider in kids

A

Croup

21
Q

Most common lower respiratory illness in infants

A

RSV

22
Q

RSV symptoms (also called acute bronchiolitis)

A 
1-2 days of URI with low fever 
Clear rhinorrhea and cough 
WHEEZING / crackles 
Tachypnea 
Hypoxemia

Admit: if

23
Q

Hyaline Membrane Disease

A

Deficiency of surfactant

Ground glass on xray

24
Q

Localized hyperinflation and mediastinal shift on xray in or with chronic cough and wheeze

A

Foreign body

25
Q

Most common innocent murmur in child

A

Stills murmur

26
Q

Common childhood murmur heard after age 3

Continuous musical hum
Disappears when child lays flat

A

Venous Hum

27
Q

Murmur with R ventricular heave and widely split and fixed S2 in Asymptomatic kid

Most common

A

ASD

28
Q

Machinery murmur

More common in females

A

Patent PDA

Tx: high dose NSAIDs -indomethacin
Surgery

29
Q

Disparity of pulses and CHF in infancy

A

Coarctation of aorta

30
Q

Tetralogy of fallot parts

A

VSD
Pulmonary stenosis
Over-riding aorta
Right ventricular hypertrophy

31
Q

Boot shaped heart

A

Tetralogy of Fallot

32
Q

Rheumatic fever

A

2 major and 1 minor

Major: carditis, polyarthritis, chorea, erythema marginatum, subcutaneous nodules

Minor: fever, arthralgia, elevated ESR or CRP

33
Q

Severe viral gastroenteritis in kids worldwide

A

Rotavirus

PANRE (20 decks)

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