Pediatrics Flashcards
Nontender abdominal mass ass. w/ elevated VMA and HVA
Neuroblastoma
The most common type of tracheoesophageal fistula (TEF). Dx?
Esophageal atresia w/ distal TEF. Unable to pass NG tube.
Not contraindications to vaccination
Mild illness and/or low-grade fever, current antibiotic therapy, and prematurity
Tests to rule out shaken baby syndrome
Ophthalmologic exam, CT, and MRI
Neonate has meconium ileus
Cystic fibrosis.
Hirschprung’s disease is ass. w/ failure to pass meconium for 48hrs
Bilious emesis w/in hours after the first feeding
Duodenal atresia
2mo presents w/ non bilious projectile emesis. Dx? Appropriate management?
Pyloric stenosis. Correct metabolic abnormalities; then correct pyloric stenosis
Most common primary immunodeficiency
selective IgA deficiency
Infant has a high fever and onset of reach as fever breaks. What is he at risk for?
Febrile seizures (due to roseola infantum)
Boy has chronic respiratory infections. Nitroblue tetrazolium test is negatie
Chronic granulomatous disease
Child has eczema, thrombocytopenia, and high levels of IgA
Wiskott-Aldrich syndrome
4mo boy has life-threatening Pseudomonas infections
Bruton’s X-linked agammaglobulinemia
Acute-phase treatment for Kawasaki disease
high-dose ASA for inflammation and fever; IVIG to prevent coronary artery aneurysms
Treatment for mild and sever unconjugated hyperbilirubinemia
Phototherapy (mild) or exchange transfusion (severe). (Do not use phototherapy for conjugated hyperbilirubinemia)
Sudden onset of mental status changes, emesis, and liver dysfunction after ASA intake
Reye’s syndrome
Child has loss of red light reflex (white pupil). Dx? The child has an increased risk of what cancer?
Suspect retinoblastoma. Osteosarcoma
Vaccinations at 6mo well-child visit
HBV, DTaP, Hib, IPV, PCV, rotavirus
Tanner stage 3 in 6yo F
Precocious puberty
Infection of small airways w/ epidemics in winter and spring
RSV bronchiolitis
Cause of neonatal RDS
Surfactant deficiency
Condition ass/ w red “currant-jelly” stools, colicky abdominal pain, bilious vomiting, and a sausage-shaped mass in the RUQ
Intussusception
Congenital heart disease that causes secondary hypertension. What would you find on PE?
Coarctation of aorta. Decreased femoral pulses.
First-line Tx for otitis media
Amoxicillin x 10 days
Most common pathogen causing croup
Parainfluenza virus type 1
Homeless child is small for his age and has peeling skin and a swollen belly
Kwashiorker (protein malnutrition)
Defect in X-linked syndrome w/ mental retardation, gout, self-mutilation, and choreoathetosis
Lesch-Nyhan syndrome (purine salvage problem w/ HGPRTase deficiency)
A newborn girl has a continuous “machinery murmur”. What drug would you give?
Patent ductus arteriosus (PDA). Indomethacin is given to close the PDA
A newborn w/ a posterior neck mass and swelling of the hands
Turner’s syndrome
