PEDIATRICS Flashcards
At what point are concerned about a neonates temperature? (Neonate is less than 3 months)
38oC (100.4F)
At what point are concerned about an infants temperature? (Infant is 3-36 months)
39oC (102.2F)
At what point are concerned about a child’s temperature? (Older than 36 months)
Not defined – look for sxs
What is the best approach to figuring out what is causing a neonates fever?
CBC, blood culture, UA, urine culture, CSF
What antibiotic can you never give to a neonate that’s less than 1 month old, because it will displace bilirubin?
Ceftriaxone
In a child that’s older than 36 months, what must you always keep on you DDx when they present with a fever?
Kawasaki disease!
What’s the most common cause of meningitis in a child that’s less than 3 months old?
E coli and group B strep
What’s the most common cause of meningitis in a child that’s older than 3 months?
S pneumoniae, Neisseria meningitides, and Staph aureus
What’s the gold standard for diagnosing pneumonia?
CXR
What are the most likely causes on OM?
S pneumoniae & H influ
What is the absolute gold standard for assessing volume status in a child?
Percentage of body weight loss
Since we can’t always use percentage of body weight loss, what PE findings must we look out for dehydration in a child?
Capillary refill
Abnormal skin turgor
Abnormal respiratory pattern
Mucous membranes
Sunken eyes?
Presence/absence of tears
How much fluid per day does a 60kg child need?
2300ml/d
If a child has a fever with lethargy, respiratory distress (tachypnea), feeding disturbances, jaundice, and possibly a rash – what diagnosis do you need to think of?
Sepsis!!!
What are 2 common causes of pneumonia in a child?
RDS (group B strep) & Viral
