Pediatrics Flashcards
benzos cause what birth defect?
cleft lip / palate
colicky abdominal pain, age
intususception
bilious vomiting first 4 weeks
intestinal malrotation
children vitamin D recommendation
400 IU daily
beefy red rash on child’s perineum
GAS
erythema toxic neonatorum vs acne neonatorum
erythema toxic neonatorum: 1st 2 weeks, papules on red base
acne neonatorum: usually on face, @ 2 months
ADR of erythromycin in infants
hypertrophic pyloric stenosis
car seat guidelines
0-2 yr: rear facing
8-12 yr: booster until 57 inches (4 foot 9)
cough and cold meds aren’t for kids under
2 yrs
papular rash in 2-5 day old and eosinophils
erythema toxic neonatorum
SIDS occurs at what age?
at what age does genu valgus normalize?
6 yrs
serum bicarb in children for dehydration
tx for croup (laryngotracheitis)
one dose of corticosteroids
features of constitutional delay of growth and puberty
delayed bone age
low Tanner stage
normal growth potential
inherited
newborn should regain its birth weight by
14 days
pain of hip in young, no weight bearing
- differential
- workup
transient synovitis or septic arthritis of hip
x-ray, then CBC and ESR (WBC and ESR elev in septic arthritis)
BP, HR, Temp that warrants hospitalization of anorexic
BP
tx of croup
aerosolized epi and IM dexamethasone
tx bronchiolitis
trial of aerosolized albuterol or eli
when to treat simple hydrocele with surgery
if it doesn’t resolve after 12 months
MCC of hearing loss in newborns
genetic disorders
- Waardenburg
- Usher’s
- Alport
- Turner
management of retracted eardrum
obs
indication for tympanostomy tube
hearing loss > 3 months
management of fever in child 0-28 days old
complete sepsis workup
- urine cx
- blood cx
- CSF cultures
- start IV ATBs
med for croup that leads to shorter hospital stays
dexamethasone
diet restrictions prior to surgery in pediatric patients
8 hrs solid food
6 hrs formula
4 hrs breast milk
2 hrs clear liquids
sxs of Henoch Schonlein purpura
follows URI fever fatigue arthralgia colicky and pain heme pos stool palpable purpura
indications for phototherapy
29-48 hrs: bilirubin > 15
49-72 hrs: > 18
> 72 hrs: > 20
MCC of pneumonia 4 mos to 4 yrs
RSV
pediatric pt with tachypnea, pallor, or respiratory distress - next step
pulse ox
MCC of proteinuria
orthostatic proteinuria
Tx of head lice
malathion
sxs of AOM
bulging TM
opaque TM
immobile TM
defn of primary amenorrhea
no menses at age 16 + normal secondary sex characteristics
OR
no menses at age 14 + no normal secondary sex characteristics
MCC of primary amenorrhea
gonadal dysgenesis (ex: Turner syndrome)
tx nocturnal enuresis (first and second line)
first line: enuresis alarm
second line: desmopressin
4 factors of dehydration
capillary refill time > 2 sec
no tears
dry mucous membranes
ill general appearance
treatment of gonococcal conjunctivitis
IM ceftriaxone 20-50 mg/kg
1 yr old with increased respiratory effort, wheezing, rhinorrhea, retractions
- dx
- next step
bronchiolitis from viral URI
give nebulized albuterol
