Pediatrics Flashcards
Age of child who can stand unassisted, walk with assistance, say mama and dada and can stack 2 blocks?
12 months
APGAR score of baby with pink trunk and blue extremities. Infrequent breathing with weak cry. FLexion of limbs but weak. Pulse is 10-5. Weak grimace.
6
1 - breathing infreq 1 - wk flexion 2 - HR>100 1 - wk grimace 1 - pink with blue extremities
tx of NEC?
stop enteral feeds, start parenteral, abx (amp, cefotax, metro), if int perf then surgery
tx of newborn with fever and seizure?
amp with cefotaxime or amp with gent
can add on acyclovir
7 year old girl with 10 day history of fever. Bilateral eye redness, cracked red lips, and swelling of hands. Cervical LAD. Dx? Tx?
kawasaki dx
aspirin, IVIG
dx of cystic fibrosis?
sweat chloride test
Sore throat and fever in 12 year old boy. PEx shows diffuse erythematous rash on trunk and extremities that spare palms and soles. Rash blanches and is rough to the touch. Red nontender tongue. Tx? Dx?
scarlet fever
PCN V
3 week old who has tachypnea and tachycardia. Dependent on mechanical ventilation. Continuous machine-like heart murmur is heard at mid-left sternal border. Medication to tx condition?
indomethacin or ibuprofen
Tetralogy of fallot physical defects?
RV outflow tract obstruction, RVH, VSD, overriding aorta
TORCH infections?
Toxoplasmosis Other (syph) Rubella CMV HSV
5 year old girl admitted to hospital with 5 days of worsening abd pain and bloody diarrhea. Lab shows hgb 8.7, platelets of 90,000, and creatinine 2.7. Organism?
E coli (HUS)
Features of WAGR syndrome?
Wilms tumor
Aniridia
GU anomalies
Retardation
7 day old newborn has purulent discharge from both eyes. Culture reveals chlamydia trach. Tx?
erythromycin oral for 14 days
Tx of pertussis in 16 year old girl?
azithro or clarithro
Teratogen associated with ebstein cardiac anomaly?
lithium
Teratogen associated with clear cell adenocarcinoma of the vagina?
diethylstilbestrol
Teratogen associated with microcephaly, intellectual disability, smooth philtrum?
fetal alcohol
Teratogen associated with grey baby syndrome?
chloramphenicol
Teratogen associated with phocomelia?
thalidomide
Teratogen associated with craniofacial anomalies, fingernail hypoplasia, developmental delay?
phenytoin
2 days of cough, congestion, eye redness followed by maculopapular rash with white-gray spots on buccal mucosa. Tx? Dx?
measles, supportive care, vit A
Immunodeficiency with recurrent bacterial infections after the age of 6 months?
X-linked agammaglobinulinemia
Immunodeficiency with recurrent sinopulmonary infections and anaphylactic reaction to blood transfusion?
IgA defn
Immunodeficiency with thymic aplasia and T cell defn and hypocalcemia?
DiGeorge
Immunodeficiency with severe recurrent infections by variety of organisms?
SCID
Immunodeficiency with thrombocytopenia, eczema, and recurrent infections?
Wiskott-Aldritch Syndrome
Tx of absence seizures?
ethosuximide
6 week old with scleral icterus. No jaundice at birth. Darkening of urine and lightening of stool color. Elevated serum bili and liver aminotransferases. Imaging and dx?
biliary atresia
cholangiogram
tx of 21-hydrolase deficiency?
glucocorticoid
mineralocorticoid
8 year old boy has gross hematuria and generalized edema. Elevated BP. UA shows RBCs, RBC casts and proteinuria with throat infection 3 weeks ago. Tx? Dx?
post strep glomerulonephritis
supportive care, Na/H20 restriction, diuretic
4 year old boy has difficulty climbing stairs and frequent falls. Uses hands to lift himself up. Prox muscle weakness and calf muscles hypertrophied; Medication for tx? and dx?
duchenne muscular dystrophy
glucocorticoids
