Pediatrics Flashcards
T/F: Risk of developing coronary artery aneurysms in Kawasaki is greatest for kids <1 yo.
True
Neonate with delayed meconium passage and abdominal distention. Dx?
Hirschsprung
At what age do we see Newborn Chlamydia PNA?
3-6 wks old
Dx for Meckel’s Diverticulum
Tech 99m scan
Recommendations to prevent Sudden Unexpected Death of Infancy (SUDI)
Supine sleeping, pacifiers, breastfeeding
Does Epiglottitis present with sudden or gradual onset?
Sudden
Initial Sxs: fever, irritability, generalized erythematous, painful rash groin, body orifices and axillae. (+) Nik.
Staphylococcal scalded skin syndrome (SSSS)
Mgmt for Developmental Dysplasia of the Hip (DDH)
Pavlik harness
Non-tender abdominal mass + hematuria. Dx?
Wilms Tumor (Nephroblastoma)
What does APGAR stand for?
Appearance, Pulse, Grimace, Activity, Respiration
In a pt. 6 mo to 5 yo having had a single tonic-clonic seizure lasting < 15 mins, NO Hx of seizures and fever, what is the likely cause?
Febrile Seizure
What is the Tx for Febrile Seizure? What if the seizure is >5 mins?
- Supportive care
- Diazepam: gel, nasal, buccal or suppository
When treating Kawasaki with ASA, how long do we Tx for?
- HIGH dose ASA until 48 hrs NO fever
- Low dose 6-8 wks after onset (indefinitely if coronary artery abnormalities)
MC pathos of Lymphadenitis
Staph aureus and Strep pyogenes
After HIGH fever subsides, rash starts at neck/trunk and spreads to face/extremities. Dx?
Roseola (Exanthem Subitum)
Infection with ____ virus can cause a transient aplastic crisis in SCD patients.
Parvovirus B19 (5th Disease)
- HTN
- Bradycardia
- Diminished respiratory effort
Cushing Reflex
Tx for Pertussis
Macrolide - Azithromycin “-mycin”
Classic and consistent finding in Acute Appendicitis
Anorexia
Soft tissue mass. X-ray showing “Sunburst” pattern. Dx?
Osteosarcoma
Ocular Erythromycin used for prophy against:
Gono
MC patho of Bacterial Tracheitis
Staph aureus
Tx for Laryngotracheitis
STEROIDS**, aerosolized epinephrine
Definitive Dx for Hirschsprung
Rectal Bx
What is a normal finding for Breast Milk Jaundice?
Meconium dark, sticky stools.
MCC Epiglottitis in peds
Strep spp.
What makes up Complex Febrile Seizures?
MULTIPLE seizures during the SAME febrile illness, lasting >15 mins, or focal component
Diaper rash showing plaques and satellite lesions. Tx?
Topical antifungals
Painless rectal bleeding in <5 yo. Dx?
Meckel’s Diverticulum
Transient yellowing of eyes seen only during physical exertion, illness or stress. Dx?
Gilbert syndrome
Baby with constipation, ptosis, generalized weakness, poor feeding. Dx? Cause?
- Infant Botulism
- Eating honey
When is MMR given?
1 yo and 4-6 yo
What is CI with MMR vaccine?
Neomycin history of anaphylaxis D/T vaccine having trace amounts of Neomycin.
What is the next step if FB (not a battery) swallowed and is in the mid-esophagus?
- Repeat x-ray in a few hours.
- No eating or drinking.
DTaP vaccine given 5 times before 7yo. If any are missed, what is the next step?
Tdap vaccine given between 7-11 yo
When would we give Td (tetanus-diphtheria)?
- Booster every 10 yrs.
- Can be given immediately after exposure to tetanus or diphtheriae.
Tx for Chlamydial Conjunctivitis (not prophy, but Tx)
PO Erythromycin
Large blue patches that are MC located over sacrum and shoulders.
Dermal Melanocytosis
What is characteristic of the chickenpox rash?
Lesions appear over DAYS and with many stages of healing at the same time.
MCC intestinal obstruction <2yo
Intussusception
Young kid with recent URI, abdominal pain, arthralgia, rash that began on butt and lower extremities. Dx?
Henoch-Schonlein Purpura
2 complications of Henoch-Schonlein Purpura
Nephropathy
Intussusception
Breast milk jaundice vs. Breastfeeding jaundice
BMJ: 10 days old
BJ: within first few days of life
With an elevated lead level, what is the next best step? What if the lead level is >45?
- Make changes in the home
- Tx toxicity with Chelation (Succimer, CaNa2-EDTA)
What is the method of sun protectant in <6 mo?
- NO sunscreen!
- Use protective clothing and shade
Rotavirus vaccine is contraindicated for an infant with a history of _____.
Intussusception
If live vaccines are not given at the same office visit and the parents want to spread them out, when can the next live vaccine be given?
4 weeks later
What is true regarding resistance training in the peds population?
It can begin as early as 6yo with appropriate supervision.
What endo screening is needed in a newborn?
Hypothyroidism