Pediatrics Flash Cards - Case 10 - Infant w- fever

Question 1

Define FUO

Answer 1

> 38.3 C (101 F) for at least 2 wks w/o dx after 1 wk’s eval

Question 2

DDx SBI (serious bacterial illness)

Answer 2

1 = UTI, Meningitism, Sepsis, Pneumonia, Bact gastroenteritis, Osteomyelitis, Septic arthritis, Occult bacteremia

Question 3

NPV and PPV of WBC >15k for bacteremia

Answer 3

99.5% NPV but only 1.5% PPV

Question 4

Kernig’s sign?

Answer 4

Resistance to extension of the knee (flex leg 90 degrees at hip and knee, then extend knee)

Question 5

Brudzinski’s sign

Answer 5

Flexion of hip and knee in response to flexion of the neck by the examiner

Question 6

Commonest cause of viral meningitis?

Answer 6

enterovirus

Question 7

Most common causes of bacterial meningitis in children include?

Answer 7

S. pneumo and N. menin

Question 8

Virus that causes roseola?

Answer 8

Human Herpes Virus (HHV)-6

Question 9

Full name for croup?

Answer 9

laryngotracheobronchitis

Question 10

What breath sound is heard in pts w/ croup?

Answer 10

stridor

Question 11

What bug causes croup?

Answer 11

Parainfluenza type 1

Question 12

If foreign body aspiration leads to complete occlusion, CXR typciall shows what?

Answer 12

atelectasis (whiting out) and signs of volume loss (mediastinal shift towards affected side to compensate for loss of volume)