Pediatrics Misc Flashcards
Intercavernosum phenylephrine is the treatment modality for
Priapism
First step treatment for phimosis
Dorsal slit procedure
Topical steroid cream
Periodic gentle retraction
What is the most common cause of external shunt infection?
Staph epidermidis
What is the most common reason for pediatric VP shunt failure?
Choroid plexus obstruction
When considering scrotal pain, what favors torsion over epididymitis?
Acute, severe pain High riding testicle pain worsens with testicle elevation Absent cremasteric reflex Decreased Doppler color flow
What is the most common way to de-torse a testicle?
Medial to lateral rotation for 1-1.5 rotations
What is Prehn sign?
Relief with elevation of the affected testicle
What is a complex febrile seizure?
Multiple seizures during the same illness (>1 in 24 hours), prolonged seizures (>15 min), focal seizures
What kind of vomiting is commonly seen in pyloric stenosis?
Non-bilious
What is the classic finding in pyloric stenosis seen on upper GI series?
String sign passage of contrast through narrow pyloric sphincter
What do the labs show in pyloric stenosis?
Hypokalemic metabolic alkalosis
What common viral infection is associated with intussusception?
Adenovirus
What medications are associated with the development of necrotizing enterocolitis?
Indomethacin
Vitamin E
The majority of shunt infections present when?
Within the first two weeks of placement, with 80% occurring by 6 months
Intravenous Ig is used to treat
Kawasaki disease
ITP
Guillain-Barre
What is the diagnostic test of choice for suspected malrotation with volvulus?
Upper GI series
What type of intussusception occurs with HSP?
Ileoileal
What is the most commonly fractured bone in children <2?
Clavicle
The most common cause of acute onset altered consciousness in the pediatric population is
Toxic ingestion
Most common intra-abdominal injuries associated with Chance fractures of lumbar vertebrae
Pancreas and small bowel
What is the triad of “seat belt syndrome” in children?
Lumbar spine fracture
Intra-abdominal injury
Pelvic fracture
What is the most common cause of acquired heart disease in children?
Kawasaki disease
The most common causes of neonatal (<1 month) meningitis are
group B Streptococcus and Escherichia coli
The most common causes of meningitis in children (>1 month to 18 years) are:
Neisseria meningitidis
Strep pneumo
H. flu
