Pediatrics Rosh 3 Flashcards
What’s the treatment for Seborrheic dermatitis in infants?
A non-medical treatment option is applying an emollient such as mineral oil or petroleum jelly to soften the scales, followed by combing them out with a fine-tooth comb or brush. Medical options include a short course of low-potency topical steroids or ketoconazole 2% shampoo. Parents should be reassured that most cases fully resolve in 12 months even without therapy.
Patient will be a child 3 - 10-years-old
With a history of URI
Complaining of hip pain
Treatment is supportive with NSAIDs
Transient Synovitis
What is the timeline difference in neonatal conjunctivitis from Chlamydia vs Gonnorhea?
Chlamydia presents in 5-15 days
Gonorrhea presents in the first 5 days.
What is the pathogen that causes whooping cough?
Bordetella pertussis
Is the most common hereditary bleeding disorder. The most common type, type I, is inherited in an autosomal dominant fashion. Increased tendency to bleed is the result of a qualitative or quantitative defect in a protein necessary for platelet adhesion function. The resultant platelet type bleeding commonly affects mucosa leading to dental and nasal bleeding as well as menorrhagia and increased bleeding after delivery of a child.
Von Willebrand diseases.
Treatment is Desmopresson (DVAP)
osteonecrosis and femoral head deformity due to the temporary interruption of the blood supply to the proximal femoral epiphysis. The peak incidence is from ages four to eight years old. It commonly presents as a limp and activity-related pain that may be localized to the groin or referred to knee or thigh. The limp is described as an antalgic gait where there is shortening of gait phase on the injured side to alleviate weight-bearing pain.
Legg-Calvé-Perthes
features include hypotonia, flat face, upward slanted palpebral fissues, epicanthal folds, speckled irises (Brushfield spots), delayed fontanelle closure, small nose, flat nasal bridge, protruding tongue, sandal toe deformity or wide gap between first and second toe, congenital heart defects and gastrointestinal disease. Developmental delay is universal.
Trisomy 21
Bacterial tracheitis is caused by what?
Staph aureus
It is often preceded by a prodrome of headache, pharyngitis, fever, and anorexia. The clinical presentation is influenced by the deposition of IgA in blood vessel walls, which leads to the triad of a palpable purpuric rash seen on the legs and buttocks, abdominal pain, and arthritis.
HSP
Pneumonia tx for kids under age 5 vs over?
Under: Amoxacillin
Over 5: Azithromycin
Tx for nephrotic syndrome?
Prednisone
With the Hib vaccine available now, what is the next most likely cause of epiglottitis?
Group A strep.
Tx for mumps?
Supportive with either ibuprofen or tylenol
Separation anxiety is a normal part of childhood development and peaks at what age?
Peaks at 8-9 mo and disappears by age 2
