Peds Flashcards
Tx of otitis media w/ effusion
observation, f/u in 3 mo. No abx required
Unexplained hip/groin/thigh/knee pain in adolescent (8-15)
SCFE, now seen in boys and girls due to higher prevalence obesity
PE: limited internal rotation of involved hip
W/u: bilateral, frog view hip X-ray
Age for Legg calve perthes
<10
apophysitis of the ant sup iliac spine: presentation
overuse injury– runners, dancers, ice hockey, soccer
ages 14-18
Facial feat fetal alcohol syndrome
-smooth philthrum
-shortened palpebral fissures
-thin vermilion border of upper lip
when to do lab w/u for precocious puberty (females)
development of secondary sex characteristics before age 8
management of premature adrenarche?
-sweat, BO, acne
- if no secondary sex characteristics, can watch and wait
- do labs if HIEGHT blows up during this time
most common cause HTN in peds
renal parencyhmal disease
-glomerulonehp
- reflex nephropathy
Indications for DDH screening
breech in 3T
fam fx of DDH
hip instability on exam
(other risks are female, first born, oligohydramnios, LGA)
cause of SIDS, recurrent PNA, FTT
GERD
iron supplementation for preterm infants
start at 1 month of age and continue through first year of life
dx/tx of hemangioomas
appear by one month, stop growing by 5 mo. Can leave telangiectasia, fibrofatty tissue, redundant skin, atrophy, dyspigmentatino, scarring
Tx:
- proopanolol
- intralesional steroid for small lesions
- surgical excision once involution has occurred
premature adrenarche
pubic hair and axillary odor
age of precocious puberty
9 boys, 8 girls
best topical for non-diffuse impetigo
mupirocin
asthma tx
intermittent= prn saba (<2 days/week, <2 nights/month, inhaler <2days/week)
mild persistent= ICS
mood persistent= LABA ICS
severe= ‘’
indication for O2 in bronchiolitis
SpO2 < 90%
cardiac findings marfans
MVP –> can lead to aortic insufficiency
physiologic gynecomastia
- Common, up to 50% adolescent males
- Usually bilat, or L side
- Resolves 6-24 months –> can do watchful waiting
red flags: >2 years, hard, immobile, non tender, >5cm, discharge, testicle mass, weight loss
AAP age to start screening peds for BP
3yo
Antihistamines not recommended under age….?
4
ICS vs PO steriod in URI for young child
ICS “safer” because less likely to impact growth than systemic
Age restrictions for rotavirus
Cannot give after 3.5mo
Complete by 8 mo
related to benefit over risk of intussusception
% bronchitis in kids that is viral
90-99%
ie <10% would be bacterial like mycoplasma
tx of CAP
Amoxicillin 1st line. Do not need confirmatory radiography
Doxy as alternative after age 7
indications for Pavulizumab (RSV vaccine)
Infants born <29 weeks for first year of life OR <32 weeks with chronic lung dz
Only continue after 1yr old if chronic lung disease with on going tx
tx of croup
steroids in outpatient setting or raceimic epi/steroids in ED
clinical diagnosis, doesn’t require imaging
management of toddler’s fracture
pain in lower tibia after low mech injury–> might not show up on xray so put in CAM boot and repeat films in one week
when to get screening EKG on sports phys
only if poositive oon 14 questions AHA/ACC questionnaire
murmur of HOCM
crescendo/decrescendo at LLSB that INC with Valsalva (dec venous return>dec preload> decrease volume in heart> hear more)
first line tx HOCM
BB
marfans concerns (3)
- aortic dissection
- lens dislocation
- pneumothorax
