Peds Flashcards
hypoglycemia threshold in newborns
< 2.8 up to 48 hrs
then 3.3 on third day of life
then 4-8
febrile infant 0-28 days CPS algo
febrile infant CPS 29-60 days algo
empiric abx for febrile infant
what qualifies as fever in infant
RECTAL temperature >= 38 at home or in hosp
SBI and IBI
SBI: serious bact infection = UTI, bacteremia, meningitis, pneumonia,
IBI: invasive bact infection = bacteremia & meningitis
who do the CPS algorithms apply to?(febrile infants)
well-appearing infants ≤90 days old with a documented history of fever, defined as any rectal temperature ≥38.0°C, taken
by a caregiver or HCP at home or in a clinical setting
risk factors that increase liklihood of SBI/IBI in febrile infants?
Commonly accepted risk factors
* History of prematurity (gestational age <37 weeks)
* Prior hospitalization or prolonged newborn nursery course
* Chronic medical conditions, chromosomal abnormality, or
technology dependence
* Known or suspected immunodeficiency
* Recent antibiotic exposure
* Any focal bacterial infection (e.g., cellulitis, omphalitis,
osteoarticular infection)
febrile infants < 90 days with which virus are actually more likely to have concomitant bact infection?
rhinovirus
how to handle viral symptoms or confirmed viral infection in young febrile infants?
even in the presence
of respiratory symptoms or a documented viral pathogen,
the initial diagnostic evaluation should follow the age-based
recommendations above
when to definitely think of HSV in febrile infants?
seizure, ELEVATED ALT, maternal HSV
basically, if covering for meningitis, cover for HSV with IV acyclovir
how to think of infants with hypothermia?
basically, any temp < 36 should be treated the same as a fever in infants <90 days
why is rectal temp the standard?
Axillary, oral, or tympanic measurements are inaccurate for core temperature in infants
definition of colic
rule of 3’s. crying 3 hours, 3 days per week for 3 weeks
2 times neonatal jaundice is always pathologic
in first 24 hrs of life and conjugated
Ddx of colic
NNJ: causes of conjugated hyperbili
BILIARY OBSTRUCTION, sepsis, TORCH infections (look them up), genetic/metabolic abn
NNJ: causes of unconjugated hyperbili
physiologic, breastmilk, hemolysis, trauma from birth
why order DAT in NNJ
r/o hemolysis in an unconjugated hyperbili
most common viral cause of diarrhea?
norovirus
bilious emesis in young infant is _____________ until proven otherwise
malrotation with volvulus
Levels of dehydration chart
dx and mgmt of malrotation/volvulus?
dx: abdo xray (cannot exclude and so still need to consult if suspicious)
mgmt: IVF, NGT, emergent surgical consult
Hirschsprung disease:
congen or acquired:
pathphys:
age group:
s/s:
dx:
mgmt: