Peds 2 Flashcards
Rubella vs CMV in terms of
- hearing loss
- vision
Rubella is bilateral hearing loss, CMV is unilateral
Rubella has cataracts and glaucoma, CMV has chorioretinitis
conjunctivitis in baby less than 24 hours old
- dx
- tx
chemical conjunctivitis
eye lubricant
conjunctivitis in baby 2-5 days old
- dx
- tx
gonococcal conjunctivitis
IV or IM ceftriaxone (but not if hyperbilirubinemia) or cefotaxime
conjunctivitis in baby 5-14 days old
- dx
- tx
chlamydial conjunctivitis
PO erythromycin
most harmful conjunctivitis, and its complications
gonococcal
corneal perforation leading to blindness
unilateral tearing with conjunctival injection
- dx
- management
nasolacrimal duct obstruction
massage of nasolacrimal duct
ways to distinguish gonorrhea vs chlamydia conjucntivitis
gonorrhea before 5 days, chlamydia after 5 days
chlamydia can be bloody sometimes
tx of RDS
CPAP
lab abnormality in biliary atresia
direct hyperbilirubinemia (at least 20% of total bill)
direct hyperbilirubinemia. clay colored stools, dark urine, enlarged liver in up to 2 month old. dx?
biliary atresia
patient has galactosemia. What type of formula should it have?
soy formula
first 3 months, pallor, poor feeding, anemia
Diamond Blackfan anemia / congenital pure red cell aplasia
pallor, tachycardia, very low Hb, 6 mo - 5 yr old
transient erythroblastopenia of childhood
pancytopenia after drug intake, toxin, or viral infxn
acquired aplastic anemia
management of congenital adrenal hyperplasia
glucocorticoid replacement
MCC of UTI in children, how to dx
vesicoureteral reflux (VUR) voiding cystourethrogram
MCC of chronic renal insufficiency / failure in children
posterior urethral valve
tx of SCFE
immediate surgical screw fixation
child with pertussis. do what with household contacts
give macrolide
less than 2 year old with cough, runny nose, wheezes
- dx
- complications
RSV bronchiolitis
apnea (esp less than 2 months), respiratory failure
pavilizumab is indicated for prevention of RSV bronchiolitis in which patients?
preterm before 29 weeks
chronic lung dz of prematurity
hemodynamically significant congenital heart dz
child with open fontanelle and needs LP. what are indications for CT first?
history of hydrocephalus
history of neurosurg procedure
history of head trauma
coma or focal neuro deficits
age when you do surgery on umbilical hernias
around age 5
MCCs of osteomyelitis in sickle cell kids
salmonella
staph (MCC in healthy kids)
kid with fever and unilateral, tender, swollen LN
- dx
- bac causes
- tx
acute lymphadenitis
Staph and strep (GAS)
clindamycin
at what age is bedwetting abnormal
& next step
5 yrs old
urinalysis if 5 yrs old and still bedwetting
displaced urethral meatus associated with
cryptorchidism (undescended testes)
newborn’s HR less than 60. next step?
start chest compressions
tx of cryptorchidism and timeline
what else is repaired and why
orchiopexy before age 1
patent processus vaginalis to prevent inguinal hernia
preferred tx of chronic constipation
oral laxatives (polyethylene glycol, mineral oil)
