Peds Flashcards

0
Q

Cyanotic heart disease in infant

A

Tetralogy of fallot

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1
Q

Colic

A

3+ hrs a day
3+ times per week
3 week period

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2
Q

Malrotation of gut

A

Bilious vomiting
Distal ampulla of Vater
1st month if life

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3
Q

Pyloric stenosis

A

Projectile vomiting end of feeding

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4
Q

MC GI emegency infant

A
Necrotizing enterocolitis
Day3-10
Bloody stool
Feeding intolerance 
Pneumotalis intestinalis
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5
Q

Shigella in kids

A

High fever
Sz
Then bloody diarrhea

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6
Q

MC re admission neonates

A

Neonatal jaundice
25-48h old 15
49-72h old 18
Over 72h old 20

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7
Q

MC cause bowel obstruction 3mo - 6 yo

A
Intussusception
Currant jelly stool
Meckels
Sudden pain sudden relief
Sausage shape mass r abd or epigastrium
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8
Q

MC cause of death 1m to 1 yr

A

SIDS
MC 2-4m
Jan
Males

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9
Q

MC cause neonatal PNA

A

GBS
S pneumo
H flu
Chlamydia - staccato cough

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10
Q

Pertussis

A
2wk URI - catarrhal phase
2-4wk paroxysmal cough inspir whoop
Mild cough for months
Rectal prolapse 
Emycin
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11
Q

Hydrocephalus

A

CN6 strabismus
Babinski
Increased LE tone
Cracked pot on percussion

Shunt
ICP>20
Resistance to compression pumping chamber
Infection usu first 6 months
-rx vanco ceftazidime
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12
Q

Tet of fallot

A
MCC congenital shunt 
Pulm a stenosis 
RVH
VSD
Ao overrides septum
mixing if blood at aortic inlet
RV outflow obstruction and VSD
TET spells
-hyper cyanosis 
-exertional dyspnea
-sz
-syncope

Knee to chest position to increase systemic vascular resistance
Morphine to decrease vent drive
Bicarbonate to decrease acidosis induced resp drive
Phenylephrine increases SVR
Propanolol
Ketamine sedation without vasodilation

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13
Q

HSP

A
Abd pain
GI bleeding
Hematuria
PALP PURPURA legs buttocks 
INTUSUSCEPTION
nml PLT PT PTT
immune mediated vasculitis
2-11
White winter male
STEROIDS
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14
Q

HUS

A
ARF
Microangiopathic hemolytic anemia
E. coli 0157:h7
Bloody diarrhea
Schistocytes
Uremia 
Nml PT PTT
Low PLT
SHIGA toxin activated vWF leads to PLT clumping in kidneys, hemolysis
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15
Q

MCC meningitis<2mo

A

Listeria
E. coli
Group B strep

Amp+gent or cefotaxime

16
Q

MCC meningitis>2mo

A

S pneumo - highest mortality
Nisseria
H flu - rare

Ceftriaxone
Cefotaxime
Steroids prior to abx

Chemo prophylaxis for N meningitidis

17
Q

APGAR

A
Heart rate. P
Resp effort. R
Irritability. G
Tone. A
Color. A
How ready is the child