Peds Flashcards
Cyanotic heart disease in infant
Tetralogy of fallot
Colic
3+ hrs a day
3+ times per week
3 week period
Malrotation of gut
Bilious vomiting
Distal ampulla of Vater
1st month if life
Pyloric stenosis
Projectile vomiting end of feeding
MC GI emegency infant
Necrotizing enterocolitis Day3-10 Bloody stool Feeding intolerance Pneumotalis intestinalis
Shigella in kids
High fever
Sz
Then bloody diarrhea
MC re admission neonates
Neonatal jaundice
25-48h old 15
49-72h old 18
Over 72h old 20
MC cause bowel obstruction 3mo - 6 yo
Intussusception Currant jelly stool Meckels Sudden pain sudden relief Sausage shape mass r abd or epigastrium
MC cause of death 1m to 1 yr
SIDS
MC 2-4m
Jan
Males
MC cause neonatal PNA
GBS
S pneumo
H flu
Chlamydia - staccato cough
Pertussis
2wk URI - catarrhal phase 2-4wk paroxysmal cough inspir whoop Mild cough for months Rectal prolapse Emycin
Hydrocephalus
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
Tet of fallot
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
HSP
Abd pain GI bleeding Hematuria PALP PURPURA legs buttocks INTUSUSCEPTION nml PLT PT PTT immune mediated vasculitis 2-11 White winter male STEROIDS
HUS
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