Peds Flashcards
Gastroschesis
-Defect not at midline, usually right
Omphalocele
- Associated with Tri 13, 18, beckwith wiederman
- Midline, covered
Umbilical Hernia
-Midline, no bowel. Treat at 3-5 years
Associated with hypothyroid (Large tongue)
Pyloric Stenosis
- Nonbillious
- Hypochloremic alkolosis
Intestinal Atresia
- ASsociated with Tri 21
- Billious
Malrotationa nd Volvulus
-Pain, X Ray Ladds Bands (malroatation around SMA generally)
Meconium Ileus
- CF
- Treatment is Gastrograffin Enema
Bloody Diahrrea
- Necrotizing enterocolitis
- Pneumocystis intestinalis
Intususeociion
Currant Jelly
Intermitent Pain
Cryptorchid
- Not descended by 1 year do surgery
- US to diagnose, usually in inguinal canal
Hypospadias
- Don’t circumcize, use foreskin in repair
- Renal issues
CAH
-Ambiguous genetalia
DMI
Cardiac, Caudal Regression
DM2
- Hypoglycemia - siezures
- Hypocalcemia - sieures
- Polycythemia - Thrombosis
- Hyprebilirubimenima - Kernicturus
- RDS - insulni interferes with cortisol maturation
Sepsis
-E coli, GBS, Listeria
-Treat emperically with amp and gent
Treat with amp and cefoxotime if think meningtitis
Torch
Syphilis - hearing loss, saber shins, CMV - microcephaly, petichiea Rubells - catarats, deafness -Toxo - intracranial calcifications -Caricella - scarring, limb hypoplasia
Contraindications to breast feeding
Ilicit drug abuse, TB 2 weeks treated, active herpes, HIV, varicella, chemo
Orbital cellulitis
Most commonly from bacterial sinusitis: strep pneumo, staph aureus, h flu
Treatment is for bug, vanc plus
Get CT to evaluate
Polycythemia
Can cause RDS, renal vein thrombosis, plethora, etc
Complication of IUGR or DM
Bacterial Sinusitis
Most common is strep pneumo, then Hib, then moraxella
Hand foot and mounth
Has gray exudates on tonsils, Be careful of herpes, measles, rubella
Breast feeding jaundice
Occurs when there is inadequate breast feeding, in contrast to breast milk which is adecuate and from enzymes in milk
-Dehydration is less wet than days old, redish stools (urate)
ABO incompadibility
Most commonly in mothers that are O
Can also occur if mother is A, B and child is exact opposite, but usually O
Niemann Pick
Spingomylinase
Red spot with abdominal complaints
Tay sachs is b hexoaminadse and has no abdominal
Rubella
Less severe than measles, low fever, redish pharyngitis, posterior auricular
Measles has high fever, maliase, and koplik spots
Dx with PCR and serology
VSD
Large can cause eisenmingers. Think about in patient that has FTT and is older with presentatoins of heart lesoin.
Cyanotic occur early
Can hear diastolic rumble at apex
Post flu pneumon
Likely staph aureus, and even in CFers, S Aureus is more commin in the begining, later is pseundomdons
CAP
Strep pneumo until proven ptherwise. Giv amoxiclin
