Peds Flashcards
Risk factor for TTN?
C-section, diabetic mother
CXR findings on TTN?
Wet appearing lungs with perihilar streaking, interstitial and alveolar fluid, and fluid in pleural space and along the fissures (lateral views) No air bronchograms
TTN management?
Symptomatic -> resolve in 24-48 hr Usually requires NG tube feed meanwhile because unable to nurse
CXR findings of RDS?
Ground glass appearance and air bronchograms
What respiratory syndrome are you at risk for for being intubated?
Bronchopulmonary dysplasia -> CXR shows atelectasis, inflammation, pulmonary edema, might see fibrosis and hyperinflation if severe
Define hypoglycemia in newborns?
< 45 ?
Verbal response criteria for GCS of children under 5 years old?
5: smiles, oriented to sounds, follows objects, interacts 4: cries but consolable, inappropriate interactions 3: inconsistently inconsolable, moaning 2: inconsolable, agitated 1: no verbal response
Age you usually see roseola?
Less than 2 years old
Most common manifestation of nontuberculous mycobacteria in children?
Lymphadenitis
CBC in Kawasaki?
Elevated WBC Normochromic, normocytic anemia Elevated platelet count (not seen til second week of illness)
7 criteria for dx of Kawasaki?
Clinical dx - fever lasting at least 5 days - changes in oral mucosa - extremity changes (redness/swelling) - unilateral cervical LAD - rash - conjunctivitis - no other apparent cause
Percentage of Kawasaki pts presenting with coronary artery aneurysm and how far out does it present?
20-25% Almost always within 4 weeks of disease onset -> so should get echo during acute phase
Risks for infants of an adolescent mother?
- vertically acquired infection (HIV, gonorrhea, syphilis)
- poorer outcome
- lower birth weight secondary to maternal HTN
- fetal death
Risk factors for hyperbilirubinemia in infants?
- Mediterranean descent
- Breastfed
Risks for a SGA baby?
Hypoglycemia, hypothermia, and polycythemia
Testing for TORCH infection?
Toxoplasmosis: infant toxoplasma titers
Others: maternal HBsAg
Rubella: maternal and infant rubella titers
CMV: infant CMV urine culture
Herpes?
Which eye infection does erythromycin ointmen prophylaxis prevent?
Gonococcal conjunctivitis
(doesn’t help with chlamydial one, which is actually more common. occurs later at 7-14 days)
Urine culture positive within first how many weeks of life is dx for congenital CMV infection?
3 weeks of life
Sequelae of congenital CMV and characteristics?
Hearing loss -> progressive
Intracranial calcification and microcephaly -> long-term delay and risk of cerebral palsy
Hepatosplenomegaly and rash -> resolves spontaneously within weeks
What to do in infant with congenital CMV?
Tx w/ parenteral gancyclovir or oral valgancyclovir -> diminish progression of hearing impairment and intellectual delay
Is active TB an absolute CI for breastfeeding?
Yes
What 2 things do all states screen for in newborn screening?
PKU and hypothyroidism
