Peds Flashcards
Meconium illeus assoc with which dz
CF- resp inf
Plain x ray shows dilated gas bowel with a ground glass MASS on r side (meconium)
Chlamydia trachomatis is culprit for neonatal conjunctivites and PNA which happens when and how?
Conjunctivitis - up to 2 wks
Pna- cxr w hyoerinflation, rales, stacato cough (dry and short)
Tx w oral erythro for 2 wks
Adhd preschool kids
First is behavioral therapy. Next is stimulant.
Adhd kid who is on adderral max dose but minimal improvement. What is next option?
Switch to norepi reuptake inh like amoxetine or clonidine (a 2 agonist)
Should see effect w these meds within weeks
What should u do if child is
Called FTT. Inadequate calorie intake, absorption or increased calorie requirements
Should rec diet modification - need to introduce solid food by 4-6 mo.
Most common causes of acute otitis media and with purulent conjunctival discharge in someone who just finished abx?
Tx?
Nontypeable haemophilus influenzae (not hib since we give vaccine), moraxella, strep pneumonia. Most commonly recurrence by these bugs bc initial tx was resistant
Initial tx is amox, recurrent tz is augmentin
Choking child- what manuever if 1 yr?
Back blow if baby
Abdominal thrusts aka heimlich maneuver
Diagnose hirshsprung disease with
Tx?
Rectal SUCTION biopsy. If fail to pass meconium in 2 days.
First get kub wth contrast enema
Tx is anastamose normal bowel to anus
10% of pts with down syndrome
3-6 wk old with projectile vomiting, olive mass in ruq and signs dehydration has? What should u do next?
Assoc with which abx?
Hypertrophic pyloric stenosis. Need to correct electrolytes before pyloromyotomy bc decr risk if postop apnea
Assoc w erythromycin (given for postexposure pertussis)
16 yo w low lh, fsh, low testosterone, bone age of 12, and fam hx
Constitutional pubertal delay relates to bone age
Kallman syndrome anosmia with failed gnrh and thus hypogonadism
Ash leaf spots and new onset seizures is what dz?
Tuberous sclerosis
Can also get benign tumors of brain and kidney and thus need brain mri, eeg, abd us
Die usually from epilepsy (tumor burden on brain)
Baby is is breast only up to age 1 with no supplements has anemia. What kind?
Ida bc need supplement with iron fortified food (rich in vitc) or pureed meat after 6 mo. If find then ida, then oral iron supplement
Be aware that cant give cow milk/soy milk before one yr bc can cause chronic GI bleed!!
How do you diagnose bronchiolitis in babies? Any labs?
Which kids need vaccination?
Clinically!
The kids who need ag testing of nasal or pulm secretions are those who received the pavilizumab vaccine bc preterm
Vs croup due to parainfluenza and have barky cough, inspiratory stridor
Obese kid w hip pain, cant bear weight and externally rotated hip. Tx?
Scfe- slippe capital femoral epiphysis which should tx with internal fixation w a screw immediately bc risk if AVN
By what age should a boy reach puberty?
If not, what is next test?
Delayed puberty if no testicular enlargement or testicle
Lethargic baby w fever, jaundice, and uti should get tx for what and with what?
Sepsis! Can cause indirect hyperbili
Tx w cefoxitime to cover uti and ampicillin for listetia
