peds Flashcards
size of pediatric heart on CXR
size of pediatric heart on CXR
stridor=
turbulent air IN or BELOW the the larnyx
stertor=
turbulent airflow ABOVEthe larynx (snore)
best angle for heart size assessment
posteroanterior (AP is not because it is supine)
rales/wheeze because
expiratory pushing air through small tubes
stertor=
turbulent airflow above the larynx (snore)
ronchi/crackles because
alveoli are popping open; inspiratory
rales/wheeze because
expiratory pushing air through small tubes
etiology of laryngeal or tracheal web
incomplete recanalization of larynx
bronchiolitis in kids
“the happy wheezer”
from viruses
november - april
supportive treatment with oxgen and/or IV fluids
how many ribs do you want to see in a kid CXR
10 above the diaphragm
steeple sign=
- epiglottal swelling
- classic croup
what is wrong in croup,
what are the symptoms
laryngotracheitis
subglottic larynx edema, NFL
from viruses
angioedema =
allergic sweling or URT
what diseases can cause acute upper airway obstruction
- croup
- uvulitis
- peritonsillar/retropharyngeal abscess
- diphtheria (with tripod position)
what words describe pleural effusion on CXR
loculated with septations
what type of bugs cause CAP in school age kids
atypicals, virals, pneumonia
what tests chould you ALWAYS do for outpatient pneumonia
pulse ox (duh) rapid flu (if during its season)
I want to give a macrolide to a kid that I think has pneumonia. what test should I do first
mycoplasma IgM (most/many mycoplasmas are now resistant)
preliminary tests come back negative in a kid that may have pneumonia, and they are WORSENING. what is next?
consider CXR (or repeat); blood culture;
what tests chould you ALWAYS do for outpatient pneumonia
pulse ox (duh) rapid flu
I want to give a macrolide to a kid that I think has pneumonia. what test should I do first
mycoplasma IgM (most/many mycoplasmas are now resistant)
congenital stridor =
laryngomalacia
baby with diaphragmatic hernia can have
hypoplastic lung;
persistant pulmonary HTN;
laryngomalacia=
congenital abnormality of the cartilage so that the cartilage closes upon inspiration
congenital stridor =
laryngomalacia
rubeOLA measles rash
morbilliform eruption nf 4th-5th day
rubeOLA measles prodrome
the three C cough coryza conjunctivitis (also photophobia and fever)
rubeOLA measles complications
respiratory infection
acute disseminated myeloencephalitis
subacute sclerosing panencephalitis
rubeola measles rash
morbilliform eruption nf 4th-5th day
rubeola measles prodrome
the three C cough coryza conjunctivitis (also photophobia and fever)
rubeola measles complications
respiratory infection
acute disseminated myeloencephalitis
subacute sclerosing panencephalitis
rubELLA rash location
starts on face > trunk and extremities
is generalized within 24 hours
rubELLA rash morphology and duration
pink
pinpoint maculopapular
3 days
rubELLA symptoms
low grade fever
lymphadenopathy of POSTERIOR cervical and occipital nodes
Forchehimer spots=
enanthem on soft palate
palatal petechiae
blueberry muffin rash=
purpuric rash and hepatosplenomegaly in congenital rubELLA
erythema infectiosum
PARVO
parvo stages
- slapped cheeks
- fishnet erythema
- rash recurrence after resolution
parvo symptoms
arthropathy
aplastic crisis
pure RBC aplasia if immunocompromised
parvo rash
purpuric glove and sock syndrome
ROSEola symptoms
high fever for 3-4 days, but well
pale-pink macular rash appears as the patient defervesces
hand foot mouth disease virus
coxacie A/ entero
hand foot mouth lesions
on the hand foot and mouth
SORE, last 7-8 days
herpangina virus
coxackie A
herpangina presentation
yellowish-greyish white papulovesicular lesions on tonsils/uvula/palate
prodrome of sore throat, fever
young children
enterovirus rashes
can look like hand foot mouth, herpangina, or be nonspecific eruptions
