Peds Flashcards
Gold standard diagnosis muscular dystrophy
Deletion dystrophin gene Xp21
Causes neonatal polycythemia
Maternal DM, HTN, smoking, IUGR; delayed clamping
XLR disorder; impaired cytoskeleton changes in leukocytes, platelets resulting in the triad of eczema, thrombocytopenia, and recurrent infections.
Wiskott-Aldrich syndrome
Impaired phagocytosis 2/2 defect in lysosomal storage results in recurrent skin and soft-tissue infections
Chediak-Higashi
First step in management of newborn with respiratory compromise and congenital diaphragmatic hernia
Intubation followed by ng/ogt
Most common cause of hearing loss in peds
Conductive loss 2/2 infections
C1 inhibitor deficency/dysfunction results in
Hereditary angioedema
Differences between preseptal cellulitis and orbital cellulitis
Orbital: opthalmoplegia, pain with EOM, proptosis, vision impairment
T/F Turner syndrome patients at high risk for… 2/2 low estrogen
Osteoporosis
Treatment of X-SCID
Stem cell transplant
Gold standard diagnosis of VUR
Voiding cystourethrogram
T/F Hisrchsprung disease is a/w Down Syndrome
T
Three major bugs in otitis media
S. pneumonia, Non-typable H. flu, Moraxella
Breastfeeding vs. Breast milk jaundice
Feeding: Lactation failure, dehydration, decreased elimination, increased enterohepatic circulation
Milk: 2 weeks, high levels glucuronidase in breast milk
3 month old with hypoglycemia, lactic acidosis, hyperuricemia, hyperlipidemia
G-6-phosphatase (Von Gierkes)
When do you get a renal u/s for peds patients with febrile UTI?
HOCM murmur increased with…
Abrupt standing, Valsalva
Major cause of death in Fredreich ataxia
Cardiomyopathy
Dermatitis herpetaformis
Celiac disease
Prostaglandin opens or closes the PDA
Opens
Continuous machine like murmur
PDA
Which is worse: chlamydial or gonococcal conjunctivitis in a neonate?
Gonococcal: IM CTX
Chlamydia: Oral erhthromycin
Erythromycin eye drops are used to prevent… in a neonate?
Gonococcal conjunctivits
Rose spots are characteristic of what infection?
Salmonella
Limited upward gaze, upper eyelid retraction / brain tumor
Pinealoma
Precocious puberty, cafe au lait spots, and bone defects
McCune-Albright
Fibrillin-1
Marfan
T/F Pertussis has lymphocyte predominant leukocytosis
True
Croup/barking cough
Parainfluenza
Bronchiolotitis
RSV
Initial treatment of clubfoot
Immediately; non-surgical (stretching, manipulation)
Most frequent complication of mumps
Orchitis
Asymptomatic, scatered erythematous macules, papules and pustules in a neonate. On histology?
Erythema toxicum neonatorum
*Eosinophils
Most common cause of aplastic crisis in SCD?
Parvovirus B19
Herpetic gingivostomatitis vs. Herpangina
Herpes: 6 mo- 5 y.o.; anterior oropharynx
Herpangina (Coxackie): 3-10 y.o.; gray vesicles/ulcers posterior oropharynx
Koplik spots
Measles
Subacute sclerosing panencephalitis
2/2 Measles
Niemann-Pick vs. Tay-Sachs
NP: Sphingomyelinase (Areflexia)
TS: beta-hexosamidatse (hyperreflexia)
Distress, dysphagia, drooling, thumbprint on X-tay
Epiglottis (H. flu) – unvaccinated
Staph vs. Pseudomonas in CF patients who p/w PNA
Staph: younger than 2 y.o.
Pseudomonas: older than 2 y.o.
Recurrent skin and mucosal bacterial infections without purulence, severe periodontal disease and marked leukocytosis (w/ delayed separation of umbilical cord)
LAD
Conduct vs. ODD
Conduct: leads to anti-social personality (violates major societal norms)
ODD: Angry/irritable mood and argumentative/defiant behavior
Diagnosis of pyloric stenosis is made using what modality?
Ultrasound
Medical treatment options for acute abnormal uterine bleeding
High dose IV/PO estrogen, OCP, progesterone, tranexamic acid
Squatting in TOF helps by…
Increasing systemic vascular resistance
Severe abdominal manifestation of HSP
Intussusception
Deficiency of niacin leads to…
Pellagra (diarrhea, dermatitis, dementia, death)
Treatment of choice for intussception
Air enema
Initial treatment croup
CS –> nebs epi
PAS+/TdT positive indicates vs. Peroxidase positive
ALL vs. AML
Auer rods
AML
To differentiate Marfan from Homocystinuria
Marfan: Aortic root dilation
Homocystinuria: Thrombosis
Fair hair/eyes, developmental delay and CVA are pathognomic for…
Homocystinuria
Congenital cataracts, sensorineural hearing loss and PDA
Maternal rubella