Peds Flashcards
what are the most important RFs that cause RDS in infants?
Prematurity Male sex Maternal diabetes C section Perinatal asphyxia
What is a more serious infection, preseptal or orbital?
What features does the more serious one have?
Orbital
Ophthalmoplegia
Pain w/EOM, proptosis
Diplopia
Infants needed to be treated with what to protect against conjuctivitis?
Topical erythromycin
How do you treat Tourette’s with meds?
Risperidone
Clonidine
Guanfacine
What is the MC cause of bacterial PNA in young kids w/CF?
Treat how?
S aureus
IV Vanco for MRSA+ in pt w/severe PNA
Cat bites require what treatment?
Organism?
Prophylaxis w/Augmentin
Pasteurella
What kind of precautions do you need to take for Measles protection?
Airborne
Newborn girl w/nasal flaring, has a scaphoid ABD, is grunting, and has a barrel shaped chest has what?
Congenital Diaphragmatic hernia
What presents w/Left axis deviation on EKG, decreased pulmonary markings on CXR?
Tricuspid valve atresia
What presents w/clenched hands w/overlapping fingers, Renal defects, limited ABduction, prominent occiput, low-set ears, micrognathia, heart defects?
Edwards syndrome
When should a childhood vision assessment be performed?
When does Snellen chart or tumbling E chart testing begin?
Every well child visit
3 y/o
Describe the following in Tuner syndrome:
Estrogen
FSH
LH
Low
High
High
Intussusception is caused bc of what Pathology?
Hypertrophied Peyer patches
Black girl with hair loss has what?
Tinea capitis (dermatophytes)
What presents early in infancy w/obstructive jaundice and acholic stools?
Biliary atresia
What causes w/SCM mass, i/L head tilt, and c/L chin deviation in a pt w/limited ROM of the neck?
Congenital muscular torticollis
What is the MC murmur older than 1 year?
Younger?
ASD
VSD
Pyloric stenosis causes what?
Gastric outlet obstruction
Pt that has opacification of ALL sinuses by 8 months has what underlying disease?
Meconium ileus
How does HIV in infancy present?
FTT
Chronic diarrhea
LAD
PCP infection
What is the most component to diagnose ADHD?
Teacher Evans
Child that you are pretty sure has GAS infection, what do you do?
Rapid strep test
What is the biggest RF for cerebral palsy?
How does it present?
Prematurity
Hypertonic and hyperreflexia involving b/L LE
50% retarded
How do you diagnose DMD?
Genetic testing
Sudden vasomotor collapse and skin rash all over body w/meningitis due to what?
Adrenal hemorrhage
-Waterhouse Friederichson
What shows inspiratory stridor that is worse when supine and improves when prone?
Laryngomalacia
LIP
What does rheumatic fever cause?
Treatment in high risk pts?
Mitral stenosis
Continuous Abx prophylaxis (PCN G)
What does Breastfeeding decrease the risk of developing?
OM, respiratory and GI infant
UTI, NEC
Lower T1DM
What language should you hear from a baby at 6 months, 9 months, 1 year?
6 - babble
9 - mama, dada
1 year - 1st words
Precocious puberty very likely due to what?
Early activation HPO axis
When do you get varciella vaccine?
At what age do exposed pts need prophylaxis?
1 and 4
1
What is the most likely cause of premature adrenal adrenarche?
What is the level of DHEA-S like?
Testosterone?
Increased adrenal androgen secretion
High
Very low
What presents w/hemianopia, hemiparesis, hemisensory disturbance, I/L glaucoma w/xray that shows intra-cranial calcifications?
Sturge-Weber
Choanal atresia may have what else?
CHARGE
Coloboma Heart defects Atresia - choanal Retard GU anomalies Ear Fucked up, DEAF
What is the treatment for pertussis?
What should you do about close contacts?
Macrolide
Give them macrolides too
What do the teeth of pts w/OI look like?
Opalescent blue-gray or yellow-brown
What are the CF of HDD?
Asymmetric skin folds
Leg length discrepancy
Microcephalic, abnormal thumbs, hypogonadism, cafe au lait spots, strabismus, low set ears, diagnosis?
Pathology?
Fanconia anemia
Chromosomal breaks
What is the pathology behind Wiskott-Aldrich syndrome?
The gene regulates cytoskeleton remodeling response to cell signaling on T cells
Caustic ingestion of toxic material, what is the 1st step?
2nd?
Take of soiled clothes
Upper EGD
Turner syndrome pts are at the biggest risk of having what?
Why?
Dec bone mineral density
Estrogen deficient
What characterizes a constitutional growth delay?
Delayed growth spurt
Delayed puberty
Delayed bone age
What are the risk factors for HDD?
Breech position
FHx
Excessively slight swaddling
Pt w/injury to arm that has severe pain, pallor, poikilothermia, parenthesis and late findings of pulselessness has what?
Compartment syndrome