Peds Flashcards
laryngotracheitis (croup)
non-toxic 6 month to 3 YO
- barky seal like cough, inspiratory stridor
- steeple sign
- MCC parainfluenza
- treat with steroids, nebulized epi
Henoch-schonlein purpura
4-12 YO with recent URI
abdominal pain, arthralgia, maculopapule rash that began on butt/LE
tx is supportive
IgA
associated with nephropathy, intussuception
Barlow
flexing and adducting while applying posterior pressure through hip
Ortolani
used to reduce hip by abducting hip withposterior pressure
Galeazzi sign
uneven knee heights
cradle cap
seborrheic dermatitis
what results from congenital rubella syndrome?
sensinoneural hearing loss, cataracts, congenital heart disease
DTap vs
Tdap vs
infants receive DTap 5 times before the age of 7 (2, 4, 6 months, 15-18 months, b/w 4-6 years)
Tdap is given over the age of 7
after age 11 give another Tdap
pyloric stenosis
2-8 weeks old
non-bilious projectile vomiting after feeding and early satiety
RUQ olive like mass
dx via US, string sign
roseola (exanthem subitum)
- high fever for 3-4 days
- rash that started AFTER fever went away
- blanching maculopapular rash that begins at neck adn trunk and spreads to face/extremities
intussuception
- colicky ab pain, vomiting, bloody stools (currant)
- dx via US
- tx is air/contrast enema
Kawasaki
- high fever for 5 days
- conjunctivits, rash, strawberry tongue, hand/feet edema, fever
- treat via IVIG/aspirin
- risk of coronary artery aneurysm
erythema infectiosum
- fifth disease, slapped cheek
- caused by parvovirus B19
pertussis
- whooping cough, inspiratory whoop, post-tussive emesis
- nasal congestion, cough, fever
- macrolide
hyaline membrane disease aka neonatal respiratory distress
- premie
- decrese in surfactant
- xray shows ground glass
- tx is O2, intubation, surfactant
simple febrile seizure
- fever >38
- single tonic-clonic seizure lasting <15 minutes
HIB vaccination schedule
2, 4, 6 months, booster at 15-18 months
MMR vaccination schedule
start at 12-15 months, then one at 4-6 years
chlamydial conjunctivitis
neonate 5-14 days after delivery
-ORAL erythromycin
measles (rubeola)
rash that starts on head and spreads to feet
RSV mediation
pavlizumab
used for those with cyanotic heart disease, CHF, PHTN
peritonsilar abscess
h/o pharyngitis, sore throat, fever
PE shows dysphagia, drooling, hot potato voice and displaced uvula
tx-I and D + anbx
retropharyngeal abscess
toxic appearing
widened retropharyngeal space
breast milk jaundice
occurs during 2nd week of life from increased enterohepatic recirculation of billirubin
breastfeeding jaundice
suboptimal intake of breast milk in first few days of life
strabismus
cross eye, can lead to amblyopia
amblyopia
lazy eye
herpangina
fever, sore throat, dysphagia, and pharyngeal lesions (vesicles and ulcers)
supportive therapy
Croup
parainfluenza
URI sxs then barking cough and inspiratory stridor
TX w.steroids or rac epi
Undescended testes
if nothing by 6 months, refer for elective sx
intestinal malrotation
Young Child with sudden bilious vomiting
failure of the duodenal-jejunal junction to cross midline
Gonorrhea conjunctivitis
less than 5 days old
ASD
S2, fixed splitting of second heart sound
Systolic LSB
Tricuspid regurg
1st trimester EDD
Fetal crown rump length
rotavirus vaccine
given orally
given before 15 months and not after 8 months
risk of intussuception
what should a 4 YO be able to do?
draw a square count to 4 identify 4 colors 4-5 word sentence lift head to 90 degrees in prone
double BW
Triple BW
Quad BW
Double BL
6 months
1 year
2 years
4 years
cocaine babies
SGA, microcephaly
IPV vaccine schedule
2 and 4 months, 6-18 months, 4-6 years
MMRV
12-15 months, 4-6 years
HUS
hemolytic anemia, thrombocytopenia, AKI
congenital toxo
from cat poop or undercooked meat
how to tx a choking child <1
>1
back blows
ab thrusts
what should a 6 month old be able to do?
sit on propped up hands, transfer objects b/w hands, respond to name.
stranger anxiety develops
moro and grasp reflexes dissapear but babinski still present
Meckels
painless rectal bleeding in children 2 years of age w/o diarrhea, vomiting
CMV congenital presentation
jaundice, petechiae, hepatosplenomegaly, periventricular calcifications
microcephaly
what should a 2 YO be able to do
50 word vocab, follow two step commands,
