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Rosh/ITE > Peds > Flashcards

Peds Flashcards

1
Q

BRUE

A 
age greater than 60 days
born greater than 32 weeks gestation
no CPR performed by a trained medical provider
event lasted less than one minute
first episode
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2
Q

Seizure treatment in order

A
  1. Lorazepam, diazepam, midazolam
  2. Phenytoin, valproic acid, Keppra
  3. Phenobarb, propofol
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3
Q

Febrile seizure criteria

A

Generalized
6m-5y
<15m
No recurrence

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4
Q

Croup treatment

A

Everyone: Oral dexamethasone 0.6 mg/kg once
Severe: nebulized epinephrine

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5
Q

Infantile spasms

A

Clusters of myoclonic seizures when waking, hypsarrhythmia on EEG, developmental delay
Sx start at 4-8m of age
Give ACTH, pregnisone and antiepileptics

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6
Q

Defibrillation

A

2 j/kg follow with 2mins CPR and recheck pulse

4 j/kg for each shock after

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7
Q

Cardioversion

A

0.5 J/kg

Double after first attempt

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8
Q

Epi doses

A

IV/IO: 0.01 mg/kg

ET: 0.1 mg/kg

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9
Q

Adenosine dose

A
  1. 1 mg/kg (max 6) initial

0. 2 mg/kg (max 12) subsequent

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10
Q

ET tube size in peds

A

(Age/4)+4

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11
Q

Estimate blade length for intubation

A

Edge of incisor to angle of mandible

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12
Q

How old do kids need to be for surgical cricothyrotomy?

A

10

<10 gets needle cric

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13
Q

Bradycardia in a neonate

A

Hypoxia/respiratory failure

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14
Q

Empirical abx in a neonate suspicious for septicemia or meningitis

A

Ampicillin and gent

Avoid rocephin due to kernicterus

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15
Q

Neonatal hypothyroidism

A

Constipation, difficulty feeding, weak cry, large anterior fontanelle, hypothermia, hypotonia, peripheral edema

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16
Q

Start PALS

A

HR<60 w/ hypotension despite fluids, AMS despite oxygen

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17
Q

Metaphyseal fx

A

Pathopneumonic for non-accidental trauma

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18
Q

Intussception

A

Intermittent abd pain, legs to chest
Target sign and telescoping on US
Associated with HSP, rotavirus
Treat with air contrast enema

19
Q

Necrotizing enterocolitis

A

Premature infants in first 3 weeks of life
Abd distension, poor feeding, vomiting, bloody stool
Pneumatosis intestinalis
NG decompression -> bowel rest -> abx for enteric bacteria

20
Q

HSP

A

IgA vasculitis
Complications: intussusception; periarticular disease of knees and ankles
Hematuria, proteinuria, elevated BUN/Cr
Normal platelets

21
Q

Croup

A

Tracheolaryngitis
Parainfluenza
Worse at night
Steeple sign

22
Q

Pretreatment for intubation atropine dose

A

0.02 mg/kg

23
Q

Most common dysrhythmia in children

A

SVT

24
Q

Croup

A

6m-3y
Peaks day 3 and 4
Dexamethasone 0.6 mg/kg
Recepi for mod/severe

25
Q

Retropharyngeal abscess

A

Usually <4
Retropharyngeal space at C2 is 2x diameter for vertebral body
Zosyn or clinda

26
Q

Displacement of tonsil in peritonsillar abscess

A

Anterior and medial

27
Q

ToGV

A

Most common cyanotic defect in 1st week of life

Egg on a string heart on XR

28
Q

Toddlers fracture

A

Spiral fracture of tibia

29
Q

TEN-4

A

Bruising to torso, ear or neck under 4m

30
Q

Hirschsprung Diseaee

A

Most common cause of distal bowel obstruction in neonates
Failure of neural crest cells to migrate
M>F, often with other congenital issues
Bilious emesis, failure to tolerate feeds, failure to pass meconium
Rectal suction biopsy

31
Q

Neonatal omphalitis

A

3-5d old
Increased risk w/home birth
Umbilical stump with purulent discharge, erythema, warmth
Triple coverage abx: PCN or vanco, aminoglycicide and aneorobic (flagyl) if mother has chorioamnitis

32
Q

Hirschsrpung disease

A

Lack of colonic ganglion cells usually go the rectosigmoid segment
Delayed passage of meconium
Cone shaped transitional zone

33
Q

Holliday-Segar for Maintenace fluids

A

4/2/1

34
Q

Bronchiolitis

A

<2 yo
7-14d w/ 3-5d peak
RSV

35
Q

Ankylosing spondylitis

A

Anterior uveitis (most common), IBS, psoriasis, aortic regurg, restrictive pulmonary disease

36
Q

Neuroblastoma

A

Adrenal gland mass, non-tender
Proptosis, periorbital ecchymosis, periorbital edema
Opsoclonus-myoclonus; VMA
<1 y good prognosis

37
Q

Neonatal hypoglycemia treatment

A

5ml/kg 10% dextrose

38
Q

Estimate lowest BP in kids

A

2x age + 70

39
Q

Most common cancer seen in peds

A

ALL
Anemia, neutropenia, thrombocytopenia

40
Q

Tetralogy of Fallot

A

Overriding aorta, pulmonic stenosis, rt ventricular outflow obstruction, VSD

41
Q

Major Jones criteria

A

Carditis, polyarthritis, chorea, subcut nodules, erythema marginatum

42
Q

Hypertonic saline dose

A

2-6 ml/kg

43
Q

Most specific for neonatal cardiogenic shock secondary to CHF

A

Hepatomegaly

Rosh/ITE (16 decks)

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