Peds EM -Guenther/Jenkins

Question 1

What types of symptoms can constipation lead to?

Answer 1

Abdominal pain

Urinary frequency (UTI)

Respiratory distress

Limp

Question 2

How do you calculate GCS?

Answer 2

eye opening:
4=spontaneous
3=to verbal stimule 
2=to pain
1=none 

verbal:
5=oriented
4=confused
3=inappropriate
2=incomprehensible 
1=none 

movement:
6=obeys commands 
5=localizes to pain
4=withdraws from pain 
3=flexion to pain 
2=extension to pain 
1=none

Question 3

What are the differential diagnoses for acute onset of stridor?

Answer 3

-Foreign body aspiration
-Foreign body ingestion
-Infectious etiology
(Viral croup, Bacterial Tracheitis, Epiglottitis)

Question 4

Should you ever put numbing drops in a perforated otitis media?

Answer 4

NO!! Never do that!

Question 5

In a peds pt who experienced a significant mechanism of injury and is persistently vomiting, what should be considered?

Answer 5

Head injury (epidural hemorrhage)

Question 6

What is the treatment for croup?

Answer 6

The majority of infants and children may be treated with a short course of oral steriods (Dexamethasone (Decadron))

Question 7

What is the treatment for otitis media? First line, second line and chronic?

Answer 7

-First Line antibiotics:
Amoxicillin (Low vs. High Dose)
Amoxicillin-Clavulanate (Augmentin)
Azithromycin (Zithromax)

-Second-line:
Cephalosporins
Azithromycin (Zithromax)

-Chronic or Recurring:
Third-generation cephalosporin
Referral to otolaryngology