Peds EOR - Qbank Flashcards
Type of kidney damage a/w NSAIDs, hyaline casts
AIN (acute interstitial nephritis)
Soft tissue mass at metaphysis of long bones, “sunburst” pattern on X-ray, pain that is often preceded w/ blunt trauma
osteosarcoma
Osteosarcoma risk factor
previous ionizing radiation
Genetic dz: blue sclera, hearing problems + multiple fractures
osteogenesis imperfecta
Genetic dz: hypotonia beginning at 6mo, blindness
Tay Sachs
Nasal polyps on PE prompt eval of
cystic fibrosis
Extensor/flexor spasms in infant, hypsarrhythmia on EEG suggestive of
infantile spasms aka West Syndrome
tx: ACTH, anti-epileptic
drug classes CI in childhood
FQs (exception otic drops)
tetracyclines (teeth discoloration, give amox if 8 or under)
aspirin (Reyes syndrome)
palpable mass w/ onion peel appearence on X-ray
Ewing sarcoma
rib notching xray
coarcation aorta
in addition to humidified air/racemic epi, what’s another thing done in the hospital for moderate croup
dexamethasone (reduces hospital stay length)
grey discharge, clue cells on wet mount, positive whiff
BV (gardenella vaginalis)
frothy green discharge
trichomonas
tx for pertussis
azithromycin or erythromycin
SE of PGE1
platelet aggregation, HOTN, fever, apnea
breasts but no pubic hair/period
complete androgen insensitivity hormone (looks female but vagina ends in blind pouch)
male w/ small testes and breast buds
Kleinfelter syndrome (47 XXY)
mid-systolic crescendo-descrendo murmur, s4 gallop, young male, enhanced w/ valsalva
hypertrophic cardiomyopathy
syncope w/ exertion in non-dehdyrated male
hypertrophic cardiomyopathy
meds to avoid w/ hypertrophic cardiomyothpathy
nitrates and positive inotropes as they worsen obstruction
tx for hypertrophic cardiomyopathy
CCB or BB
indication for pRBC transfusion for pt w/ Fe-def anemia
pt in heart failure or extremis (can be tachycardic w/ Hgb of 1-2 and just need oral supplementation)
target sign on US
pyloric stenosis
GI complication of HSP
intussusption (ileo-icecal)
break-bone fever
dengue fever
painful bullous lesions after a URI that do not effect below the epidermis nor the mucous membranes
SSSS
harsh holosystolic murmur at LLSB
VSD
MC congential heart dz
VSD
fixed systolic ejection murmur, fixed S2 splitting
ASD
ASD tx
usually none until age 3, then surgical closure
VSD tx
often self-resolve, but if pulm HTN, FTT then surgical repair
early systolic murmur @ apex
Still’s murmur (benign)
“musical”
MCC epiglottitis aside from Hib
GAS
tx (besides airway stablization) for epiglottitis
amp/sulbact (need beta-lactamase inhib) IV x 10d
add SMP/TMX if MRSA suspected
cardiac manifestation of Marfan syndrome
mitral valve prolapse
late systolic murmur
displaced PMI cardiac dz
VSD
what portion of heart - membranous or muscular - is the VSD usually in?
membranous
MCC Guillan Barre
Campylobacter jejuni
What’s the Galezzi sign
uneven knee heights
MCC hemolytic dz of the newborn
ABO incompatability
erythema toxicum neonatum tx
supportive care
blue dot sign
torsion of appendix testes
MCC osteomyelitis, and what’s an additional common cause in kids w/ sickle cell
MC: S. aureus
sickle: Salmonella
type of jaundice in breastfed infant who is gaining wt appropriately but jaundiced on day 10 of life
breast milk jaundice
patho: increased enterohepatic cycling
green meconium stools, wt loss, dehydrated, and jaundice breastfed infant - what is this type of jaundice called?
breastfeeding jaundice
sever’s dz presentation
calcaneal pain that worsens w/ activity, inflammation of apophysis, analagous to osgood-sclatter
tet spell tx
knee-chest position, morphine if refractory (can cause seizures if iuntreated)
