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D2 E1 Shea > PEDS HEENT 3 > Flashcards

PEDS HEENT 3 Flashcards

1
Q

Progression of bacterial tonsillitis

Causative agent: S. pyogenes

What condition?

A

Peritonsillar abscess

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2
Q

Difficulty & pain with swallowing

Drooling with decreased oral intake

Unwillingness to extend the neck

muffled/”hot potato“voice

Respiratory distress

Neck swelling/lymphadenopathy

Trismus

Sx of what?

A

Peritonsillar abscess

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3
Q

Which condition can px like epiglottitis?

A

peritonsillar abscess

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4
Q

Dx of Peritonsillar abscess

A

Clinical: uvual deviated, edema of anterior tonsillar pillar

CT w/contrast

aspiration

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5
Q

Herpangina on tongue & tonsillar pillars

maculopapular or vesicular rash on hands and feet

low grade fever

refusal to eat/drink, drooling

sore throat, HA

Which condition?

A

Coxsackie virus (Hand, foot, mouth disease)

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6
Q

usually < 5yo, daycare outbreaks: fecal-oral vs. oral & resp

Which condition?

A

Coxsackie virus

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7
Q

Tx of coxsackie virus

A

supportive, popsicles

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8
Q

Primary HSV-1 infection

Ulcerative lesions of the gingiva and mucous membranes, occasionally with perioral lesions

Which condition?

A

Herpetic Gingivostomatitis

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9
Q

3-4 day “prodrome”

Fever, sleeplessness, headache

Ulcerated lesions on mouth that bleed if disturbed

Which condition?

A

Herpetic gingivostomatitis

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10
Q

Tx of Herpetic Gingivostomatitis

A

acyclovir

NSAIDs/APAP for pain

HYDRATION

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11
Q

Incubation: 6-19 days

Prodrome: Fever, malaise, anorexia followed by conjunctivitis, coryza & cough

Koplik’s Spots 48 hrs before rash

maculopapular, blanching rash (face –> neck–>trunk–>extr)

Sx of which condition?

A

Measles

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12
Q

Measles may cause what dz?

A

Encephalitis

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13
Q

Dx of measles

A

IgM assay

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14
Q

Tx of measles

A

supportive

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15
Q

Prodromal sx for 2-3 days

Unilateral Parotitis & becomes bilateral

Loss of angle of jawbone

Clinical Px of which condition?

A

Mumps

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16
Q

Complications of mumps

A

Orchitis: Fever, severe testicular pain and swelling

Oophoritis

Encephalitis

17
Q

Tx of mumps

A

supportive

18
Q

Mild illness in children

Fever w/ postauricular and occipital adenopathy

Acute onset of maculopapular rash: starts on face, spreads within 24h, disappears within about 3 days

Clinical px of which condition?

A

Rubella (German measles)

19
Q

Clinical Px of what?

Hearing loss, mental retardation, cardiovascular defects, ocular defects

retarded growth, purpuric “blueberry muffin” rash at birth

jaundice, thrombocytopenia, deafness

A

Congenital Rubella Syndrome

20
Q

Tx of Rubella (German Measles)

A

supportive

VACCINATE

21
Q

“Beefy Red” erythema with satellite lesions

Usually a result of poorly treated irritant dermatitis

Secondary infection with C albicans

Involves the skin folds

Clinical Px of which condition?

A

Diaper Candidiasis

22
Q

Tx of Diaper Candidiasis

DO NOT USE STEROIDS

A

clotrimazole + barrier ointment

Cleanse gently with plain warm water and very mild soap

23
Q

Greasy, yellowish scales on scalp (#1), ear, face, diaper area.

Usually 3wks- 12mos of age

Clinical Px of which condition?

A

Cradle cap = sebhorrhein dermatitis

24
Q

Tx of cradle cap

A

Conservative: emollient + soft baby-brush to remove scales

Severe: topical steroid or ketoconazole shampoo

25
Q

2-5 yo

Bullous and non-bullous(MC)

Staph aureus (poss Strep)

Clinical px of which condition?

A

Impetigo

26
Q

Papules –> vesicleS –> thick, “honey-colored” crust w surrounding erythema, usually face & extremities

Which condition?

A

Non-bullous impetigo

27
Q

Flaccid bullae with clear yellow fluid; ruptured bullae leave thin brown crust, usually on trunk

Which condition?

A

Bullous impetigo

28
Q

Tx of impetigo

A

mupirocin topical abx 3x a day for 5 days

Severe: mupirocen ointment + PO abx (Keflex) x 7 days

29
Q
A

D2 E1 Shea (13 decks)

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