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Clinical Medicine I > PEDS HEENT > Flashcards

PEDS HEENT Flashcards

1
Q

H. Flu, M. Cat and Strep pneumo are causes of what disorder?

A

Bacterial conjunctivitis

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2
Q

pt. presents with unilateral injection, thick purulent discharge.

A

bacterial conjunctivitis

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3
Q

How do you treat bacterial conjunctivitis

A

erythromycin drops, TMP-Polymyxin B drop

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4
Q

neonatal conjunctivitis commonly caused by what?

A

chlamydia trachomatis

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5
Q

gold standard for diagnosis of neonatal conjunctivitis?

A

NAAT

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6
Q

Tx for neonatal conjunctivitis

A

erythromycin 50mg/kg PO QID for 14 days

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7
Q

rapidly progressive

profuse purulent discharge

severe and sight threatening

chemosis…

A

hyperacute bacterial conjunctivitis

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8
Q

what causes hyperacute bacterial conjunctivitis

A

n. gonorrhoeae

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9
Q

Tx for n. gonorrhoeae bacterial conjunctivitis

A

ophthalmo referral + hospitalization

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10
Q

foreign body sensation

opacity w/ penlight

Hx of contact wearing

A

pseudomonal Keratitis

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11
Q

Tx for keratitis?

A

anti-pseudomonal abx, urgent referral

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12
Q

burning, gritty sensation

watery, stringy discharge

LAD

A

viral conjunctivitis

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13
Q

cause of viral conjunctivitis?

A

adenovirus

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14
Q

Tx for viral conjunctivitis?

A

sx relief, self limiting

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15
Q

watery, stringy discharge

ocular pruritis

bilateral injection

Hx atopy

A

Allergic conjunctivitis

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16
Q

Tx for allergic conjunctivitis?

A

> 3 yo antihistamine w/ mast-cell stabilizing properties

> 4yo cromolyn drops

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17
Q

Fever > 5 days

bilateral conjunctivitis

morbilliform rash

adenopathy

strawberry tongue

hand desquamination

A

kawasaki

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18
Q

screen for cardiovascular sxs in kawasaki?

A

echocardiogram

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19
Q

Tx for kawasaki?

A

IV Ig, high dose aspirin

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20
Q

strabismus dx

A

corneal light reflection

cover uncover

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21
Q

nasolacrimal obstruction

A

dacrostenosis

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22
Q

tx for dacrostenosis

A

massage lacrimal sac

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23
Q

tx for dacrocystitis

A

clinda for mild

vanco for severe

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24
Q

common causes of AOM

A

strep pneumo, h. flu, m. cat

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25
Q

otalgia, bulging TM

A

AOM

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26
Q

tx for AOM

A

amoxicillin 90 mg/kg q 12 hrs

27
Q

when consider augmentin for AOM?

A

recent b-lactam, purulent conjunctivitis, recurrent AOM

28
Q

AOM tx for PCN allergy/

A

cefdinir

29
Q

When do you want to f/u w/ AOM?

A

48-72 hours

30
Q

Unilateral AOM under 2… do you give abx?

A

yes

31
Q

severe otalgia under 6 mo… do you treat w/ abx?

A

yes

32
Q

recurrent AOM within 15 days of failed tx

A

augmentin

33
Q

recurrent AOM after 15 days of failed tx

A

ceftriaxone

34
Q

retracted TM, amber otorrhea

A

OME

35
Q

Tx for OME

A

self-limited

36
Q

cause of OE?

A

p. aeruginosa

37
Q

otalgia, tragus tenderness, erythema/edema of EAC

A

OE

38
Q

Tx for OE?

A

floxin otic, cortisporin, ciprodex

39
Q

allergic shiners

dennie morgan lines

blue, boggy mucosa

cobblestoning

A

allergic rhinitis

40
Q

DOC for allergic rhinitis?

A

intranasal steroids

41
Q

when to consider immunotherapy for allergic rhinitis?

A

max environmental control and on optimal medical regimen

42
Q

pedunculated tumor

peeled grape appearance

associated with CF, chronic sinusitis, allergic rhinitis

A

nasal polyps

43
Q

SAMTERs triad:

A

nasal polyps, ASA sensitivity, Asthma

44
Q

Tx for nasal polyps?

A

decongestants

45
Q

nontoxic appearing

low grade fever

cough

erythema of nasal mucosa

rhinorrhea

A

viral URI

46
Q

complications of viral URI

A

AOM, asthma, acute bacterial sinusitis

47
Q

What tx for viral URI should you avoid in children under 6

A

OTC decongestants

48
Q

cold sxs not improving after 10 days

fever

purulent discharge for 3 days

“double sickening”

A

ABRS

49
Q

Sinusitis dx studies?

A

x-ray, CT

50
Q

Tx of ABRS

A

augmentin 45 mg/kg/day

51
Q

sore throat

fever

what agent caused this

A

pharyngitis

adenovirus, coxackie a

52
Q

fatigue

cervical LAD

splenomegaly

GAS sxs

A

EBV

53
Q

Dx of EBV

A

heterophile antibody test/monospot

54
Q

tx for EBV

A

activity restriction for 4 weeks

55
Q

abrupt onset of sxs

sore throat + exudate

palatal petechiae

cervical LAD

sandpaper rash

A

GAS

56
Q

Dx for GAS

A

rapid antigen detection

if negative, throat culture

57
Q

tx for GAS

A

within 48 hours

Oral PCN/Amoxicillin, 1st gen cephalosporin

58
Q

tx of GAS with PCN allergy

A

azithro

59
Q

complications of strep

A

acute rheumatic fever

post strep glomerulonephritis

60
Q

tonsil removal indicated for…

A

7 episodes in a year

5 episodes in 2 years

3 episodes in 3 years

61
Q

Tx of oral candidiasis?

A

nystatin oral suspension

62
Q

fever

myalgia

parotitis

A

mumps

63
Q

tx for mumps

A

supportive care

Clinical Medicine I (25 decks)

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