Peds High Yield Flashcards
Baby born w/ Erb-Duchenne. Where is lesion?
C5-6
Physical exam signs of PKU?
Fair hair/eyes/skin, musty smell
1d old baby, bili 14, direct 0.5. What does he have, and next test?
Pathologic jaunice, get Coombs
In kernicterus, indirect bili collects where?
BG, brainstem nuclei
When to do surgery for diaphragmatic hernia?
Let lungs mature 3-4d first
Baby born w/ respiratory distress, excess drooling
TE fistula
How to diagnose respiratory distress in baby before he is born?
L/S
38w old baby born by C-section now w/ dyspnea/grunting. Rx?
Transient tachypnea of newborn, O2 and self-resolves
Omphalocele associated w/ 3 disorders
Edwards, Patau, Beckwith Wiedemann
How to dx meconium ileus in baby?
Gastrograffin (not barium) enema, also the treatment
Gonorrhea vs. Chlamydia conjunctivitis?
Chlamydia - later (1-2 wk), mucoid. Gonorrhea - purulent
18 yo M, lanky, mild MR, gynecomastia, hypogonad
Klinefelter’s
2 yo w/ multiple ear, GI, and pulm infx. No tonsils
Bruton agammaglobulinemia
3 wk M w/ seizure, truncus arteriosus, micrognathia
DiGeorge (Cardiac, A, T, C, H)
Transposition of the great arteries MC in infants of moms w/
DM
7 year old girl presents with vague chest pain, pain in several different joints over the past few days, and a rash. Her ESR is elevated, and her EKG shows prolongation of the PR interval.
Acute rheumatic fever (heart, joint, rash)
Sore throat, joint pain, fever, pinpoint rash on face that spreads down
Rubella
Baby w/ poor feeding, vescicles on mouth, palms, soles. Rash on butt.
Hand-foot-mouth (Coxsackie A16)
6 yo from NC, camping. Fever, myalgia, abd pain. Rx?
Rocky Mountain Spotted fever. Doxy for ALL ages
Rx for Otitis Externa?
Cipro (for pseudomonas)
MCC pna in neonates
GBS, E. Coli, Listeria
MCC pna in 1-3mo
C. trachomatis, RSV, parainfluenza, S. pna
Staccato cough suggests
Chlamydia pna (picture a clam in Little Mermaid singing a song)
5 y/o M initially w/ a cold 1wk ago now presents w/ a limp & effusion in the hip. X-rays are normal and ESR is high, T = 99.8, WBCs = 10K. Rx?
Transient Synovitis. Bed rest + NSAIDS
12 y/o F w/ 2 wk history of daily fevers to 102 and a salmon colored evanescent rash on her trunk, thighs and shoulders. Her left knee and right knee are swollen. Rx?
JRA (arthritis + rash). 1st - NSAID, 2nd - Mtx, 3rd - steroids
Dx DM (3 criteria)
Fasting glucose >125 x2, OGTT >200, Any glucose >200 w/ sx
Best 1st test in Kawasaki?
EKG + Echo
MCC sepsis in SC?
S. pna
MCC osteo in SC?
Salmonella
Goat mlk diet predisposes you to this anemia
Folate def
Kid w/ anemia and triphalangeal thumbs
Blackfan-Diamond
Kid w/ anemia and no thumbs
Fanconi (also low WBC, low plt)
2 y/o baby presents w/ hyperactivity, impaired growth, abdominal pain and constipation.
Lead poisoning
Rx for hemophilia?
DDAVP
Rx for TTP-HUS?
Dialysis. DON’T give platelets, DON’T give abx
2 year old hypertensive child with asymptomatic abdominal mass. Next step?
Wilm’s tumor. Abd CT + CXR (lung met)
4 year old with jerking movements of eyes and legs, bluish skin nodules and an tender abdominal mass (“Dancing eyes, dancing legs”)
Neuroblastoma
Rx for ALL?
Chemo + INTRATHECAL MTX
A 6mo old is brought in for multiple symmetric contraction episodes of neck, trunk and extremities that occur in spells. Rx?
Infantile spasms. ACTH
8y/o w/ difficulty w/ balance while walking, no Friedrich Ataxia
DTRs, bilateral Babinski and “explosive, dysarthric speech”.
Friedrich Ataxia
2y/o w/ gait disturbance, loss of intellectual fxn, Metachromatic
nystagmus and optic atrophy. Cresyl violet metachromatic staining.
Metachromatic leukodystrophy
12y/o w/ decreased school performance, behavior changes, ataxia, spasticity, hyperpigmentation, ↑K, ↓Na, acidosis
Adrenoleukodystrophy
Absent B cells
Bruton’s agammaglobulin
Nl B cells but low Ig levels
Common variable immunodeficiency
