Peds ID Flashcards
Early Onset GBS - Presentations
Septicemia + Pneumonia
Tetanus Immunization & Clean Wound
not needed if >/= 3 immunizations and less than 10 years since last one
2 doses of flu vaccine recommend for first immunization under age
9!!
Citrobacter meningitis associated with…
brain abscesses
acid fast organism that causes diarrhea
cryptosporidium
associated with water sources
Tularemia treatment
gent or strep
fever + inguinal lymph node in midwest states, think about
tularemia
thick nasal discharge in young infant, think
streptococcosis
ziduovine side effect
bone marrow suppression
Congenital Rubella Syndrome - Classic Features (3)
blueberry rash
PDA
cataracts
Rubella Rash
macules on face that then spread to neck and chest
sulfuric belching
giardia
yellow sulfur granules
actinomyces
when to give varicella Ig to babies of pregnant mothers w/ varicella
5 days before to 2 days after delivery
Late onsent GBS presentations
bacteremia w/o a focus + meningitis
when is chickenpox contagious
1-2 prior to lesions are crusted over
diarrhea with rectal prolpase caused by
shigella
brown staining of the amniotic fluid
listeria
post-auricular and subocciptial LAD in unimmunized child, think
Rubella
spiral gram negative organism
Campylobacter
osteochondritis in an infant, think
congenital syphillis
Chemoprophylaxis for H flu meningitis
only if not immunized
OR
household with immunocompromised child
ulceroglandular syndrome
Tuleramia caused by tick bite
lesion at site that ulcerates
regional lymphadenoapthy
papular purpuric gloves and socks syndrome
parvovirus
swelling of hands and feet
Congenital Varicella Syndrome
zig-zag like scarring following a dermatome
hypoplastic and/or malformed extremities
Eyelid edema associated with what virus?
EBV
IE in children - causes
acute: S aureus
subacute: S viridans
conjunctivitis with granulomatous like lesion
cat scratch disease
parinauld occularglandular syndrome
RMSF electrolyte abnormality
hyponatremia
agent of hemorrhagic cystitis
adenovirus
Gianotti-Crosti Syndrome
papular acrodermatitis of childhood, flesh colored papules
EBV
Ring Abscess in the cornea, think
Bacillus Cereus
purulent vaginal discharge with acute gastroenteritis
shigella
Malaria Prophylaxis if Cholorquine resistant
doxycycline
Virus that causes bulging fontanelle
HHV-6 (Roseola)
blistering distal dactylitis organism
GAS
Fever that rashes
HHV-6 (Roseola)
Bat in a room (as long as its not Hawaii)
RVIG + Vaccine
Tetanus: Dirty Wound
<3 vaccines: Vaccine + IG
UTD with most recent vaccine in 5 years - no treatment
Tetanus: Clean Wound
UTD and vaccine w/in 10 years - no treatment
Waterhouse-Friderichesen Syndrome
hemorrhage/infaraction of the adrenal glands due to Neisseria meningitis
Indications to give Prophylaxis for Neiserra Meningitis
Close, intimate contacts
Airline passagers on flights more than 8 hours
Children <2/preschool exposed within in 7 days prior to illness onset
Neiserria Meningitis Prophylaxis
Rifampin x 2 days
Ceftriaxone x 1 dose
Tick Borne Illness + Pancytopenia
North - Anaplasmosis
South/Midwest - Erlichiosis
Bacteremia in Children w/ SCD or Thal <1 year, organism…
Yersinia
Malaria Prophylaxis if resistant to chloroquinolone
doxycycline (if older than 8)
atovoquone/proguanil
Antibiotics prolong the shedding of what AGE organism?
Salmonella
Hib Meningitis Chemoprophylaxis
Household with at least 1 contact <48 months who are not immunized
Household with a child <12 months who has not completed the series
Househould with immunocompromised child, irregardless of vaccination status
CBC finding associated with Chlymdiae PNA
eosinophilia
Duration of symptoms to consider treatment for sinusitis
7-10 days
