Peds ID: BRS Flashcards
What is considered to be a fever in kids?
Rectal temp at least 38 (100.4)
Infant <3 mo w/ a fever: labs/studies?
CBC UA UCx CSF analysis CXR if respiratory distress or tachypnea
Infants <29 days old with a fever: management?
Hospitalize all
IV Abx until BCx, UCx, CSF Cx (and stool Cx if diarrhea present) are neg
Infant 29 days-3 months old with a fever: management?
If labs are low risk and patient has good follow up, can manage w/ empiric outpatient parenteral Abx while Cx pending.
If not low risk, hospitalize + Abx.
0-1 mo: 3 MC bacterial pathogens possibly causing sepsis or meningitis?
GBS
E coli
Listeria
0-1 mo: empiric IV abx for suspected sepsis or meningitis?
Amp + gent or cefotaxime
1-3 mo: 3 MC bacterial pathogens possibly causing sepsis or meningitis?
GBS
Strep pneumo
Listeria
0-1 mo: empiric IV abx for suspected sepsis or meningitis?
Amp + cefotaxime
+ vanc if suspect bac meningitis
3 - 36 mo: 3 MC bacterial pathogens possibly causing sepsis or meningitis?
Strep pneumo
HIB
N. meningitidis
3- 36 mo: empiric IV abx for suspected sepsis or meningitis?
Cefotaxime
+ vanc if suspect bac meningitis
3 yo - adult: 2 MC bacterial pathogens possibly causing sepsis or meningitis?
Strep pneumo
N. meningitidis
3 yo - adult: empiric IV abx for suspected sepsis or meningitis?
Cefotaxime
+ vanc if suspect bac meningitis
What ratio of CSF: serum glc is especially suspicious for bac meningitis?
<0.40
Patient with meningeal signs + focal neuro signs: what imaging test might you get to eval for brain abscess?
CT w/ contrast
What drug given with the first dose of Abx has been effective at decreasing the risk of hearing loss in HIB meningitis?
Corticosteroids
MC complication of bacterial meningitis in kids?
Heading loss
What type of meningitis has super high protein + basilar enhancement?
TB
How do you treat TB meningitis?
RIPE
Simple URI: at what point should you evaluate for a bacterial superinfection?
Sx or fever >10 days
What type of sinusitis has nasal discharge and cough (day and night) for 10 - 30 days +/- HA, malodorous breath, facial pain, and low fever?
Acute persistent sinusitis
What type of sinusitis has high fever (>39) with purulent nasal discharge for 3-5 days?
Acute severe sinusitis
What type of sinusitis has nasal discharge and cough (day and night) for 30-90 days +/- HA, malodorous breath, facial pain, and low fever?
Subacute sinusitis
What type of sinusitis has nasal discharge and cough (day and night) for >90 days +/- HA, malodorous breath, facial pain, and low fever?
Chronic sinusitis
What 3 bugs are the MCC of acute persistent, acute severe, and subacute sinusitis?
Strep pneumo
H flu
M. catarrhalis
