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Quarter 3 > Peds II- Exam 1 Quick Review > Flashcards

Peds II- Exam 1 Quick Review Flashcards

1
Q

Two types of circumcision

A

Gomco (surgical removal)

Plastibell (cut off circulation, falls off naturally)

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2
Q

Epispadias

A

DORSAL

Bladder

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3
Q

Hypospadias

A

VENTRAL

Chordee

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4
Q

Cryptor should be a concern after

A

4 months

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5
Q

Cryptor increases risk of 3 things

A

Testicular torsion
Subfertility
Testicular CA

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6
Q

Orchipexy done to fix

A

Cryptor- ideal to be done before 2 YO

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7
Q

2 peak times for Testicular torsion to occur

A

Neonatal

Puberty 12-18

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8
Q

Testicular torsion

A

“high riding”
Negative Prehn
Absent Cremasteric reflex

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9
Q

TOC for Testicular Torsion

A

Doppler US

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10
Q

1st line tx for UTI

A

Cephalosporin
Febrile: 10 d
Afebrile: 3-5 d

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11
Q

When to order RBUS

A 
<2YO First febrile UTI
Any age UTI AND
-FH renal issue
- poor growth or HTN
-not responding to Abx
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12
Q

Horseshoe kidney

A

increased risk for Wilms tumor

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13
Q

Manage horseshoe kidney

A

If creatinine is normal and No hydronephrosis: do nothing

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14
Q

If Horseshoe kidney AND VUR

A

Consider prophylactic Abx

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15
Q

Ultrasound is TOC

A

Testicular torsion
Pyloric Stenosis
Intussusception

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16
Q

VCUG test of choice for

A

VUR

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17
Q

Order VCUG if:

A
  • any age with 2 or more febrile UTIs
  • any age first Febrile UTI AND
  • another anomaly seen on RBUS
  • temp >/ 102.2 and pathogen other than EColi
  • poor growth and HTN
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18
Q

Post strep GN

A 
7-14 d after
"throat, bloat, coke"
Edema
Cola urine
HTN
Renal insuff
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19
Q

Tetrad of Post strep GN

A

Abd pain
Renal dz
Palpable purpura
Arthritis/algia

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20
Q

Tetrad of HUS

A

Hemolytic anemia
AKI
Thrombocytopenia

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21
Q

What to consider with HUS?

A

Did person have GI bug 5-10 d before HUS sx occurred?

SHIGATOXIN E.Coli

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22
Q

Proteinuria Nephrotic syndrome 4 cardinal sx

A

Nephrotic range proteinuria
Hypoalbuminemia
Edema
Hyperlipidemia

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23
Q

Meds for GERD

A 
PPI (Omeprazole)
H2 blocker (Ranitidine)
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24
Q

Hypertrophic Pyloric Stenosis

A

Did baby have Macrolide use in first few wks of life?

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25
Pyloric Stenosis
Non bilious Forceful vomiting Hungry Vomiter "OLIVE LIKE MASS:
26
Test of choice for Pyloric Stenosis
Ultrasound can also do UGI: shows "string sign"
27
Congenital Atresia (blockage)
Duod: most common site | BILIOUS vomiting, abd distension, failure to pass meconium
28
Test of choice for Congenital Atresia
X Ray: Double Bubble!!! if duod is the site Ileum or Jej: dilated air loops
29
Midgut malrotation with volvulues
Volvulus is small bowel twisting around the Superior Mesenteric Artery
30
Sx of Midgut malrotation with volvulus
BILIOUS VOMITING abd pain Hemodynamically unstable OHSHIT Hematochezia
31
Test of choice for Midgut malrotation
Upper GI to detect rotation "corkscrew appearance"
32
Intussusception
most common abdominal emergency in kids <2 YO
33
Intussusception can lead to
Obstruction
34
sx of intussusception
``` Intermittent, crampy pain drawing legs up inconsolable "Lead point" cause -Meckels -ROTAVIRUS ```
35
Test of choice for Intussusception
Ultrasound "target sign" "coiled spring"
36
Triad of Intussusception
Jelly stool Abd mass (sausage shaped) Abd pain
37
Hydrostatic/Pneumatic Enema
Diagnostic and Therapeutic for Intussusceptin
38
Crohns
``` branch of IBD whole tract skip lesions deeper-transmural colonoscopy or endoscopy "cobblestone" ```
39
Ulcerative Colitis
``` superficial colon and rectum colonoscopy continuous risk of CA!! ```
40
Meckels
Tach-99 scan
41
Hirchsprung
SQUIRT sign | lack of ganglionic cells- bowel isnt moving correctly --> obstruction
42
signs of Hirchsprung
Abd distension failure to pass mec BILIOUS vomiting same as Atresia (obstruction)
43
Dx of Hirchsprung
Rectal biopsy
44
ALL
``` most common CA of kids Immature lymphoblasts B cells Down synd Virus and Radiation Chemo and Stem Cell from sibling ```
45
CML
``` Mature cells goin crazy PHILLY CHROMOSOME Thrombocytosis and Leukocytosis Radiation Cure: STEM CELL Control: Tyroskine Kinase Inhb ```
46
AML
stuck in myeloid phase (!)Hyperleukocytosis Auer Rods!!! Dx reqiures 2 things: >20% blasts, of myeloid origin
47
Hodkin lymph
Reed Sternberg B cells Painless cervical and supraclavicular Secondary malignancy Starts in nodes --> closeby tissue
48
Non-Hod lymph
Starts anywhere --> distant nodes Congenital, immunodeficient, EBV FAST PROGRESSION in KIDS Beware of Tumor Lysis Synd
49
Brain tumor
Morning HA Papilledema Vomiting
50
Non glial Brain tumor
usually the Cancerous type | -Medulloblastoma
51
Neuroblastoma
most common abdominal tumor | CROSSES midline
52
Neuroblastoma labs
Urinary catecholamines and METS to bone Anemic 60%
53
Osteosarcome
Long bone- metaphysis | Male, age 13-16
54
Ewing
Male 20s | Diaphysis of bone (long part)
55
Rhabdo
Infant: GU young: head and neck teen: extremities
56
Liver tumor
a-fetoprotein Usually come in d/t enlarging abdomen 2/3 liver masses ARE MALIGNANT COMPLETE resection essential for survival
57
Microcytic Hypochromic
Thalassemia Iron def Lead
58
Fanconi
``` Bone marrow failure Progressive pancytopenia -pigmented skin -short stature -skeletal malform ``` Anemia --> Severe aplastic anemia Tx: supportive, STEM CELL Risk: ADL, AML
59
Acquire aplastic anemia
Periph Pancytop everything low Purpura, petechiae FREQUENT infections and severe hemorrhage: cause of death
60
Aplastic anemia tx of choice
STEM CELL TRANSPLANT
61
Iron def
``` Pica screen @ 12 months Microcytic hypochromic Hgb <11 Ferritin <12 ```
62
megaloblastic B12 Folate
hypersegmented neutrophills
63
Thalassemia
Microcytic RDW is normal Severe beta- stem cell Iron chelatin
64
Lead
basophillic stippling | tx: chelation
65
PT Extrinsic
factor 7 "I have physical therapy at 7 am"
66
ITP
``` most common AFTER VIRUS Immune mediated Spleen eats platelets Thrombocytopenia ```
67
VWF
most common inherited bleeding disorder
68
VWF
Factor 8 aPTT bleeding from mucosal surfaces, prolonged bleeding time Tx: Desmopressin and VWF replacement
69
Hemophilia A
factor 8
70
Hemophilia B
factor 9
71
Hemophilia labs
aPTT bleed into joints and muscle Spontaneous hemarthrosis- bone destruction
72
Hemophilia A tx
Desmopressin
73
Platelet levels for Vit K def
normal
74
Platelet levels for Liver
normal or low
75
DIC all labs fudged up
Increased D-dimer and FDPs Decreased fibrinogen prolonged PT and aPTT Decreased platelet
76
Protein C and S
factor 5 and 8 | Warfarin induced skin necrosis
77
Thrombotic disorders: CLOT RISk
Protein C and S Factor 5 Leidin Antithrombin
78
HSP vasculitis
boys 2-7 URI precedes! deposition of IgA
79
HSP 4 sx
Palpable purpura Renal dz Abdominal pain Arthritis
80
Labs for HSP
ASO Hemoccult UA hematuria and proteins

Quarter 3 (17 decks)

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