Peds-other

Question 1

Describe the features of nephrotic syndrome

Answer 1

HELP
Hypoalbuminemia
Edema
Lipids
Proteinuria

Question 2

What are the types of nephrotic syndrome

Answer 2

MOST COMMON-Minimal change disease- some epithelial fusion
Focal segmental glomerulosclerosis- atrophy and sclerosis
Membranous glomerulonephritis- thickening
Membranoproliferative glomerulonephritis

Question 3

What is the treatment for nephrotic syndrome? What are some complications

Answer 3

Steroids- prednisone for 4-6 weeks and a taper. Renal failure, SBP, thromboembolic events

Question 4

What are the features of nephritic syndrome?

Answer 4

hematuria, hypertension, BUN and creatitine elevation

Question 5

What is hemolytic uremic syndrome

Answer 5

It is hemolytic anemia, thrombocytopenia, and renal failure AFTER a diarrheal illness (ecoli )157 H7 toxin in typical disease or other causes in atypical disease

Question 6

Features of nephritic

Answer 6

PHAROH
Proteinuria
Hematuria
AKI
RBC casts
Oliguria
Hypertension

Question 7

What are the components of a FSWU

Answer 7

CBC, Blood culture
Urinalysis, Urine culture
LP
PCR for viruses
+/- CXR, stool culture, NP swab

Question 8

Empiric antibiotics for neonatal sepsis if suspecting meningitis

Answer 8

Ampicillin, cefotaxime

Question 9

Empiric antibiotics suspecting no meningitis

Answer 9

Ampicillin, gentamicin

Question 10

Empiric antibiotics suspecting HSV

Answer 10

Add acyclovir