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Clin Med I > PEDS part 2 > Flashcards

PEDS part 2 Flashcards

1
Q

BASIC TREATMENT OF JAUNDICE

  • GOAL: reduce level of serum bilirubin and prevent bilirubin toxicity
  • PREVENTION: early feedings, adequate hydration
  • TREATMENT: ______ exchange ______, _______ drugs (use of phenobarbital promote liver enzymes and protein syntheses)
A

PHOTOTHERAPY
TRANSFUSION
PHENOARBITAL

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2
Q

RUBEOLA

_____ & mmr vaccine

A

supportive

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3
Q

RUBELLA

____ & MMR vaccine

A

supportive

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4
Q

VARICELLA

______ & mmr vaccine

A

supportive

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5
Q

HAND FOOD AND MOUTH

TREATMENT  ______ care & isolation
- Mainly focus on containing the outbreak and _____ of infected individuals (don’t go back to school/camp until ALL lesions are gone – oral ulcers and blisters)

A

SUPPORTIVE

ISOLATION

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6
Q

ERYTHEMA INFECTIOSUM (FIFTH DISEASE)

_____

A

SUPPORTIVE

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7
Q

ROSEOLA

_____

A

SUPPORTIVE

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8
Q

SCARLET FEVER

_______ & ___

A

penicillin G or VK

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9
Q

IMPETIGO

TREATMENT  topical abx (_______) & good hygiene (wash hands, don’t touch face, avoid sharing towels)

A

MUPIROCIN

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10
Q

MOLLUSCUM CONTAGIOSUM

TREATMENT  lesions are self-limited, generally treated to avoid spread (___or other treatment modalities used for warts)

A

LN2

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11
Q

VIRAL CONJUNCTIVITIS

______, wash _____

A

COMPRESSES, WASH HANDS

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12
Q

BACTERIAL CONJUNCTIVITIS

_______

A

abx

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13
Q

otitis externa

TREATMENT

  • Commonly used topical eardrops: ______ drops (which decrease pH), antibacterial drops, and antifungal preparations
  • Severe cases: oral or parenteral ___
  • Otic abx and steroid combinations are very effective (Ex. Cipro HC Otic and Cortisporin Otic)
  • Effective analgesic: Auralgan (benzocaine + antipyrine)
  • For swimmers ear: Swim-Ear (OTC) or diluted rubbing alcohol for prevention
A

acetic acid

abx

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14
Q

otitis media

TREATMENT
- In healthy children older than 2 y/o who present with less severe symptoms: ______ for 48 hours may be considered
- If the decision is made to treat with abx: 1ST line = _________
o Azithromycin or clindamycin for pts with penicillin allergy
o 1ST line = high-dose amoxicillin/clavulanate (augmentin) AND 2nd or 3rd generation ______
- May use myringotomy tubes (for recurrent AOM, middle ear effusion, etc.)

A

observation
AMOXOCILLIN
cephalosporins

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15
Q

ROTA VIRUS GASTROENTERITIS

___________

A

SELF LIMITING

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16
Q

E COLI

________
o Preventative measures: improved sanitation, washing hands after using the bathroom, avoiding uncooked meats, avoiding unpasteurized dairy, produce washed in untreated water

A

SUPPORTIVE`

17
Q

SHIGELLA

  • TREATMENT: tx with abx (third generation _____) ↓ the severity of illness and reduces the transmission
A

CEPHALOSPORIN

18
Q

SALMONELLA

  • TREATMENT:
    o No indicated abx therapy in immunocompetent individuals between ages 1-50
    o _____ or fluoroquinolones in high risk pts (over 18)
A

BACTRIM

19
Q

GIARDIA LAMBLIA

______

A

METRONIDAZOLE

20
Q

BACTERIAL MENINGITIS

____

A

ABX

21
Q

VIRAL MENINGITIS

______

A

SUPPORTIVE

22
Q

MILLIARIA

  • TX: avoid excess ___ and humidity, cool environment, ______ clothing & lukewarm baths
A

HEAT

LIGHTWEIGHT

23
Q

HEMANGIOMA

  • TX: most require NO intervention, most resolve spontaneously by age _
    o Can tx with ___ therapy if they don’t involute and if cosmetically desired
A

5

LASER

24
Q

SALMON PATCHES (STORK BITES OR ANGEL KISSES)

_______

A

SPONTANEOUSLY RESOLVES

25
Q

PORT WINE STAIN

  • TX: can tx with ___ therapy if cosmetically desired
A

LASER

26
Q

SCABIES

  • TREATMENT: _____ (elimite) cream applied to entire body and left on for 14 hours, followed by shower
    o Treat entire family at same time
    o Occasionally, will need to retreat in ___ days
A

PERMETHRIN

7-10

27
Q

LICE

  • TREATMENT: head lice _____ to dry hair & fine tooth comb to remove nits
    o Wash clothes and bedding at HIGH temps
A

SHAMPOO

28
Q

PKU

TX = low _______ diet & ↑ tyrosine supplementation
- NO meat, dairy products, dry beans, nuts, eggs
o Can give cereals, fruits, and veggies in moderation

A

PHENYLALANINE

Clin Med I (21 decks)

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