Peds Shelf Flashcards
B. Pertussis tx and post exposure ppx?
Macrolides: azithromycin, clarithromycin, erythromycin
Pt is primarily breast fed, with physical findings of craniotabes, rachitic rosary, and genu varum. Dx?
Ricketts
T or F: all close contacts of a B. pertussis pt should receive macrolide ABX regardless of immunization.
True
??? is the most common cause of isolated proteinuria in children, and should be reevaluated with ???
Transient proteinuria. Repeat urine dipstick on 2 separate occasions
??? is an overgrowth disorder characterized by a predisposition to neoplasms. Physical findings include neonatal hypoglycemia, macrosomia, macroglossia, hemihyperplasia, and abdominal wall defects.
Beckwith-Weidemann Syndrome (BWS)
BWS should receive abdominal US and aFP levels to screen for most common assoc neoplasms: ?? and ??
Wilms tumor and hepatoblastoma
First step in evaluating primary amenorrhea (after neg pregnancy test)?
Pelvic US
Pelvic US of turners syndrome pt may show “??? ovaries”
Streak ovaries
A single S2 and a harsh, holosystolic murmur heard best at the LL sternal border is characteristic of ???
VSD.
Initial evaluation of VSD is ??? to determine size and location of defect.
ECHO
T or F: most small VSDs close spontaneously and require no further tx.
True (if SMALL defect)
Ascending progression of muscle weakness after “cold”: Dx? Test for most life threatening complication?
GBS. Spirometry to evaluate for neuromuscular respiratory failure.
Most common cause of urinary tract obstruction in newborn boys?
Posterior urethral valves
Oligohydramnios/low amniotic fluid restricts fetal movement, leading to physical anomalies such as flat facies and limb deformities. This process is referred to as ???
Potter sequence
Oligohydramnios from low urine production in utero can cause ??? and postnatal ???
Pulmonary hypoplasia; RDS
Encephalopathy and acute liver failure after viral illness and 2/2 ASA?
Reye’s syndrome
Pathophysiology of Reye syndrome?
Microvesicular fatty infiltration and hepatic mitochondrial dysfunction
Genetic transmission of duchenne and Becker muscular dystrophy?
X-linked recessive
Genetic transmission of myotonic muscular dystrophy?
Autosomal dominant (expansion of CTG)
Pt with testicular atrophy, dysphasia, facial weakness, and Delayed muscle relaxation (myotonia) most notable after handshake: Dx?
Myotonic muscular dystrophy
T or F: simple febrile seizures require no further work up
True
Infant with leukocoria (white reflex on Ophthalmoscopic exam) is considered ??? until proven otherwise.
Retinoblastoma (infants with visual problems have high suspicion for Rb)
Postictal paralysis, with restoration of motor function in 24 hrs
Todd’s paralysis
Legg-Calve-Perthes disease is characterized by ??? of the femoral head and an ??? gait
Avascular necrosis (osteonecrosis); antalgic (shorter weight bearing on affected side due to pain)