Peds UW 2 Flashcards
kid with joint hypertrophy and “ping-pong skull”(soft skull wiht wide fonts) whatcha thinking?
vita D deficiency!
pneumona in CF pt who is between birth - 20yoa cause…
S.Aureus
dafuq is Diamon-Blackfan Anemia?
sportation mutation causing defect in progen cells = early apoptosis
*neonate who presents with pallow ~3m, webbed neck, cleft lip, sheilded chest, triphalangeal thumbs
HSV vs Impetigo
HSV only around oralabial region, impetigo all around face
pediatric stroke mc cause?
SSD
tx cat bite vs cat scratch
bite = augmentin scratch = azithromycin
Tx of lyme in kid <8 yo. why?
amox! bc doxy has bone shit and you dnt wannt fuck with their bones
3m old kid has hypoglycemia, hyperlipidemia, doll like face, round cheeks, thin extremities, short statues, protuberant abdomen(hepatomegaly). dx?
T1 glycogen storage dx(von gierk) = G6PD def causing impaired glycogen –> glycose
viral prodrome and rash that distrubted along lines of tension, puritis + herald patch
pityriasis rosea
what type of lymph nodes should just be observed in kids?
<1cm, soft mobil, cervial.
*any supracavicular nodes shoudl be investigated no matter what
MCC of congenital cyanosis?
transposition of the great arteries
kid with cyanosis in the first 24 hrs, normal S1 but single loud S2 + narrow mediasteinum. dx? tx?
transposition of the great arteries - give PG to keep PDA open till you can operate!
sx of fetal alcohol syndrome
mental retardation, developmental delays, SHORT palpebral fissures, SMOOTH philtrum, THIN vermillion boarders(thin upper lip), microcephaly, micrognanthia, murmer? = ASD or VSD
sx of down syndrome
mental retardation, flat face, prominent epicanthal folds, slanted palpebral fissures, simian crease, protruding tongue, heart shit(av canal defect, endocardial cushing defect), gap in 1 & 2 toes
complications:early alzhimers, ALL, hirsprungs, duodenal atresia
Fragil X syndrome sx? inheritance?
XL mutation, anticipation
sx: flatfooted, flexable joints, low muscle tone, long face, prominent forhead and chin, large ears, macrocephaly, large testicles, MVP
Juvenile Idiopathic Arthritis
> 6wk multiple joint pain, morning stiffness +/- hepatospleo, salmon rash, serositis
Elevated CRP, ESR, Ferritin, gammaglobin, thrombocystosis
*anemia due to chronic infllamation
common presentation of cerebral palsy in infants
Spastic Diplegia = hypotonia, hyperreflexia, equinovaris, resistance to movement
Spondylolisthesis
developmental disorder resutling in forward slip of vertebra causing: slowly developing back pain, neurologic dysfunction, palpebal step off
Absance seizures can be triggered by…
hyperventilating!
Classic sx for Henoch-Schonlein Purpura
usually follows viral illness, rash, joint pain, abdominal pain, hematuria
Rota virus vaccine C/I?
immunocomp & personal history of intussusception as rotat can cause intussusception
Kid comes in for check up and you find no probs other than protinuria. what do you do?
Recheck on 2 seperate occations. if present then workup. if not present = dx Transient Proteinuria
looks like hypothyroid in newborn baby + “Horse cry”
thyroid dysgenesis
you look in kids ear and see peripheral granulation tissue w/debri near ear drum. dx?
cholesteatoma
absence seizures will increase the risk of developing what later in life?
anxiety and ADHD
Anemia of Prematurity
due to decrease in EPO, short RBC life & multiple blood draws in NICU
hypersensitivity reactions
ACID T1 = anaphylaxis = IgE T2 = Cytotoxic/AI = IgG & IgM auto-antibodies T3 = Immune complex = Ab-Ag T4 = Delayed = Tcells and macrophages
another name for Hemolytic uremic syndrome?
microangiopathic hemolytic anemia
liver bx of kid with reye’s syndrome would show?
microvascular fatty infiltrate of the liver
why the increased risk of intussusecption after GI infection?
hypertrophied peyers patches = increase risk
Benefits & Drawbakcs of breastmilk
- improves gastric emptying due to increased Whey
- lactoferrin, lysozyme and IgA to boost immunity
- Lower Ca & P but body absorbs it better than regular formula
- Inadequate VitD = need suppliment
Describe ring worm lesion
scaly, erythematous, pruritc patches that spread centrifugally
blood smear of G6PD vs SSD
G6PD = bite cells & heinz bodies SSD = howell-jolly bodies
Primary Ciliary Dyskinesia vs CF
Both have: chronic sinus infections, nasal polyps, bronchiectasis, digital clubbing
CF: pancreatic insuff like vit K def(brusising), vit D def, poor growth
Erythematous plaques with yellow oily scales around scalp, eyebrows, eyelids, behind ear, nasolabial folds, umbilicus & diaper dx?
seborrheic dermatitis
What is Hand-Foot Syndrome in SSD?
early manifestation of vaso-occlusion in 6m-4yo causing swelling of hands and feet
babys drinking only cows milk. what do you need to give them?
iron! cows milk is low in iron
kid with previous runny nose now has fever, resp distress, wheezes, murmer, hepatomegaly, CXR shows enlarged heart. dx?
viral myositis
when does T1 DM usualy present?
4-6 yo or early puberty
CHARGE syndrome
Coloboma
Coxsackie A pharyngitis vs Herpes pharyngitis
Coxsackie = gray vesicles/ulcers on posterior oropharynx
Herpes = clusters of small vesicles on anterior oropharynx + ginival involvement
tx of chemical conjunctivitis?
lube
tx of gon conjunctivitis
IM cephalosporin
tx of chalmy conjunctivitis
PO Macrolide
Tx of nursemaids elbow?
- Hyperpronation of forarm(better)
or - supination of forearm and flexion of elbow
tx of hydrocele
observation! = usually resolves in 12m if not need surgery
5d old baby comes in whos list 4oz in weight, has hands+feet that are peeling and “brick dust/pink stain” in diaper. baby is not cranky and has been breastfeeding normally, urinating and poopin normally and sleeping well. dx?
normal!
- peeling hands and feet = dry skin, babys skin is adjusting to the enviroment
- babies loose 7% of body weight in the first 5 days but gain it back by d10-14
- pink = uric acid crystals! this is normal in babies and will decrease. only think lesch nyhan if baby wasnt feeding well or not urinating normally.
complications of premature baby
hypocalcemia, hypoglycemia, hypothermia, polycythemia, IVH, ret of premat, mercon asp, perinatal asphix, hypoxia
3 food poisoning bugs that are mostly vomiting.
s.aureus, Bcereus, Norovirus
person ate meat + egg salad 1 hr ago and now is puking. bug?
s.aureus = 1-6h
baby acute onset w/LRQ pain + bloody diarrhea bug?
yersinia = 24-48 hr and mimic diarrhea
