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Peds MedEd > Peds UW 2 > Flashcards

Peds UW 2 Flashcards

1
Q

kid with joint hypertrophy and “ping-pong skull”(soft skull wiht wide fonts) whatcha thinking?

A

vita D deficiency!

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2
Q

pneumona in CF pt who is between birth - 20yoa cause…

A

S.Aureus

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3
Q

dafuq is Diamon-Blackfan Anemia?

A

sportation mutation causing defect in progen cells = early apoptosis
*neonate who presents with pallow ~3m, webbed neck, cleft lip, sheilded chest, triphalangeal thumbs

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4
Q

HSV vs Impetigo

A

HSV only around oralabial region, impetigo all around face

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5
Q

pediatric stroke mc cause?

A

SSD

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6
Q

tx cat bite vs cat scratch

A 
bite = augmentin
scratch = azithromycin
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7
Q

Tx of lyme in kid <8 yo. why?

A

amox! bc doxy has bone shit and you dnt wannt fuck with their bones

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8
Q

3m old kid has hypoglycemia, hyperlipidemia, doll like face, round cheeks, thin extremities, short statues, protuberant abdomen(hepatomegaly). dx?

A

T1 glycogen storage dx(von gierk) = G6PD def causing impaired glycogen –> glycose

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9
Q

viral prodrome and rash that distrubted along lines of tension, puritis + herald patch

A

pityriasis rosea

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10
Q

what type of lymph nodes should just be observed in kids?

A

<1cm, soft mobil, cervial.

*any supracavicular nodes shoudl be investigated no matter what

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11
Q

MCC of congenital cyanosis?

A

transposition of the great arteries

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12
Q

kid with cyanosis in the first 24 hrs, normal S1 but single loud S2 + narrow mediasteinum. dx? tx?

A

transposition of the great arteries - give PG to keep PDA open till you can operate!

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13
Q

sx of fetal alcohol syndrome

A

mental retardation, developmental delays, SHORT palpebral fissures, SMOOTH philtrum, THIN vermillion boarders(thin upper lip), microcephaly, micrognanthia, murmer? = ASD or VSD

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14
Q

sx of down syndrome

A

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

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15
Q

Fragil X syndrome sx? inheritance?

A

XL mutation, anticipation

sx: flatfooted, flexable joints, low muscle tone, long face, prominent forhead and chin, large ears, macrocephaly, large testicles, MVP

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16
Q

Juvenile Idiopathic Arthritis

A

> 6wk multiple joint pain, morning stiffness +/- hepatospleo, salmon rash, serositis

Elevated CRP, ESR, Ferritin, gammaglobin, thrombocystosis

*anemia due to chronic infllamation

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17
Q

common presentation of cerebral palsy in infants

A

Spastic Diplegia = hypotonia, hyperreflexia, equinovaris, resistance to movement

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18
Q

Spondylolisthesis

A

developmental disorder resutling in forward slip of vertebra causing: slowly developing back pain, neurologic dysfunction, palpebal step off

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19
Q

Absance seizures can be triggered by…

A

hyperventilating!

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20
Q

Classic sx for Henoch-Schonlein Purpura

A

usually follows viral illness, rash, joint pain, abdominal pain, hematuria

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21
Q

Rota virus vaccine C/I?

A

immunocomp & personal history of intussusception as rotat can cause intussusception

22
Q

Kid comes in for check up and you find no probs other than protinuria. what do you do?

A

Recheck on 2 seperate occations. if present then workup. if not present = dx Transient Proteinuria

23
Q

looks like hypothyroid in newborn baby + “Horse cry”

A

thyroid dysgenesis

24
Q

you look in kids ear and see peripheral granulation tissue w/debri near ear drum. dx?

A

cholesteatoma

25
Q

absence seizures will increase the risk of developing what later in life?

A

anxiety and ADHD

26
Q

Anemia of Prematurity

A

due to decrease in EPO, short RBC life & multiple blood draws in NICU

27
Q

hypersensitivity reactions

A 
ACID
T1 = anaphylaxis = IgE
T2 = Cytotoxic/AI = IgG &amp; IgM auto-antibodies
T3 = Immune complex = Ab-Ag
T4 = Delayed = Tcells and macrophages
28
Q

another name for Hemolytic uremic syndrome?

A

microangiopathic hemolytic anemia

29
Q

liver bx of kid with reye’s syndrome would show?

A

microvascular fatty infiltrate of the liver

30
Q

why the increased risk of intussusecption after GI infection?

A

hypertrophied peyers patches = increase risk

31
Q

Benefits & Drawbakcs of breastmilk

A
  • 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
32
Q

Describe ring worm lesion

A

scaly, erythematous, pruritc patches that spread centrifugally

33
Q

blood smear of G6PD vs SSD

A 
G6PD = bite cells &amp; heinz bodies
SSD = howell-jolly bodies
34
Q

Primary Ciliary Dyskinesia vs CF

A

Both have: chronic sinus infections, nasal polyps, bronchiectasis, digital clubbing

CF: pancreatic insuff like vit K def(brusising), vit D def, poor growth

35
Q

Erythematous plaques with yellow oily scales around scalp, eyebrows, eyelids, behind ear, nasolabial folds, umbilicus & diaper dx?

A

seborrheic dermatitis

36
Q

What is Hand-Foot Syndrome in SSD?

A

early manifestation of vaso-occlusion in 6m-4yo causing swelling of hands and feet

37
Q

babys drinking only cows milk. what do you need to give them?

A

iron! cows milk is low in iron

38
Q

kid with previous runny nose now has fever, resp distress, wheezes, murmer, hepatomegaly, CXR shows enlarged heart. dx?

A

viral myositis

39
Q

when does T1 DM usualy present?

A

4-6 yo or early puberty

40
Q

CHARGE syndrome

A

Coloboma

41
Q

Coxsackie A pharyngitis vs Herpes pharyngitis

A

Coxsackie = gray vesicles/ulcers on posterior oropharynx

Herpes = clusters of small vesicles on anterior oropharynx + ginival involvement

42
Q

tx of chemical conjunctivitis?

A

lube

43
Q

tx of gon conjunctivitis

A

IM cephalosporin

44
Q

tx of chalmy conjunctivitis

A

PO Macrolide

45
Q

Tx of nursemaids elbow?

A
  1. Hyperpronation of forarm(better)
    or
  2. supination of forearm and flexion of elbow
46
Q

tx of hydrocele

A

observation! = usually resolves in 12m if not need surgery

47
Q

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?

A

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.
48
Q

complications of premature baby

A

hypocalcemia, hypoglycemia, hypothermia, polycythemia, IVH, ret of premat, mercon asp, perinatal asphix, hypoxia

49
Q

3 food poisoning bugs that are mostly vomiting.

A

s.aureus, Bcereus, Norovirus

50
Q

person ate meat + egg salad 1 hr ago and now is puking. bug?

A

s.aureus = 1-6h

51
Q

baby acute onset w/LRQ pain + bloody diarrhea bug?

A

yersinia = 24-48 hr and mimic diarrhea

Peds MedEd (27 decks)

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