Peds UW 2 Flashcards by Stephanie Hawks

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

vita D deficiency!

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

S.Aureus

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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

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HSV vs Impetigo

HSV only around oralabial region, impetigo all around face

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pediatric stroke mc cause?

SSD

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tx cat bite vs cat scratch

bite = augmentin
scratch = azithromycin

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Tx of lyme in kid <8 yo. why?

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

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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

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

pityriasis rosea

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

<1cm, soft mobil, cervial.

*any supracavicular nodes shoudl be investigated no matter what

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MCC of congenital cyanosis?

transposition of the great arteries

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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!

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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

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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

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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

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Juvenile Idiopathic Arthritis

> 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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common presentation of cerebral palsy in infants

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

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Spondylolisthesis

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

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Absance seizures can be triggered by…

hyperventilating!

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Classic sx for Henoch-Schonlein Purpura

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

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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?

1. Hyperpronation of forarm(better) or 2. 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