Peds UW1 Flashcards

1
Q

kid comes in with obviouse Guillian-barre what is an important test for you to run? why?

A

spirometry to assess respiration = GB pts are at high risk for respiratory failure

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2
Q

Erythema Toxicum Neonatorum(ETN) symptoms

A

asymptomatic, blotchy, erythematous papules and pustles seen in neonates = BENIGN! can change color and always spares palms and sole.

dnt know cause but it will go away so just reassure parents

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3
Q

Chronic Granulomatous Disease

infections with which type of organisms? what will you see on bx?

A

catalase +, numerous organism filled segmented neutrophils

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4
Q

Kids with juvenile idiopathic arthritis obv have arthritis but also have chronic ——. Complications? Tx?

A

Chronic uveitis! Can go blind! Tx w/steroids

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5
Q

what is premature 2nd sex development in girls and bosy?

A

girls <8; boys <9

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6
Q

> 5 yo kid has nocturesis & all other treatment has failure…what do you do?

A

give desmopressin

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7
Q

Neimann-Pick Dz

sx?

A

loss of motor milestones about 2-6m, hypotonia, feeding difficulty, cherry red macula, HEPATOSPLENOMEGLY, AREFLEXIA

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8
Q

bedwetting is normal before the age of….

A

5 = wait to treat untill then.

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9
Q

Tay-Sachs Dz

def? inheritance?

A

AR, B-hemosaminidase A

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10
Q

Neurofibromatosis T2

sx?

A

NF2 mutation = bilateral acoustic neuromas

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11
Q

sx of HUS

A

microangiopathic hemolytic anemia, thrombocytopenia and acute kidney injury

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12
Q

Cervical Lymphadenopathy in children

A

mcc S.aureus = enlarged, tender, erythematous lymph nodes

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13
Q

Gaucher Dz

sx?

A

anemia, thrombocytopenia, HEPATOSPLENOMEGLY, no regression just fatigue and usually appears older kids.

*both this and neimann-pick have hepatosplenomeg but np appears 2-6m w/o blood shit

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14
Q

how can you distinguish central/hypothalamic/pituitary 1 ammenorhea vs peripheral/gonadal

A

check FSH!

  • decrease FSH = central = do MRI
  • increased FSH = peripheral = gonadal prob
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15
Q

Neimann-Pick Dz

def? inheritance?

A

sphingomyelinase, AR

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16
Q
Neurofibromatosis T1(T1 von rec)
mutation? sx?
A

NF1 gene;

  1. cafe-au-lait spots
  2. axillary freckling
  3. monocular eye proptosis & visual changes = OPTIC TRACT GLIOMA
  4. lisch nodules
  5. neurofibromas
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17
Q

Kid has high lead on capillary finger stick. What do you do?

A

Draw venous lead levels bc cap can be false.

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18
Q

Marfans vs Homocystauria

which one has aortic root dilation?

A

marfans

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19
Q

Gaucher Dz

def? inheritance?

A

AR, glucocerebrosidase

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20
Q

common causes of meningitis in kids >11yo

A

N. Men

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21
Q

Sturge-Weber Syndrome

sx?

A

focal or generalized seizures, mental retardation, “Port-wine” stain, IC calcifications

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22
Q

Absence Seizures sx?

A

<20sec, utually 4-10yo, may be accompanied by simple AUTOMATISMS(eye fluttering, lip smacking)

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23
Q

common causes of meningitis in kids 3m-10yo

A

S.pneumo, N. Men

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24
Q

Retinoblastoma

mut? sx?

A

mut Rb; optic nerve retinoblastoma

*associated with osteosarcoma

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25
Tx of tourettes
1st line = A2 ag: Clonidine or Guanfacine | 2nd line = antipsychotics: Risperidone
26
Breast Milk Jaundice vs Breasfeeding Failure Jaundice
1. breast milk jaundice: appears in week 1, seen with adequate breastfeeding, normal exam, due to increase conjugate intestinal bilirubin. 2. breastfeeding failure jaundice: appears in week 1, due to decrease lactation and increase bili, seen w/suboptimal breastfeeding, sx of dehydration = tx by increaseing feeding
27
Long term consequence of vesicouretral reflux?
Renal scarring
28
Krabbe Dz | def? inheritance?
AR galactocerebrosidase
29
Pellagra
Niacin B3 def = diarrhea, dermatitis, dementia, glossitis
30
test for chronic granulomatous disease?
check for neutrophils w/dihydrorhodamine 123 tests & nitroblue Tetrazolium test
31
Sx of Lyme dz infection
mild pain + joint stiffness that may be on and off, flu like symptoms, fatigue, variable joint pains
32
Chronic Granulomatous Disease inheritance?
XLR
33
Sx of kid with Posterior Urethral Valves
potters sequence + hydroureter/nephrosis, usually seen in males
34
What’s neonatal acne?
Acne peaks between 2 to 4 weeks occurs due to maternal hormone transmission
35
what vitamin can you give that will decrease mortality in measles?
vitamin A
36
tx of SS dz
hydroxyurea
37
tx of childhood lead poisoning | moderate vs severe
- moderate(45-69): Meso-2,3-dimercaptiosuccinic acid(DMSA) | - severe(>70): DMSA + Calcium disodium edetate(EDTA)
38
Describe Dermatatitis Herpetiformis. What its associated with?
"red spots on arms and legs filled with clear fluid that later crusts over"
39
GI "target sign" is associated with....
intusseption
40
causes of baterial rhinosinusitis
Strep. Pneumo > H. Influenza > Moraxella Cat
41
What’s a herald patch? Tx?
Pityriasis Rosea ! Associated w/HSV 6/7 but not sure which. Lasts 2-12 weeks tx w/topics steroids
42
What is adequate breastfeeding?
breastfeeding 8-12 times a day every 2-3 hrs for about 10-20 min per breast during the 1st month
43
Bow legs is normal till...
2y
44
Friedreich Ataxia | sx?
ataxia, dysarthria, degradation of spinocerebellar tracts, hypertrophic cardiomyopathy, diabetes, skeletal deformities(kyphosis, scoliosis)
45
Friedreich Ataxia | mutation? inheritance?
AR mut in fraxtin = GAA triplet
46
HUS causes hematuria by....
vascular dmg causing microthrombi = mechanical dmg
47
Henoch-Scholein Purpura sx
low grade fever, cough, nonblanching rash on butt and legs, arthralgias, abdominal pain, intussecption, kidney shit
48
Kawasaki Disease diagnosis criteria | what are they at increased risk for?
fever >5d +4 or more: 1. conjunctivitis 2. mucositis(strawberry tongue) 3. cervical lymphadenopathy 4. rash 5. erythema & edema of the hands and feet *increased riks of coronary artery aneuryms
49
Marfans vs Homocystauria which one has mental retardation?
homocystauria
50
Marfans vs Homocystauria which one has fair complection?
homocystauria
51
Scarlet Fever sx + tx?
*seen w/untreated strep shit | fever, chills, sore throat, strawberry tongue, rash(sunburn w/goosebumps or sandpaper or rough texture)
52
common causes of meningitis in kids <3m
GBS, Ecoli, Listeria, HSV
53
Kid with toothache has been using numbing cream to treat. now presents w/cyanosis, pulse ox 85%. dx? why? tx?
methemoglobinemia, caused by oxidizing agents = dapson, nitrates, topical anesthetics(benzocaine & lidocaine) * will see normal PaO2, saturation gap, normal arterial partial pressure tx: methylene blue
54
McCune-Albright Syndrome
de novo mut in G-protein cAMP(GNAS) Triad: precocious puberty, cafe-au-lait spots, fibrous dysplasia of bones + HYPERENDOCRINE due to increased cAMP activity = elevated cortisol = cushing symptoms
55
Riboflavin B2 deficiency
Chelioliss, Glossitis, seborrhetic dermatitis, pharyngitis,
56
Fanconi anemia | sx?
XLR aplastic anemia with progressive bone marrow failure, short stature, hypergonadism, hypo pigmentation, low set ears, deafness, abnormal thumbs, microcephaly, cafe au lair spots
57
Tay-Sachs Dz | sx?
loss of motor milestones around 2-6m, hypotonia, feeding difficulties, cherry red macula, HYPERFLEXIA
58
MCC of sepsis in SS dz What can you do for them?
S. Pneumo = pplx with PCN till the age of 5
59
Pertussus ppx for baby
erythromycin
60
RDW in iron deficiency vs thalassemia
RDW is increased in iron but normal in thalassemia
61
what is the most common congenital heart defect in kids with DS?
complete AV septal defect
62
RF for RDS in newborns?
Prematurity, male sex, perinatal asphyxia, maternal DM, C-section w/o labor
63
what effect doesn PROM have on RDS?
decreases RDS due to increase stress = cort = help lungs mature
64
Trendelenburg Gait
hip drop due to dmg to superior gluteal N = weak gluteus muscles
65
CF infertility in men. why?
congential absence of vas def
66
Premature baby give vaccinations according to ----- age. What the exception?
chronological; exc: HepB! baby must be >2kg for this vaccination
67
Trachoma
chlamydia infection in the eye that can spread in unsanitary condition like a refugee camp. 1. conjunctival injection 2. tarsal inflammation(eye lid) 3. pale follicles(bumps under eye lid) 4. often seen w/rhinorhea, pharyngitis tx: azithromycin
68
Which nephrotic syndrome is most associated with... 1. HBV? 2. HIV? 3. A1AT?
1. HBV = membranous 2. HIV = FSGS 3. A1AT = membranoproliferative
69
SS trait causes spontaneously resolving hematuria due to....
microthrombi causing renal papillary necrosis
70
Werdnig Hoffman dz vs Botulism
WH: anterior horn degen; upper ext > lower, lacks eye shit Bot: hx of ingestion; Ptosis, sluggish pupillary light reflex BOT SPORES: no hx of ingestion, kid will be breast fed; Ptosis, sluggish pupillary light reflex