Peds UW1 Flashcards
kid comes in with obviouse Guillian-barre what is an important test for you to run? why?
spirometry to assess respiration = GB pts are at high risk for respiratory failure
Erythema Toxicum Neonatorum(ETN) symptoms
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
Chronic Granulomatous Disease
infections with which type of organisms? what will you see on bx?
catalase +, numerous organism filled segmented neutrophils
Kids with juvenile idiopathic arthritis obv have arthritis but also have chronic ——. Complications? Tx?
Chronic uveitis! Can go blind! Tx w/steroids
what is premature 2nd sex development in girls and bosy?
girls <8; boys <9
> 5 yo kid has nocturesis & all other treatment has failure…what do you do?
give desmopressin
Neimann-Pick Dz
sx?
loss of motor milestones about 2-6m, hypotonia, feeding difficulty, cherry red macula, HEPATOSPLENOMEGLY, AREFLEXIA
bedwetting is normal before the age of….
5 = wait to treat untill then.
Tay-Sachs Dz
def? inheritance?
AR, B-hemosaminidase A
Neurofibromatosis T2
sx?
NF2 mutation = bilateral acoustic neuromas
sx of HUS
microangiopathic hemolytic anemia, thrombocytopenia and acute kidney injury
Cervical Lymphadenopathy in children
mcc S.aureus = enlarged, tender, erythematous lymph nodes
Gaucher Dz
sx?
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
how can you distinguish central/hypothalamic/pituitary 1 ammenorhea vs peripheral/gonadal
check FSH!
- decrease FSH = central = do MRI
- increased FSH = peripheral = gonadal prob
Neimann-Pick Dz
def? inheritance?
sphingomyelinase, AR
Neurofibromatosis T1(T1 von rec) mutation? sx?
NF1 gene;
- cafe-au-lait spots
- axillary freckling
- monocular eye proptosis & visual changes = OPTIC TRACT GLIOMA
- lisch nodules
- neurofibromas
Kid has high lead on capillary finger stick. What do you do?
Draw venous lead levels bc cap can be false.
Marfans vs Homocystauria
which one has aortic root dilation?
marfans
Gaucher Dz
def? inheritance?
AR, glucocerebrosidase
common causes of meningitis in kids >11yo
N. Men
Sturge-Weber Syndrome
sx?
focal or generalized seizures, mental retardation, “Port-wine” stain, IC calcifications
Absence Seizures sx?
<20sec, utually 4-10yo, may be accompanied by simple AUTOMATISMS(eye fluttering, lip smacking)
common causes of meningitis in kids 3m-10yo
S.pneumo, N. Men
Retinoblastoma
mut? sx?
mut Rb; optic nerve retinoblastoma
*associated with osteosarcoma
Tx of tourettes
1st line = A2 ag: Clonidine or Guanfacine
2nd line = antipsychotics: Risperidone
Breast Milk Jaundice vs Breasfeeding Failure Jaundice
- breast milk jaundice: appears in week 1, seen with adequate breastfeeding, normal exam, due to increase conjugate intestinal bilirubin.
- 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
Long term consequence of vesicouretral reflux?
Renal scarring
Krabbe Dz
def? inheritance?
AR galactocerebrosidase