PIMP Peds Flashcards
Most common cause of otitis externa and appropriate treatment?
Pseudomonas aeruginosa
Treatment: topical ofloxacin or ciprofloxacin, with or without a steroid
***Topical, not oral, as oral flouroquinolones are contraindicated in children
Slapped cheek rash
Presenting: rash, prodromal symptoms of fever, headache, nausea
Cause: parvovirus B19, erythema infectiosum, fifth disease
Supportive care only, viral infection and self resolving
standard newborn screening tests?
Hypothyroidism,
PKU
galactosemia
Most states now test for cystic fibrosis
cause of delayed fontanelle closure?
Hypothyroidism
*suspect in mainly home births with no post natal care
Cause of and treatment for hand, foot, and mouth disease?
Etiology: Coxsackie A16, enterovirus, non enveloped RNA. Small macular rash on palms and soles, with ulcerations anterior oto the pharyngeal arch
Tx: supportive care only. Symptoms usually resolve within 1-2 weeks. Use oral numbing solution and tylenol
In what locations is jaundice first visible?
Under tongue, sclera, skin
What is Jones criteria?
Used for diagnosing rheumatic fever
- Major criteria: Carditis, polyarthritis, chorea, subcutaeous nodules, erhthema marginatum
- Minor criteria: previous rheumatic fever, arhralgia, fever, elevatoed eryhrocyte sedimentation rate, positive C reactive protien, prolonged PR interval
Strep throat cause, treatment, complications
Cause: GAS, strep. pyogenes
Tx: penicillin or macrolides
Complications: rheumatic fever or post strep. glomerulonephriitis
Why should fluoroquinolones not be given to a pediatric population?
Associated with risks of arhtropathy and QT prolongation. In particular cartilaginous defects in growing children.
Most concerning condition associated with port wine stains?
Sturge weber syndrome - an AV malformation in the brain leading to early onset seizures. An MRI or CT should be performed in those suspected of hifh risk prt wine stain locations
Sturge weber is associated with glaucoma and mental retardation
Which port wine stain location is most associated with sturge weber syndrome?
In the maxillary, and especially opthamalic distribution of the trigeminal nerve
most feared complication of kawasaki disease?
coronary artery aneurysms
Diagnostic criteria for kawasaki disease?
FEARME
Fever > 5 days
Eye - conjunctivitis with perilimbic sparing
Adenopathy - cervical
Rash - polymorphous
Mucositis - cracked lips and strawberry tongue
Extremity changes - edema of hands and feet
first steps in management of croup?
First: evaluated for respiratory distress and hydration status (tachypnea, O2 saturaiton, tachycardia)
Mild case: parental reassureance and supportive care.
Moderate-severe cas: Assessment for securing the airway (intubation). Racemic epinephrine to open the airways. Dexamethasone singel dose can be given 4-24 hours form onset.
most common cause of croup?
parainfluenza viruses
