pretest pediatrics Flashcards
cyanosis with feeding, better with crying
choanal atresia
babies are obligate nose breathers
apt downey test
dist fetal hgb from maternal hgb to determine early source or bleed
baby born to mom with GDM develops hypoglycemic like events 48-96 hours post birth?
hypocalcemia
hypomagnesemia
subgaleal hem
bleed that crosses midline
-cardiac effects –> hypovolemic shock
complication of polycythemia in neonate? how do you treat it?
hyperviscosity syndrome
tx: exchange transfusion with ringers
how are compliance and lung volume effected in RDS?
decreased (both)
left to right shunts occur
most common sign of ARF?
polyarthritis
kids at greatest risk of infective endocarditis? how to diagnose?
unrepaired cyanotic heart defects
admit –> serial positive blood cultures
how to treat SVT
carotid massage, valsalva, cold water
findings of Ebsteins anomaly
- quadruple heart sounds
- tricuspid regurg
- mid diastolic murmur
- RVH
- right ventricular conduction defects
do you have murmurs in WPW? what does it cause?
- no, but its associated with ebsteins, so you may hear murmurs
- causes paroxysmaly SVT
EKG findings in tricuspid atresia?
left axis deviation due to hypoplastic RV
heart defects seen in TAR?
TOF, ASD
cardiac effect of neonatal lupus
congenital heart block
also thrombocytopenia, nuetropenia, rash, HM
effects of Erb palsy and what test can you use to dx it
paralysis of brachial plexus AND diaphragm
can see on US
quickly lethal complication of staph pneumonia?
Tension pneumo –> toxin mediated destruction of alveoli
inspiratory stridor, think…..
biphasic stridor and high fever, think…… how should you treat?
croup
bacterial tracheitis –> intubate
is there a genetic basis for PUD? abd pain during day or night?
nocturnal pain
family basis
what day of life does jejunal atresia present?
day 1
when in life does intussussception occur? what is both diagnostic and therapuetic?
6 months
air contrast enema
when does malrotation cause sx
a few weeks
signs of meconium ileus on prenatal screen/ enema
prenatal US – echogenic bowel
contrast enema – microcolon
antibodies in UC
ASCA
pANCA
rumination
behavioral issue inovoling regurgitation and reswallowing of food
classify obstructive jaundice based on bili lab values
conjugated bili > 20% of total
treatment for labial adhesions
monitor and estrogen cream
hyperchloremic metabolic acidosis, plus glucosuria with no hyperglycemia
fanconi anemia
how are low grade VUR treated? how is high grade VUR treated?
low grade –> antibiotic proph and 3-4 mo cultures
high grade–> surgical reimplantation
risk for renal vein thrombosis in neonate
GDM –> LGA, polycythemia
blood in diaper and flank mass not noted in newborn physical
GAS rheumatogenic strains are associated with……
nephritogenic strains associated with….
rheum –> pharyngitis
nephro –> skin and throat
treatment of HUS
very closely supportive
sudden onsent testicular pain in boy…
testicular torsion, get immediate surgery consult
whats a feature that makes pseudoseizures distinct?
no loss of bladder or bowel control
acute infantile hemiplegia
sudden hemiparalysis with eyes stuck gazing to opposite side
neiman pick
sphingomyelinase
tay sachs
b-hexoaminidase
gaucher
b-galactosidase
fabry
a-galactosidase
features of gauche (misc)
hypogonadism, ptosis, cataracts
