Psych (25) and Peds (9) Flashcards
Hr 24-48 = ____ admin against conjunctivitis caused by gonococcal and nongonococcal, nonchlamydial bacteria?
Conjunctivitis during htis time is called?
silver nitrate
chemical conjunctivitis
Infant develops copious purulent ophthalmic discharge within TWO-SEVEN DAYS after delivery. MCC:
N. gonorrhoeae
Infant develops copious purulent ophthalmic discharge within 7-15 DAYS after delivery. MCC:
chlamydia trachomatis
First line class of drugs for premature ejaculation
serotonin reuptake inhibitors (SSRIs)
what type of HA:
recurrent, pressure or band-like frontal pain often occurring during periods of stress.
tension HA
tx for HA characterized by recurrent, pressure or band-like frontal pain often occurring during periods of stress.
tension HA tx is non-narcotic analgesic (ibuprofen, acetaminophen, aspirin, naproxen)
in migraine therapy:
____ is a dopaminergic antagonist used in pts with N/V as dominant sx.
SE - acute dystonic reaction
metoclopramide
in migraine therapy: ___ is a serotonin receptor agonist that has vasoconstrictive properties.
cI in uncontrolled HTN, CAD, Peripheral vascular dz
triptan
Tx of choice for GAD
CBT
SSRI’s: paroxetine, fluoxetine, escitalopram, sertraline, SNRI’s: duloxetine, venlafaxine (good for GI dz)
anticholinergic (dry, red, hot, mad, blind) - dt ___ overdose
TCA overdose presentation
incrased muscle tone, extrapyramidal sx, AMS, hyperthermia, lead-pipe rigidity
neuroleptic malignant syndrome –> antipsychotic use
resp depression, apnea, hypothermia, hypotension, bradycardia, aspiration, pulmonary hypertension - overdose of what and what is antidote?
benzo OD tx with flumazenil
CNS depression, respiratory depression, miosis = ___ Overdose?
opioid
pain and redness in one eye with excessive tearing and feels like something is stuck. wears contacts. green color appears on cobalt blue light.
dx?
tx with?
CORNEAL ABRASION + CONTACT wearer = ciprofloxacin (fluoroquinolone or aminoglycoside) for anti-pseudomonal antibiotics
CORNEAL ABRASION alone = polymyxin B/trimethroprim drops
babies should sleep in supine position until what age?
one year
when should solid baby good begin?
when should whole cow’s milk be incorporated?
when should forward facing car seat?
4-6mo
1year
2years or outgrow rear-facing car seat (min 40lbs)
OCPD v. OCD
OCPD = preoccupied with orderliness and perfectionism, but inefficient at completing tasks. Stubborn, inflexible, find nothing wrong in their behavior
OCD - significant impairment due to obsessions (monk). Aware of their condition and recognize behavior as abnormal.
Fair skin pts between 10-24 should be counseled for?
skin cancer
routine screening for HSV, syphilis, scoliosis, or ilicit drug use?
no!
6mo of fear or anxiety about 2 or more of: using public transportaiotn, being in open spaces or closed spaces, stanign in lines or crowds, being outside the home ALONE
agorophobia
describe panic attack frequnency and sx # requirement.
> 1mo persistent worry about have another panic attack. >4sx
GAD definition
excessive worry about multiple things on most days for at least 6mo
what antidepressant is safe to use during preganncy?
SSRIs - fluoxetine, sertraline, citalopram, etc. EXCEPT paroxetine
Suspect ___ in a child who does not babble or point by 12mo, use single works by 16mo, or use 2 words by 24mo
autism
what are paroxetine, fluoxetine, citalopram, escitalopram, sertraline?
SSRIs - first line tx of major depressive disorder and anxiety disorders
What is this:
will experience episode of psych illness with sx of both schizophrenia and either depression or mania (bipolar), as well as 2 weeks of psychosis or (+)sx consitent with dx of schizo at a time when they are euthymic
schizoaffective disorder (i.e. bipolar pt with >2 wks of psychosis b/w episodes of depression or mania)
____ is defined by: >6mo of >2 of the following: delusions, hallucinations, disorganized speech
schizophrenia
____ is defined by: 1-6mo of >2 of the following: delusions, hallucinations, disorganized speech
schizophreniform
conduct disorder as a child can lead to ___ as an adult
antisocial personality disorder
think ___: newborn with cyanosis during feeding and blockage that prevents passage of nasogastric tube past nasal passage.
CHARGE --> (CHD7 gene) Coloboma (hole in iris or other eye structure) Heart defect choanal Atresia Restricted growth Genital hypoplasia Ear anomalies and deafness
At what age range should all children be screened for depression without a parent in the room, esp if a firearm is in the house?
12-18
At what age range sould children be screened for obesity?
6-17
what three things are the only screening recommendations for adolescent non-smokers who are not sexually active?
obesity, depression, skin cancer in fair skinned individuals
splitting = ?
borderline PD (key: impulsivity in >2 of: sex, substance abuse, driving)
how is tay-sachs different from other sphingolipidoses (i.e. Niemann Pick)?
no HSM
crumple tissue paper apperance of cells. beta glucosidase deficiency. erlenmeyer flask deformity
gaucher disease
mammography age guidelines
50-74=every two years
do not screen pts >___Ag for breast or colorectal cancer
75
