Quick Facts Flashcards
What type of seizures are characterized by brief, frequent, ‘jackknifing’ movements in infants, especially in the morning?
Infantile spasms
What does sixth cranial nerve palsy indicate?
Elevated ICP, if normal imaging think pseudotumor cerebri
infant with poor feeding and constipation?
Think botulism
erratic behavior progressing to altered mental status with CSF pleocytosis?
Anti-NMDA encephalitis (teen girls think ovarian teratoma)
newborn with bounding pulses, widened pulse pressure, and pulsatile fontanelle?
Arteriovenous malformation
What is the most accurate imaging study for stroke?
MRI with DWI (if can be done ASAP)
Pt w progressive weakness who had a diarrheal illness a month ago
Guillain-Barré syndrome (triggered by Campylobacter jejuni infection)
Evidence of a CNS infection and focal neurological findings. What imaging study is needed
Head CT with contrast (brain abscess)
What is a warm, tender neck mass in the anterior triangle indicative of?
Infected branchial cleft cyst
febrile child with a hot-potato voice and inability to extend the neck?
Suggestive of retropharyngeal abscess
cyanosis that improves with crying?
Choanal atresia
What is commonly associated with nasal polyps?
Cystic fibrosis
What is the management for nasal septal hematoma?
Needs urgent drainage to prevent ischemia of the septal cartilage
What does nontender unilateral lymphadenopathy with violaceous overlying skin suggest?
Possible nontuberculous mycobacterial infection
What is the most common cause of parotitis in an unvaccinated patient?
Mumps
neonate with fever and swollen parotid gland?
Acute suppurative parotitis due to Staphylococcus aureus
What is the most common source of orbital cellulitis?
Ethmoid sinusitis
tearing, pain, and foreign body sensation in the eye?
Corneal abrasion
What is concerning for delayed passage of a newborn’s first meconium?
CF
stridor in a neonate that resolves after intubation
Laryngeal web
What should be considered for a 2-year-old with sudden-onset wheeze that doesn’t respond to albuterol?
Possible foreign body aspiration
How should rising CO2 levels be managed in a mechanically ventilated patient?
Increase the respiratory rate or tidal volume
high fevers, drooling, and respiratory distress in an unvaccinated child? Management?
epiglottitis
Intubate in the OR ASAP and don’t upset the child
What is the most common etiology and timing of stridor?
Extrathoracic obstruction and inspiratory
What is the most common etiology and timing of wheeze?
Intrathoracic obstruction and expiratory
What is the preferred imaging to evaluate parapneumonic effusion?
Ultrasound
What condition may be indicated by unilateral pleural effusion after thoracic surgery?
Chylothorax
What does a tachypneic patient with normal PaCO2 suggest?
Impending respiratory failure (should have low PA CO2)
What is the most common organism in bacterial tracheitis?
S. aureus
Murmur worsens after standing up?
Hypertrophic cardiomyopathy
What is the most common cause of myocarditis in children?
Coxsackie B
diffuse ST segment elevations?
Pericarditis
What chest x-ray finding is described as a boot-shaped heart?
TOF
What chest x-ray finding resembles an egg-on-a-string?
Transposition of the great arteries
What chest x-ray finding is described as a snowman-shaped mediastinum?
Total anomalous pulmonary venous return
What cardiac defect is associated with Down syndrome?
Endocardial cushion defect (atrioventricular canal defect)
Name a reversible cause of cardiac arrest.
H’s and T’s:
hypovolemia, hypoxia, hydrogen (acidosis), hypoglycemia, hypo-/hyperkalemia, hypothermia
tension pneumothorax, tamponade (cardiac), toxins, thrombosis (pulmonary or coronary)
What occurs in a patient in shock that worsens after a normal saline bolus?
Cardiogenic shock
Which rhythms require an unsynchronized shock?
Ventricular fibrillation and pulseless ventricular tachycardia
What is the first-line medication for supraventricular tachycardia?
Adenosine
Patient has liver disease and low albumin but high total protein
Auto immune hepatitis (high protein due to elevated IGG)
Two month old infant has projectile vomiting and hyperbilirubinemia
Pyloric stenosis (icteropyloric syndrome)
Intussusception in a 10-year-old should prompt an evaluation for
A lead point (lymphoma or meckel’s)
Neonate with Bilious emesis: what imaging is gold standard for diagnosis?
Upper G.I. series (malrotation/volvulus)
What is the test for protein losing enteropathy?
Stool alpha one antitrypsin
Well appearing three month old with bloody stools. What is the treatment?
Hydrolyzed formula or elimination diet for breast-fed mom
Painless, bright red blood per rectum
Meckel’s diverticulum
Neonate with direct hyperbilirubinemia and high ferritin
Neonatal hemochromatosis
Fever, abdominal pain, jaundice
Cholangitis (charcot triad))
Patient with ulcerative colitis presents with pruritis
Primary sclerosing cholangitis
Diarrhea and seizures
Shigella
Signs of toxin, mediated infectious diarrhea
Watery, non-bloody, symptoms come on with an hour not days.
S aureus, B cereus
Urinalysis with blood, but no red blood cells
Rhabdomyolysis
Kidney disease with low C3 and normal C4
Post infectious glomerulonephritis
Kidney disease with low C3 and low C4
Lupus glomerulonephritis
Persistent microscopic hematuria with a family history of stones
Hypercalciuria.
Get a urine calcium to creatinine ratio.
Bilateral hydronephrosis in a male infant
Posterior urethral valves
Which stones are radio opaque
Anything with mineral: calcium oxalate, calcium phosphate, Mag/ammonium/phos (struvite)
What do white blood cell cast and eosinophiliuria indicate?
Acute interstitial nephritis.
Fever, rash, exposure to medication’s
Patient with nephrotic syndrome, develops fever and abdominal tenderness
Spontaneous bacterial peritonitis likely caused by strep pneumonia