Seizures, Trauma

Question 1

Infantile spasm presentations

Answer 1

Patient is young

Question 2

How to diagnose infantile spasms?

Answer 2

EEG shows hypsarrhythmia

Question 3

How to treat infantile spasms?

Answer 3

ACTH

Question 4

Consequences of infantile spasms?

Answer 4

MR and psychomotor retardation

Question 5

Tuberous sclerosis patient

Answer 5

Young

Question 6

How to diagnose tuberous sclerosis?

Answer 6

CT shows tubers?

Question 7

How to treat tuberous sclerosis

Answer 7

Supportive care

Question 8

Concussion grades

Answer 8

Grade 1: no LOC, no amnesia. 20 min rest
Grade 2: +LOC, no amnesia. 1 week rest
Grade 3: +LOC, +amnesia. 1 month rest

Question 9

Common preventative measures for kids

Answer 9

Helmet, seatbelts, backwards facing car seats

Question 10

When to sit in a booster seat?

Answer 10

4 ft and 40 pounds

Question 11

Definition of drowning

Answer 11

Death in water or death within 24 hours

Question 12

Definition of near-drowning

Answer 12

Death after drowning >24 hours, or survival

Question 13

How to prevent drowning

Answer 13

Locked gates, constant supervision, use lifejackets (over floaties)

Question 14

What type of water has a better prognosis for drowning?

Answer 14

Fresh water > Salt water (increases edema, worse prognosis)

Question 15

Parkland formula for kids

Answer 15

%bsa x kg x 4 + maintenance

BSA calculated different: 18 for head, 9 for each limb, 9 for back, 9 for abd, 9 for pelvis, 9 for butt

Question 16

Maintenance?

Answer 16

0-10kg = 100 cc/kg/day
10-20 = 50cc/kg/day
20+ = 20cc/kg/day

Question 17

Do febrile seizures increase the risk of developmental, intellectual, or growth problems?

Answer 17

No!

Question 18

How to treat prolonged febrile seizure?

Answer 18

Intrarectal diazepam

Question 19

How to diagnose developmental dysplasia of the hip?

Answer 19

Hip ultrasound