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Infectious diseases > UW ped 2 > Flashcards

UW ped 2 Flashcards

1
Q

MMR side effects

A

1-3 weeks after immunization –> maybe fever and mild rash that resolve without treatment –> avoid immunocompromised individuals

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2
Q

diagnostic symptoms of acute rhinosinusitis

A

1/3:

  1. Persistent symptoms for 10 or more days without improvement
  2. severe symptoms, fever, purulent nasal discharfe r face pain for 3 or more days
  3. worsening symptoms after 5 days after iniatially improving viral upper resp infection
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3
Q

treatment and MCC of acute rhinosinusisitis

A

MCC: S. pneum + H. infl

augmentin

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4
Q

Treatment of early Lyme in children younger than 8

A

amoxicillin

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5
Q

Lyme - when ceftriaxone

A

mennigitis or AV block

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6
Q

MC predisposing factor for acute bacterial sinusitis

A

viral upper resp infection

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7
Q

causes acute unilateral cervical lymphadenitis in children

A

MC: S. aureus (non-toxic appearance) (S. pneu is the 2nd MCC)
anaerobic: dental
Bartonella: cat
Myc vium: gradual onset, no tenter

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8
Q

causes of acute bilateral cervical adenitis in children

A
  1. adenovirus: pharyngocunctivitis

2. EBV/CMV: mononucleosis

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9
Q

congenital infeciton with increased head

A

toxoplasmosis

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10
Q

congenital toxo - treatment

A

TMP-SXM PLUS FOLATE for 1 year

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11
Q

Congenital toxoplasmosis vs CMV regarding calcifications

A

toxo –> diffuse intracranial calcification

CMV –> periventricular calcfication

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12
Q

findings to all congenital infections

A
  1. intrauterine growth restrction
  2. hepatosplenomegaly
  3. jaundice
  4. blueberry muffin spots
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13
Q

congenital infection - unique for CMV

A

periventricular calcifications

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14
Q

congenital infection - unique for toxoplasmosis

A

diffuse intracerebral calcification
severe chorioretinitis
macrocephaly + hydrocephalus

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15
Q

congenital infection - unique for syphilis

A

Rhinorrhea
abd long bone radiographs
desquamating or bullous rash

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16
Q

features of normal lymph nodes / next step

A

soft, mobile, smaller than 2 cm, no systemic symptoms

–> observation –> if persists –> CBC

17
Q

pertusis - diagnosis

A

Culture
PCR of nasopharynx
LYMPHOCYTOSIS

18
Q

Pertussis - clinical phases

A

catarrhal (1-2 wks): mild cough, rhinitis
paroxysmal (2-6 wks): cough with isn whoop, posttusive emesis
Convasescent (wks to months: symptoms resolve gradually

19
Q

pediatric meningitis: MCC of meningitis in 0-3 months, 3 months - 10 years, older than 10

A
  • 0-3: 1. S. agalacte 2. E.coli 3. listeria 4. HSV
  • 3-10: S. pneum, N. meningitis
  • older than 10: N. mening
20
Q

meningitis in infants - LP

A

immediately

CT in not necessary because herniation is very rare in infants

21
Q

meningitis in infnats - CT

A 
no because herniation is very rare in infants 
only if: 
1. comatose
2. focal neurological findings
3. history of neurosurgical procedure
22
Q

MCC of neonatal sepsis

A

sterp agalacte

23
Q

Key resp tract infection in children - diagnosis, pathogen, presentation

A
  1. croup –> parainfl –> age 6 month - 3, Barky, stridor, hoarse voice
  2. epiglottitis –> H. inf –> unvaccin, sore throat, dysphagia, droolng, tripod
  3. Bronchiolitis –> RSV, younger than 2, wheezing, coughing
24
Q

Neonatal sepsis - clinical feature

A
  1. Q instability (fever or hypothermia
  2. poor feeding
  3. jaundice
  4. CNS signs (lethargy, irritability, apnea
  5. Abnormal WBCs (high or low)
    5 left shift
25
Q

neonatal sepsis - diagnosis / treatment

A

blood, urine, CSF culture

parenteral antibiotic therapy (eg. ampicillin + gentamycin)

26
Q

MCC of sepsis in SC anemia

A

S. pneum (despite immunization)
prophylactic penicillin until age 5
(H. inf + N. mening can cause sepsis, but vaccination is enough to protect)

27
Q

rubella - when in pregnancy is worse

A

1st trimester (transplacental)

28
Q

osteomyelitis in children - orgnamisms

A

healthy children: S. aureus

with SCD: salmonella, staph

29
Q

osteomyelitis in healthy children - organism and treatment

A

S. aureus:
low likelihood of MRSA: Nafcillin or cefazolin
high likelihood: Clindamycin or vancomy

30
Q

osteomyelitis in chikdre with SCD - orgnaism and treatment

A

Salmonella + S. aureus

like healhty + 3rd generation cephalosporin

Infectious diseases (13 decks)

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