UW ped 2 Flashcards
MMR side effects
1-3 weeks after immunization –> maybe fever and mild rash that resolve without treatment –> avoid immunocompromised individuals
diagnostic symptoms of acute rhinosinusitis
1/3:
- Persistent symptoms for 10 or more days without improvement
- severe symptoms, fever, purulent nasal discharfe r face pain for 3 or more days
- worsening symptoms after 5 days after iniatially improving viral upper resp infection
treatment and MCC of acute rhinosinusisitis
MCC: S. pneum + H. infl
augmentin
Treatment of early Lyme in children younger than 8
amoxicillin
Lyme - when ceftriaxone
mennigitis or AV block
MC predisposing factor for acute bacterial sinusitis
viral upper resp infection
causes acute unilateral cervical lymphadenitis in children
MC: S. aureus (non-toxic appearance) (S. pneu is the 2nd MCC)
anaerobic: dental
Bartonella: cat
Myc vium: gradual onset, no tenter
causes of acute bilateral cervical adenitis in children
- adenovirus: pharyngocunctivitis
2. EBV/CMV: mononucleosis
congenital infeciton with increased head
toxoplasmosis
congenital toxo - treatment
TMP-SXM PLUS FOLATE for 1 year
Congenital toxoplasmosis vs CMV regarding calcifications
toxo –> diffuse intracranial calcification
CMV –> periventricular calcfication
findings to all congenital infections
- intrauterine growth restrction
- hepatosplenomegaly
- jaundice
- blueberry muffin spots
congenital infection - unique for CMV
periventricular calcifications
congenital infection - unique for toxoplasmosis
diffuse intracerebral calcification
severe chorioretinitis
macrocephaly + hydrocephalus
congenital infection - unique for syphilis
Rhinorrhea
abd long bone radiographs
desquamating or bullous rash
features of normal lymph nodes / next step
soft, mobile, smaller than 2 cm, no systemic symptoms
–> observation –> if persists –> CBC
pertusis - diagnosis
Culture
PCR of nasopharynx
LYMPHOCYTOSIS
Pertussis - clinical phases
catarrhal (1-2 wks): mild cough, rhinitis
paroxysmal (2-6 wks): cough with isn whoop, posttusive emesis
Convasescent (wks to months: symptoms resolve gradually
pediatric meningitis: MCC of meningitis in 0-3 months, 3 months - 10 years, older than 10
- 0-3: 1. S. agalacte 2. E.coli 3. listeria 4. HSV
- 3-10: S. pneum, N. meningitis
- older than 10: N. mening
meningitis in infants - LP
immediately
CT in not necessary because herniation is very rare in infants
meningitis in infnats - CT
no because herniation is very rare in infants only if: 1. comatose 2. focal neurological findings 3. history of neurosurgical procedure
MCC of neonatal sepsis
sterp agalacte
Key resp tract infection in children - diagnosis, pathogen, presentation
- croup –> parainfl –> age 6 month - 3, Barky, stridor, hoarse voice
- epiglottitis –> H. inf –> unvaccin, sore throat, dysphagia, droolng, tripod
- Bronchiolitis –> RSV, younger than 2, wheezing, coughing
Neonatal sepsis - clinical feature
- Q instability (fever or hypothermia
- poor feeding
- jaundice
- CNS signs (lethargy, irritability, apnea
- Abnormal WBCs (high or low)
5 left shift
neonatal sepsis - diagnosis / treatment
blood, urine, CSF culture
parenteral antibiotic therapy (eg. ampicillin + gentamycin)
MCC of sepsis in SC anemia
S. pneum (despite immunization)
prophylactic penicillin until age 5
(H. inf + N. mening can cause sepsis, but vaccination is enough to protect)
rubella - when in pregnancy is worse
1st trimester (transplacental)
osteomyelitis in children - orgnamisms
healthy children: S. aureus
with SCD: salmonella, staph
osteomyelitis in healthy children - organism and treatment
S. aureus:
low likelihood of MRSA: Nafcillin or cefazolin
high likelihood: Clindamycin or vancomy
osteomyelitis in chikdre with SCD - orgnaism and treatment
Salmonella + S. aureus
like healhty + 3rd generation cephalosporin
