World 2 Flashcards
which vitamin should be used in measles
measles rx= supportive
use vitamin A if sever
s/s of x linked agammaglobulinemia
- recurrent GI and pulm infections
- small lymphoid tissue (tonsils)
- results from failure of B cell maturation
SCID deficiency
adenosine deaminase
impaired T cells
severe recurrent infections
Complement deficiency infections
encapsulated bacteria, ex:
strep pneumoniae
n meningitidis
Impaired oxidative burst
granulomatous disease
recurrent skin and pulm infection
Congenital diaphragmatic hernia neonatal management
resp distress–> intubate
orogastric tube placement with suction
(bag mask makes things worse)
down syndrome and neonatal bowel
downs is acs with hirschsprung disease
Infant milk protein allergy
blood streaked, mucus, loose stool or constipation
swimmer’s ear pathogen
pseudomonas
Viral myocarditis s/s
signs of heart failure after viral prodrome
cardiomegaly
hepatomegaly (from heart failure)
*coxsackie B
Strep under 3 years old
unusual b/c they do not have throat epithelial attachment sites < 3 years old
EHEC is characterized by
microangiopathic hemolytic anemia
thrombocytopenia
AKI
Erythema toxicum neonatorum
benign blanching red rash with pustules
well appearing full term afebril babies
resolves in 2 weeks without rx
When should birth weight be regained
by 10-14 days
Neonatal anemia in preterm baby is most commonly
anemia of prematurity
↓ EPO
usually asymptomatic
G6PD on peripheral smear
Heinz bodies and bite cells
Triple bubble sign on x ray
jejunal atresia
Necrotizing enterocolitis sign on x ray
pneumatosis intestinalis (gas leak into damaged bowel)
Leukocyte adhesion deficiency s/s
-skin/ mucosal bacterial infections
-NO purulence
-severe periodontal disease
delayed cord separation
Frequent infections with catalase + bugs
CGD
ex
staph aureus
serratia
SCID is deficient in
adenosine deaminase deficiency
What axis deviation is normal in a new born
Right axis deviation is normal, since the right heart is responsible for systemic circulation in fetal period
What is wrong in tricspid atresia
no communication between RA and RV
venous return is through:
RA–>ASD–>LA–> LV–> VSD–> Pulm
RV is hypoplastic
What is wrong in complete AV canal defect
heart has no separation of chambers
Heart defect from lithium
ebsteins anomoly
malformed tricuspid valve (droopy)
What is wrong in total anomalous pulm return
all 4 pulm veins do not make normal connection to LA
Imaging after first UTI
renal bladder US
voiding cystourethrogram if under 1 years old or abnormal US
