Wrongs Flashcards
treatment for gonococcal septic arthritis
IV ceftriaxone
next step in evaluating a kid who drank drain cleaner?
admit for esophageal endoscopy
treatment for GI salmonella infection?
reassurance
findings of chlamydia pna?
PNA, eye discharge, and peripheral epsinophila
treatment for chlamydia pna
oral erythromycin
common stroke in kid who has headache, syncope, one sided facial drooping and hemiparesis
occlusion of the middle cerebral artery
what should school do for kid with dyslexia?
make IEP
kid locked in hot care, has increased creating kinase (rhabdo). what other electrolyte imbalance is associated with rhabdo?
hyperkalemia
what test do you followup with after aninfants first febrile UTI?
renal US
abx treatment for cat scratch fever?
azithromycin
most common neurologic impairment associated with congenital CMV?
sensorineural hearing loss
chronic cough, unilateral pna unresponsive to treatment?
foreign body aspiration
prophylactic treatment after mammal bite to a vital area (hands, feet, face, genitals, tendon?
amoxicillin-clavulanate
treatment after mammal bite in non-vital area?
cleansing and observation
treatment after human bite?
amoxicillin-clavulanate
little girl with pinworms. treatment?
mebendazole
kid who eats dirt and get sick?
visceral larva migricans
whcih antibody can cross the placenta?
IgG (gestation)!!!!
kid with short stature and no other problems? dx?
growth hormone deficiency; left wrist and hand radiograph
treatment for infant with meconium staining and respiratory distress (meconium aspiration syndrome?
surfactant through ET tube
heart rate in SVT?
over 205
unilateral leukocoria with strabismus OR b/l leukocoria?
retinoblasatoma
hearing loss in a child with a strong family history of deafness. what other sx do you wanna check for?
Alport Syndrome; microscopic hematuria
acute onset abdominal pain with bilious emesis?
volvulus
diagnostic study for volulus?
upper GI contrast/barium study
newborn infant who has respiratory distress and cyanosis who turns pink when he cries?
bilateral choanal atresia (babies are obligate nose breathers)
contraindications to brestfeeding in a newborn:
- Infant:
- galactosemia
- mom:
- active, untreated TB (expressed milk may be used)
- active herpes simples on moms breast (expressed milk may be used)
- varicella 5 days before-2 days after delivery (expressed milk may be used)
- illicit drug use
- mom getting chemo
- maternal exposure to radiation (temporary interruption)
- HIV okay as long as mom and baby are getting treatment
diseases mom may have but can still breastfeed with:
- hep B
- syphilis
- cytomegalovirus
- group B strep
treatment of otitis externa?
topical corticosteroids and topical antibiotics
therapy for torticollis?
physical therapy
what signs will an older kid with pertussis have?
pt with coughing illness that lasts more than 14 days or more that includes a whoop, posttussive emesis, and aroxysms of coughing. may have petechiae on face from coughing so hard.
next step when you find an infant with imperforate hymen?
use US to confirm normal utervaginal structures; will need surgery
kid with rhabdomyoma (“heart tumor), ash-leaf macules (hypopigmented lesions), neurologic sx (seizures, autism), angiofibromas (papules over side of nose and medial protion of cheeks), shagreen patches (orange-peel, leathery patches on lowerback or nape of neck)
tuberous sclerosis
cafe aulait (hyperpigmented) spots , ADHD, family hx of seizures,axillary or inguinal freckles, optic glioma, lisch nodules (iris hamartomas), neurofibromas on the skin
NF1 (NF2 is similar + acoustic neuromas)
congenitla hamartomatous lesions involving the eye, skin, and CNS; unilateral port wine stain following the distribution of a trigeminal nerve; mental retrdation or seizures are common
sturge-weber syndrome
pt with vision problems, CNS problems (HA, ataxia), HTN (pheocromocytoma), cysts in pancreas and kidneys
Von Hippel-Lindau
signs and sx of Turner syndrome prenatally or in baby:
Mostly have to do with lymphedema:
- swollen hands and feet
- webbed neck
- hypoplastic or hyperconvex nails
- sausage fingers and toes
- reduced lower extremity pulses (coartation of arota)
EXPECT LOW STATURE AS ADULT
