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PANCE > Peds > Flashcards

Peds Flashcards

1
Q

laryngotracheitis (croup)

A

non-toxic 6 month to 3 YO

  • barky seal like cough, inspiratory stridor
  • steeple sign
  • MCC parainfluenza
  • treat with steroids, nebulized epi
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2
Q

Henoch-schonlein purpura

A

4-12 YO with recent URI
abdominal pain, arthralgia, maculopapule rash that began on butt/LE
tx is supportive
IgA
associated with nephropathy, intussuception

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3
Q

Barlow

A

flexing and adducting while applying posterior pressure through hip

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4
Q

Ortolani

A

used to reduce hip by abducting hip withposterior pressure

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5
Q

Galeazzi sign

A

uneven knee heights

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6
Q

cradle cap

A

seborrheic dermatitis

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7
Q

what results from congenital rubella syndrome?

A

sensinoneural hearing loss, cataracts, congenital heart disease

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8
Q

DTap vs

Tdap vs

A

infants receive DTap 5 times before the age of 7 (2, 4, 6 months, 15-18 months, b/w 4-6 years)
Tdap is given over the age of 7
after age 11 give another Tdap

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9
Q

pyloric stenosis

A

2-8 weeks old
non-bilious projectile vomiting after feeding and early satiety
RUQ olive like mass
dx via US, string sign

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10
Q

roseola (exanthem subitum)

A
  • high fever for 3-4 days
  • rash that started AFTER fever went away
  • blanching maculopapular rash that begins at neck adn trunk and spreads to face/extremities
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11
Q

intussuception

A
  • colicky ab pain, vomiting, bloody stools (currant)
  • dx via US
  • tx is air/contrast enema
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12
Q

Kawasaki

A
  • high fever for 5 days
  • conjunctivits, rash, strawberry tongue, hand/feet edema, fever
  • treat via IVIG/aspirin
  • risk of coronary artery aneurysm
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13
Q

erythema infectiosum

A
  • fifth disease, slapped cheek

- caused by parvovirus B19

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14
Q

pertussis

A
  • whooping cough, inspiratory whoop, post-tussive emesis
  • nasal congestion, cough, fever
  • macrolide
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15
Q

hyaline membrane disease aka neonatal respiratory distress

A
  • premie
  • decrese in surfactant
  • xray shows ground glass
  • tx is O2, intubation, surfactant
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16
Q

simple febrile seizure

A
  • fever >38

- single tonic-clonic seizure lasting <15 minutes

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17
Q

HIB vaccination schedule

A

2, 4, 6 months, booster at 15-18 months

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18
Q

MMR vaccination schedule

A

start at 12-15 months, then one at 4-6 years

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19
Q

chlamydial conjunctivitis

A

neonate 5-14 days after delivery

-ORAL erythromycin

20
Q

measles (rubeola)

A

rash that starts on head and spreads to feet

21
Q

RSV mediation

A

pavlizumab

used for those with cyanotic heart disease, CHF, PHTN

22
Q

peritonsilar abscess

A

h/o pharyngitis, sore throat, fever
PE shows dysphagia, drooling, hot potato voice and displaced uvula
tx-I and D + anbx

23
Q

retropharyngeal abscess

A

toxic appearing

widened retropharyngeal space

24
Q

breast milk jaundice

A

occurs during 2nd week of life from increased enterohepatic recirculation of billirubin

25
Q

breastfeeding jaundice

A

suboptimal intake of breast milk in first few days of life

26
Q

strabismus

A

cross eye, can lead to amblyopia

27
Q

amblyopia

A

lazy eye

28
Q

herpangina

A

fever, sore throat, dysphagia, and pharyngeal lesions (vesicles and ulcers)
supportive therapy

29
Q

Croup

A

parainfluenza
URI sxs then barking cough and inspiratory stridor
TX w.steroids or rac epi

30
Q

Undescended testes

A

if nothing by 6 months, refer for elective sx

31
Q

intestinal malrotation

A

Young Child with sudden bilious vomiting

failure of the duodenal-jejunal junction to cross midline

32
Q

Gonorrhea conjunctivitis

A

less than 5 days old

33
Q

ASD

A

S2, fixed splitting of second heart sound
Systolic LSB
Tricuspid regurg

34
Q

1st trimester EDD

A

Fetal crown rump length

35
Q

rotavirus vaccine

A

given orally
given before 15 months and not after 8 months
risk of intussuception

36
Q

what should a 4 YO be able to do?

A 
draw a square
count to 4
identify 4 colors
4-5 word sentence
lift head to 90 degrees in prone
37
Q

double BW
Triple BW
Quad BW
Double BL

A

6 months
1 year
2 years
4 years

38
Q

cocaine babies

A

SGA, microcephaly

39
Q

IPV vaccine schedule

A

2 and 4 months, 6-18 months, 4-6 years

40
Q

MMRV

A

12-15 months, 4-6 years

41
Q

HUS

A

hemolytic anemia, thrombocytopenia, AKI

42
Q

congenital toxo

A

from cat poop or undercooked meat

43
Q

how to tx a choking child <1

>1

A

back blows

ab thrusts

44
Q

what should a 6 month old be able to do?

A

sit on propped up hands, transfer objects b/w hands, respond to name.
stranger anxiety develops
moro and grasp reflexes dissapear but babinski still present

45
Q

Meckels

A

painless rectal bleeding in children 2 years of age w/o diarrhea, vomiting

46
Q

CMV congenital presentation

A

jaundice, petechiae, hepatosplenomegaly, periventricular calcifications
microcephaly

47
Q

what should a 2 YO be able to do

A

50 word vocab, follow two step commands,

PANCE (15 decks)

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