25- apnea Flashcards Preview

Pediatrics > 25- apnea > Flashcards

Flashcards in 25- apnea Deck (12):
1

infant colic

crying several hours a day, usually in the evening, more than 5 nights a week. During episodes of crying, the baby is difficult to console.

typically starts after 2 weeks of age, peaks at 6 weeks, and gradually lessens by age 3 or 4 months

2

CNS causes of apnea

seizures- infection, structural, metabolic, electrolyte, genetic

increased ICP --> resp. center

breath holding spells

3

breath holding spells

healthy kids from 6 mo-6 yrs

silent at end of expiration-- color change

resolve spontaneously

4

cardiac causes of apnea

bradycardia secondary to congenital heart block or long QT syndrome

Congenital heart disease, particularly ductal-dependent lesions, or Tet

5

pulm causes of apnea

respiratory syncytial virus- premature

pertussis

pneumonias

6

GI causes of apnea

Swallowing abnormalities

tracheoesophageal fistula

7

systemic causes of apnea

sepsis

metabolic disorders

ingestion of meds, drugs, toxins

botulinum toxin

CO

8

Congenital Dermal Melanocytoses (Mongolian Spots)

black blue flat birthmarks

fade over several months

most on sacral/buttocks

9

Infant Glasgow Coma Scale

standardized scoring system for assess the level of neurological compromise in an infant.

total 15
A score above 13 represents mild or no neurological compromise.
A score below 8 means the infant is severely impaired and in coma

10

spiral fracture of tibia

acute onset of limp and refusal to bear weight on one leg. It usually occurs when a toddler falls while twisting, or gets a foot caught and falls while trying to free the foot.

not a sign of abuse

11

signs of infant abuse

retinal hemorrhages

posterior rib fractures

metaphysical fracture of wrist

subdural hematoma- crescent shaped

skull fracture

bruises at dif stages of healing

12

GERD and apnea

apnea--> hypoxia --> relax LES--> reflux