neonatal Resp distress syndrome and chronic cough, Brandau

Question 1

Tx RDS in neonate

Answer 1

surfactant administration after intubation

Question 2

Tx CMV

Answer 2

ganciclovir

Question 3

most common congenital viral infection

Answer 3

CMV

Question 4

effects of CMV

Answer 4

mental retardation, cerebral palsy, hearing impairment

Question 5

clinical findings CMV

Answer 5

growth restriction
HSM
jaundice
petechiae
"blueberry muffin" spots
microcephaly
chorioretinitis
sensorineural hearing loss
cerebral calcifications

Question 6

• coombs test means what

Answer 6

not immunologic

Question 7

Infant is on ventilation and CXR shows coarse streaky infiltration with small areas emphysema and cysts

Answer 7

bronchopulmonary dysplasia

Question 8

appearance of RDS on CXR

Answer 8

granular

Question 9

what is a chronic cough in peds

Answer 9

cough more than 3-4 weeks

Question 10

key parts Hx of chronic cough in kids

Answer 10

age of child
nature and timing of cough
time of year
wet or dry

Question 11

What makes GERD likely cause chronic cough

Answer 11

worsens with feedings or assoc with vomiting

Question 12

when is TEF likely for chronic cough

Answer 12

worsens with feeding and no vomiting

Question 13

cough with cyanosis not relieved by O2 suggests what

Answer 13

congenital heart disease with R to L shunt

Question 14

when is sepsis considered for chronic cough

Answer 14

assoc with tachycardia

Question 15

stacato cough means what in first few mo of life

sharp rapid fire

Answer 15

infection chlamydia trachomatis pneumonia

Question 16

bronchiectasis cough is wet or dry

Answer 16

wet

Question 17

what are causes chronic cough in adolescent

Answer 17

asthma
tumors (rare)
vocal cord dysfunction (stress or exercise)