peds Flashcards

1
Q

clinical fx of herpangina

A
  • coxsackie A virus

- painful posterior pharyngeal vesicles

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2
Q

clinical fx of aphthous stomatitis

A
  • recurrent ulcers on anterior oral mucosa

- no fever of systemic fx

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3
Q

clinical fx of group a streptococcus pharygitis

A
  • tonsillar exudates

- fever, anterior cervical lymphadenopathy

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4
Q

clinical fx of infectious mononucleosis (EBV)

A
  • tonsillar exudates
  • fever, diffuse cervical lymphadenopathy
  • +/- hepatosplenomegaly
  • viral exanthema after amoxicillin or ampicillin, usually immune mediated
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5
Q

treatment of Infectious mononucleosis

A
  • supportive tx

- sports avoided for splenic rupture

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6
Q

treatment of symptomatic ITP in children

A
  • steroids, IVIG
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7
Q

clinical fx of tension pneumothorax

A
  • hemodynamic instability

- trachea shifts to opposite side

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8
Q

when does stress fracture (seen in runners) show up on x-ray?

A
  • 2-3 weeks after symptoms arise
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9
Q

neonatal chlamydial infx (conjunctivitis, pneumonia) sx, mode of transmission, treatment

A
  • thickened injected conjunctivae (chemosis)
  • staccato cough, rales, hyperinfalation on chest x-ray, absence of fever
  • direct vaginal contact
  • oral erythromycin for 14 days
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10
Q

features of acute otitis media

A
  • micro: strep pneumo, nontypeable haemophilus influenza (purulent conjunctivitis), moraxella catarrhalis
  • middle ear effusion plus bulging tympanic membrane
  • initial tx: amoxicillin, 2nd line: amoxicillin-clavulanic acid
  • cx: conductive hearing loss, meningitis, mastoiditis
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11
Q

Treatment for lyme disease, risk for pregnant ppl

A
  • doxycycline

- for pregnant ladies, amoxicillin or cefuroxime, no risk if treated properly

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12
Q

Effects of maternal hyperglycemia on fetus

A
  • macrosomia
  • hypocalcemia
  • hypoglycemia
  • hyperviscosity due to polycythemia
  • cardiomyopathy and CHF
  • respiratory difficulties
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13
Q

atrialized right ventricle in what disease

A

ebstein’s anomaly (mothers who take lithium during pregnancy)

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14
Q

Clinical presentation of rubella

A
  • congenital: hearing loss, cataracts, PDA
  • children: cephalocaudal spread of rash, fever
  • adolescents/adults: same plus arthralgia/arthritis
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15
Q

Diagnosis and prevention of rubella

A
  • serology

- live attenuated vaccine

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16
Q

Isolated alk phos elevation with normal LFT in pt with sarcoidosis is likely what disease?

A

granulomatous disease

17
Q

fussy baby, first time parents, no close family support. Likely diagnosis and common finding?

A

shaken baby syndrome

retinal hemorrhages