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Pediatrics PLE > Emergency > Flashcards

Flashcards in Emergency Deck (21):
1

Irregularly irregular pulse and RR interval on the ECG

Acute: Cardioversion
Chronic: Digoxin

Atrial Fibrillation

2

Atrial rate of 300-480 bpm
Regular rhythm with sawtooth undulation of baseline P wave

Atrial Flutter

3

Increased heart rate for age originating from the sinus node

HR: 110-180
Negative P waves in Lead I and aVF

Sinus Tachycardia

4

Most common significant cardiac arrhythmia

Supraventricular tachycardia

5

Sx: palpitation, shortness of breath, chest pain, respiratory distress, syncope, pallor

ECG: 150-300
Ventricular complexes are normal with fixed RR interval

Supraventricular tachycardia

6

ECG: rate 120-200, series of 3 or more consecutive ectopic beats

Wide complex tachycardia

Stable: IV Lidocaine
Unstable: cardioversion 1J/kg

Ventricular Tachycardia

7

Most common cause of chest pain in pediatrics

Musculoskeletal problems

8

Warm, tender, erythematous lid swelling, mucoid discharge; conjunctival swelling

Preorbital Cellulitis

9

Warm, tender, erythematous lid swelling, mucoid discharge; conjunctival swelling, ocular pain, limited EOM, chemosis

Orbital Cellulitis

10

Treatment for Orbital and Preorbital Cellulitis

Cephalexin OR Cefadroxil

11

Type of burn common in <5y/o

Scald burns

12

Type of burn common in 5-13y/o

Flame burns

13

Superficial epidermal layer is involved

Pink or light red; blanches on pressure

Heals without scarring within 6 days

First Degree Burn

14

Partial thickness burns

Papillary layer of dermis; with blisters and bullae, extremely painful

Heals within 10-20days

Second degree burn

15

Full thickness burns

All skin elements are lost, skin is dry, white or charred, thrombosed visible veins

Third degree burn

16

Involvement of subcutaneous tissue, fascia, tendon, muscle and/or bone

Fourth degree burn

17

Most common cause of scrotal swelling

Testicular torsion

18

Brain injury not demonstrable in radiographs but associated with a transient LOC

Concussion

19

Area of focal edema with or without hemorrhage in CT scan; with LOC and focal deficits

Contusion

20

Tear in middle meningeal artery

Temporoparietal skull fracture

Concussion followed by lucid interval and loss of consciousness with increase ICP

Epidural Hematoma

21

Tearing of the bridging veins between cerebral cortex and dura associated with severe brain injury

Coma or seizures; common in infants

Subdural hematoma