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EOR PEDS > HEENT GI Infectious > Flashcards

HEENT GI Infectious Flashcards

1
Q

esotropia

A

cross eyed (deviation of eyes toward nose)
abducens palsy
infantile treatment is surgery

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2
Q

exotropia

A

“wall eyed”

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3
Q

fever
proptosis
restricted EOMI
dx, tx

A

orbital cellulitis

Nafcillin

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4
Q

unilateral eye pain with swollen lacrimal sac that is red and tender

A

Dacrocystitis

augmentin

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5
Q

Painful ear on tug test and with tragus pressure
edema of canal skin
dx
tx

A

Otitis Externa
acidification drying agent
abx drops- fluoroquinolone

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6
Q

Otalgia with decreased mobility of TM

A

AOMI
1st line- Amoxicillin
2nd- Augmentin, allergy- Cefdinir

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7
Q

5 day hx of ear pain, patient suddenly felt relief but had discharge that was yellow with pink tinges

A

tympanic membrane perf 2 to AOMI

will heal spontaneously but tx infection with ototopical abx drops

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8
Q

postauricular ear pain, fever, displaced pinna
w/o
tx

A

mastoiditis
CT
IV abx and otic drops

no improvement in 24-48hrs then sx

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9
Q

2 day hx of fever and malaise
now parotid tenderness and facial edema
w/o to dx
tx

A

Mumps
serum IgM maybe

symptomatic, isolation until swelling subsides

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10
Q

adherent creamy white plaques on tongue easily scraped off

A

thrush/oral candidiasis

Nystatin suspension vs fluconazole

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11
Q

c/o sore throat
“hot potato voice”
displacement of tonsil on exam

A

Peritonsilar Abscess

needle aspiration and augmentin

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12
Q

10 days of purulent rhinorrhea, facial pain over maxillary and ethmoid areas, and nasal obstruction. Febrile.
Dx tx

A

sinusitis- likely bacteria by hx

Augmentin, doxy, quinolones, etc

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13
Q

MCC pharyngitis

A

EBV

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14
Q

sxs suggestive of GABHS pharyngitis

A

fever
tonsilar exudate
no cough
tender anterior cervical LAN

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15
Q

TOC strep pharyngitis

A

Penicillin V or Amoxicillin

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16
Q

drooling, dysphagia, distress

A

epiglottitis

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17
Q

thumbprint sign

A

epiglottitis

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18
Q

tx for epiglottitis

A

ABCs- immed consult
Ceftriaxone 1st line
IV methylprednison

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19
Q

MCC gastroenteritis

A

Norwalk virus

20
Q

inflammatory causes of gastro

A 
shigella
salmonella
yersenia
campylobacter
ecoli
21
Q

isotonic dehydration timetable of reperfusion

A

1/2 fluid over 8 hrs

2nd 1/2 over next 16 hrs

22
Q

PEDs maintenance fluids

A

4-2-1 rule
first 10kg : 4ml/kg/hr
10-20 kg : 2ml/kg/hr
+ 20kg : 1 ml/kg/hr

23
Q

criteria for colic dx

A

otherwise healthy
2-3 months

> 3hrs a day, >3 days a week, >3 weeks

24
Q

duodenal atresia MC in what pts

A

Down Syndrome

25
Q

bilious vomit within first 24hrs of life

A

Duodenal atresia

26
Q

US showing double bubble

A

Duodenal atresia

27
Q

projectile vomiting, nonbilioius, 3 wk M

A

pyloric stenosis

28
Q

RUQ palpable olive mass in 2wk old male

A

pyloric stenosis

29
Q

MC metab abnl found in pyloric stenosis

A

hypochloremic alkalosis with decreased K+

30
Q

sudden bilious vomiting in 3wk old

US shows “whirl pooling”

A

Intestinal malrotation

31
Q

5m M with recurring episodes of abd pain with screaming and drawing up of the knees followed by diarrhea

A

intussusception

32
Q

sausage-shaped mass upper mid-abd

A

intussusception

33
Q

Dx/Tx Intussusception

A

US most sensitive
barium/air enema can be dx and tx
sometimes sx (esp if signs of vasc compromise)

34
Q

gold standard to dx celiac sprue

A

duodenal bx

35
Q

serology for celiac sprue

A

IgA tGT

IgA EMA

36
Q

fava beans

A

G6PDD

37
Q

Heniz bodies on CBC

A

G6PDD

38
Q

Hirschsprung associated with

A

M

Down Syndrome

39
Q

failure of newborn to pass meconioum
intermittent bout of intestinal obstruction
FTT
dx w/o

A

Hirschsprung

bx showing absence of ganglion cells

40
Q

Which hepatitis viruses are DNA

A

Hep B

41
Q

rice water stools

A

cholera

42
Q

Tx for cholera

A

fluids

Tetracycline

43
Q

initially watery diarrhea with progression to mucus and blood with tenesmus and fever

A

shigellosis

44
Q

TOC shigellosis

A

Fluoroquinolone in adults

<18= Azithromycin

45
Q

localized anal pruritius that is worse at night

dx w/o

A

pinworms- enterobiasis

tape test

46
Q

Tx for pinworms

A

pyrantel pamoate- OTC
Rx- Albendazole
repeat same tx in 2wks

EOR PEDS (4 decks)

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