IV Flashcards

(48 cards)

1
Q

supplementation in exclusively breastfed x1 year infant

A

iron and vit D

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2
Q

what to do when IV access cannot be accessed in infant with sepsis

A

intraosseous- proximal tibia

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3
Q

complications for infants small for gestational age

A

hypoxia, perinatal asphyxia, meconium aspiration, hypothermia, hypoglycemia, hypocalcemia, polycythemia

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4
Q

what causes the polycythemia in infants SGA

A

increased erythropoietin in response to fetal hypoxia

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5
Q

glycemic level in SGA infants

A

hypoglycemia

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6
Q

most common esophageal and tracheal snomaly

A

proximal esophageal atresia with fistula between trachea and distal esophagus

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7
Q

increase risk for what with tracehoesophageal fistula

A

aspiration pneumonia

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8
Q

VACTERL

A

vertebral, anal atresia, cardiac, tracheoesophageal fistula, renal, limb

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9
Q

scaphoid appearing abdomen

A

congenital diaphragmatic hernia

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10
Q

displaced cardiac silhouette, bowel in thorax and gasless abdomen

A

congenital diaphragmatic hernia

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11
Q

when can a baby begin to sit up and respond to its name

A

6mo

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12
Q

anxiety stranger begins at what age

A

6 mo

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13
Q

diagnostic criteria cyclic vomiting syndrome

A
>3 months in a 6 month period
easily recognizable to family
lasts 1-10 days
vomits >4 days/hr at peak
no symptoms in between vomiting episodes
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14
Q

parents likely to have what if child has cyclic vomiting syndrome

A

migraine headaches

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15
Q

Tx cyclical vomiting syndrome

A

hydration, antiemetics, reassurance

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16
Q

most specific sign for eardrum inflammation

A

bulging- insufflator

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17
Q

cri du chat

A

5p deletion- microcephaly, hypotonia, short stature and cat like cry

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18
Q

intussusception in older children

A

meckels diverticulum likely

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19
Q

Dx meckels diverticulum

A

t-99m p scanning

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20
Q

which vasculitis increases risk of intussusception

21
Q

risk factors NEC

A

premature, low birth weight, reduced mesenteric perfusion, enteral feeding

22
Q

clinical features of NEC

A

instability, lethargy, vomiting, bloody stools, abdominal distention and tenerness

23
Q

XR findings of NEC

A

pneumatosis intestinalis, portal venous gas, pneumoperitoneum

24
Q

most common affected site NEC

A

terminal ileum and colon

25
when does milk protein induced enterocolitis occur
2-8 weeks after sensitization to milk protein
26
underlying cause of growth failure in kid with many recurrent respiratory infections
CF, pancreatic insufficiency-- malabsorption fat soluble vitamins
27
minimal fat, scaling and fissues, mucous membranes hyperemic and swollen, rash on scrotal skin to medial thighs, skin and conjunctiva are pale
B2 riboflavin deficiency
28
vit B3 def
pellagra, dermatitis, diarrhea, dementiam glottitis
29
B6 def
pyridoxine | cheilosis, stomatitis, glossitis, irritability, confusion and depression
30
B9 def
megaloblastic anemia, neural tube defects
31
corkscrew hair and gingivitis
scurvy, vit C def
32
macroglossia, reducible umbilicle hernia | one side of body much larger than other half
beckwith wiedemann syndrome
33
chromosome in beckwith wiedemann syndrome
11p15 that encosed IGF-2 promoting hormone similar to insulin
34
increased risk for what with beckwith weidemann syndrome
wilms tumor and hepatoblastoma
35
screening what for beckwith weidemann maintenance
abdominal US and alpha fetoprotein levels q 3 months from birth- 4 years
36
repair of gastroschisis
single stage closure
37
what lab value is elevated in gastroschisis
maternal serum alpha fetoprotein
38
presentation of reyes
vomiting, agitation, irrational behavior progressing to lethargy, stupor and restlessness
39
lab findings in reyes
hyperammonemia, elev bili and alk phos, prolonged PT and hypoglycemia
40
what type of steatosis in reye syndrome
microvesicular
41
epidemiology meckels diverticulum
2% 2:1 M:F 2% symptomatic age 2 located 2 feet ileocecal valve
42
clinical manifestation of biliary cyst
pain, jaundice and palpable mass
43
Tx biliary cyst
surgical resection to relieve obstruction and prevent malignant transformation
44
meconium ileus
CF
45
opacification of all sinuses
CF
46
why do many CF lose hearing
aminoglycoside Tx for Pseudomonas
47
type of method for foreign body swallowed
flexible endocscopy
48
extraintestinal signs of celiacs
fatigue, weight loss, dermatitis herpetiformis, vitiligo, osteopenia, osteomalacia, anemia, peripheral neuropathy, autoimmune thyroiditis, depression, psychosis