Paeds 2

Question 1

Neonatal Sepsis <48 hrs; what are the organisms? Whats the treatment?

Answer 1

Group B Streptococcus. E.coli.
Listeria.
H. influenzae.

Benzylpenicillin IV +Gentamicin IV

.

Question 2

Neonatal sepsis >48 hrs, what organisms and whats the treatment?

Answer 2

Group B strep, Ecoli, Listeria, Hib;
Coag nefative Staph (line sepsis)
S aureus.

Fluclox IV + Gent IV
OR Vanco IV + Cefotaxime IV

Question 3

Cellulitis

what are the organisms? Whats the treatment?

Answer 3

S aureus, Group A strep
Fluclox IV/PO
Benpen IV +/- Clinda IV if severe

Question 4

Pre-septal periorbital cellulitis/orbital cellulitis

what are the organisms? Whats the treatment?

Answer 4

S.aureus
Strep
Hib

Co-amox PO
Ceftriaxone IV + Metronidazole IV/PO

Question 5

Bone/joint infections;

what are the organisms? Whats the treatment?

Answer 5

S aureus
Strep
G-ve ie. E coli, esp. in newborns

Inf<3m - Cefotaxime IV + Amoxicillin IV
>3m but <5y- Cefuroxime IV
>5y Fluclox IV

Question 6

Lower Resp tract infection.

what are the organisms? Whats the treatment?

Answer 6

S. pneumo
H. flu
Mycoplasma

Amoxicillin/Co-amoxiclav IV/PO +/- Clarithromycin PO

Question 7

Otitis media.

what are the organisms? Whats the treatment?

Answer 7

S. pneumoniae
H flu
Group A strep
Moraxella catarrhalis

Amox PO/Co-amox PO
Most dont need tx

Question 8

Tonsillitis

what are the organisms? Whats the treatment?

Answer 8

Group A strep

Penicillin V PO

Question 9

Abdominal sepsis

what are the organisms? Whats the treatment?

Answer 9

E coli
Enterococcus
Anaerobes (Bacteroides, Clostridium)

Amox IV + Gentamicin +Metronidazole IV/PO

Question 10

Lower UTI

what are the organisms? Whats the treatment?

Answer 10

Ecoli
Proteus
Klebsiella
Trimethoprim PO

Question 11

Acute Pyelonephritis

what are the organisms? Whats the treatment?

Answer 11

Ecoli
Proteus
Klebsiella
Co-amox IV/Ceftriaxone IV +/- Gent IV

Question 12

Neonatal meningitis

what are the organisms? Whats the treatment?

Answer 12

Group B strep
Ecoli
H flu
Listeria

Cefotaxime IV +Amoxicillin IV

Question 13

Meningitis?

what are the organisms? Whats the treatment?

Answer 13

Neisseria meningitidis
S pneumoniae
H flu

Ceftriaxone IV

Question 14

What causes Roseola Infantum most commonly? What are the symptoms? How old is the child?
Treatment

Answer 14

HHV-6. Flu-like symptoms which subside and then, on 6th day (6th disease), widespread rash
6months-2years
Benign condition(no treatment)

Question 15

Other symptoms for HHV-6?

Answer 15

Encephalitis, Hepatitis, Febrile convulsions

Question 16

Varicella Zoster Virus - What does it cause?

How does the rash look like?

Answer 16

Chickenpox (and shingles)
Prodromal flu-like symptoms (1-2 days before)
Then itchy rash - macules -> papules -> vesicles (may become haemorrhagic.
Infectious until all vesicles have crusted over.

Question 17

VZV Shingles Facts

Answer 17

Reactivation of chickenpox - rash in dermatological distribution, can cause complications.

Question 18

EBV - what is it the most common cause of? Symptoms? Differential

Answer 18

Kissing disease (Mononucleosis)
Prodrome of 1-2 months: Fever, Fatigue, Headache.
Long period of infectivity (1+years) with often longstanding fever and fatigue
Triad - Fatigue, Pharyngitis, Lymphadenopathy
others: Fever, hepatosplenomegaly, rash, jaundice
Differential: Paharyngitis, also with pustular tonsils and palatal petechiae
Oncogenic. Can cause splenic rupture.