Pediatric Diseases Flashcards
(65 cards)
A 17-year-old primigravida gives birth at 34 weeks’ gestation to a male infant of low birth weight. The infant is given exogenous surfactant and does not develop respiratory distress. On the third day of life, physical examination reveals hypotension, abdominal distention, and absent bowel sounds, and there is bloody stool in the diaper. A radiograph shows pneumatosis intestinalis and abdominal free air. What do you think of the diagnosis?
Necrotizing enterocolitis
An 18-year-old woman gives birth to a term infant after an uncomplicated pregnancy and delivery. Over the first 2 days of life, the infant becomes mildly icteric. On physical examination, there are no morphologic abnormalities. Laboratory studies show a neonatal bilirubin concentration of 4.9 mg/dL. The direct Coombs test of the infant’s RBCs yields a positive result. The infant’s blood type is A negative, and the mother’s blood type is O positive. What type of bilirubin is present in child’s blood?
Unconjugated
Amniotic Band Syndrome is a congenital birth defect believed to be caused by entrapment of fetal parts (usually a limb or digits) in________________ while in utero
fibrous amniotic bands
Potter sequence: typical physical appearance and associated _______________(1) of a neonate as a direct result of ____________(2) and compression while in utero
- pulmonary hypoplasia 2. oligohydramnios
Oligohydramnios (decreased amniotic fluid) is caused by___________ and ___________
Renal Agenesis Amniotic leak
The position of delivery of the child in potters is_____________
Breech Presentation
An infant born prematurely at 28 weeks gestation is immediately noticed to be tachypneic and cyanotic following birth. A chest CT scan is obtained, which is shown in Figure A. A presumptive diagnosis is made based on the clinical picture and chest CT, and treatment is initiated. Which of the following organelles and cell types are involved in this clinical picture?
- Lamellar bodies - type I pneumocytes 2. Mitochondria - type II pneumocytes 3. Lamellar bodies - type II pneumocytes 4. Endoplasmic reticulum - type I pneumocytes 5. Plasma membrane - type II pneumocytes
An infant born prematurely at 28 weeks gestation is immediately noticed to be tachypneic and cyanotic following birth. A chest CT scan is obtained, which is shown in Figure A. A presumptive diagnosis is made based on the clinical picture and chest CT, and treatment is initiated. Which of the following organelles and cell types are involved in this clinical picture?
Lamellar bodies - type II pneumocytes
A P2G1 diabetic woman is at risk of delivering at 29 weeks gestation. Her obstetrician counsels her that there is a risk the baby could have significant pulmonary distress after it is born. However, she states she will give the mother corticosteroids, which will help prevent this from occurring. Additionally, the obstetrician states she will perform a test on the amniotic fluid which will indicate the likelihood of the infant being affected by this syndrome. Which of the following ratios would be most predictive of the infant having pulmonary distress?
Lecithin: sphingomyelin ratio < 1.5
A cyanotic neonate. Following is the blood gas following 100% oxygen therapy. Whats the likely cause/mechanism? Before: PO2=30% After: PO2=35%
Hyalin membrane disease/diffusion defect likely
A cyanotic neonate. Following is the blood gas following 100% oxygen therapy. What’s the likely cause/mechanism? Before: PO2=30% After: PO2=50%
X-Ray chest attached.
Pulmonary stenosis/perfusion defect likely
1.Retrolental fibroplasia is due to___________________
(high concentration of O2 produces free radicals)
Necrotizing enterocolitis (NEC), which typically occurs in the ________________of life in ___________, _________-fed infants.
second to the third Week
premature
formula
NEC, The Underlying pathology is_______
intestinal ischemia
In NEC septic and shock is caused by_______
1.Platelet-activating factor (PAF) → by promoting enterocyte apoptosis → sepsis and shock
NEC:
Gangrene of the intestine
-Involves________
terminal ileum, cecum and right colon
Fetal hydrops refers to the ____________in the
fetus during intrauterine growth.
accumulation of edema fluid (transudate)
Fetal Hemolysis: Mother forms _____ antibodies which cross the placenta and destroy fetal RBCs (______ hypersensitivity)
IgG
Type 2
A 19-year-old woman is G2 P1. Her previous gestation resulted in a normal term birth at home. Her current pregnancy results in the birth of a 2990 gm baby at 35 weeks. At birth, the infant appears hydropic and icteric, but no congenital anomalies are present. The baby’s hemoglobin is 8.5 g/dL. The placenta is also hydropic, but microscopic examination of the placenta shows no inflammation of either fetal membranes or placental villi, and there is no meconium staining.
Which of the following mechanisms is the most likely explanation for these events?
A Maternal rubella infection in the first trimester
B A maternal chromosomal abnormality
C Maternal antibodies crossing the placenta
D Elevated maternal serum glucose
E Increased maternal phenylalanine levels
C Maternal antibodies crossing the placenta
Cystic hygromas are characteristically seen, but not limited to, constitutional chromosomal anomalies such as ————karyotypes
45,X0
Anemia →——————- → increased hydrostatic pressure → edema and anasarca, →hydrops fetalis
high output Cardiac failures
Anemia → ————— → decreased plasma oncotic pressure → edema and anasarca, →hydrops fetalis
Liver hypoxia
CF=The carrier frequency in the United States is ———–among Caucasians but significantly lower in African Americans, Asians, and Hispanics.
1 in 20
Even heterozygote carriers (__________) have a higher incidence of respiratory and pancreatic diseases
2-4%
