Flashcards in PEDIATRICS Deck (115)
Genetics in Noonan's syndrome
Common AD disorder due to mutation to genes involved in RAS-MAP-K pathway
Can affect both males and females (big difference between Turners)
Severe h/a and dizziness in pt with Noonans syndrome -- > screen for
Arnold Chiari malformation
Cardiac malformations that contrast Noonans vs Turners
Noonans: right sided heart lesions, HOCM
Turners: left sided
Diseases associated with Turners
Difference between Sotos syndrome and Beckwith-Wiedemann
BW features hypoglycemia during newborn period, macroglossia, umbilical hernia and/or omphalocele.
Tumors assoc with Beckwith Wiedemann
10% will go on to develop small round blue cell tumors, most commonly Wilm's.
RSV, influenza, adenovirus, and parainfluenza virus ** most common.
Moderate/severe croup tx
oral or IM corticosteroids, INHALED racemic epinephrine.
Pathogens for Epiglottitis
USED to be H. influenza type B.
Now, strep, non-typable H influenza and viral agents.
Epispadias is associated with/
Where is the testicle usually found in cryptorchidism?
Hydrocele is a remnant of what embryological structure
How do you treat hydocele
It will usually resolve within six months.
Abnormality associated with hypospadias
Chordee, a ventral curvature of the peniis. The growth differences between the attenuated ventral urethra and its associated tissues, and the normal growing dorsal tissue, is thought to cause this. It is often apparent during an abreaction.
It is also highly a/w cryptorchidism and inguinal hernias.
How many DTaPs do you get
5. Four doses are adequate if the last dose was given on or after the 4th birthday. Should be completed through age 6.
If DTaP was given before age of 4 and the fifth vaccine was not given, what vaccine should you administer?
Trap starting at 7 years of age.
Vaccine given to children under 7 y.o. who have a contraindication to pertussis vaccine
Tx of pertussis
Macrolide like azithromycin.
Tx usually given in a pt allergic to penicillin with strep pharyngitis
Azithromycin or other macrolide.
Atypical pneuma usually antibiotic class of choice
Iron studies in a thalassemia patient
Normal to high ferritin
Normal to low TIBC
Labs in sickle cell
Elevated reticulocyte count, as it is a hemolytic anemia.
Sideroblastic anemia : iron labs
Microcytic, incrased serum ferritin
TIBC saturation is normal or elevated.
An alternative to inhaled glucocorticoids as long-term asthma control agent
Montelukast, a leukotriene receptor antagonist
AVN and collapse of the lunate so frequently encountered in individuals who overuse the wrist through repetitive compression loading.