1. endoscopy multiple, fam hx, refractory --> fasting serum gastrin level think perf --> water soluble contrast upper GI series

Pediatrics Flashcards by Cristina Resczenski

management of PUD

endoscopy
multiple, fam hx, refractory –> fasting serum gastrin level
think perf –> water soluble contrast upper GI series

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time frame hemangiomas

enlarge over 1st months, resolve in years

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blood pH in asthma

initial response in exacerbation = up RR –> down CO2 –> alkalosis
as it gets worse = CO2 exchange goes down –> ph is normal or acidic

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MC septic joint spread in peds

hematogenous

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post strep GN time frame

7 - 21 days post infection

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post strep GN triad

hematuria, edema, HTN

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indications for ABx prophylaxis for subacute bacterial endocarditis

prosthetic heart valves
past endocarditis
complex unrepaired congenital
repaired congenital (past 6 mo)
systemic-to-pulm shunts
transplantation w. valvulopathy

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infant: diarrhea/vom + eczema

food intolerance, prob milk

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causes of conductive hearing loss

acute/chronic OM
otitis externa
cerumen impaction
otosclerosis

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Prehn sign

reduced testicular pain when you raise it up

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Prehn sign and normal cremasteric

epididymitis

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narrow QRS and P = ?

superventricular tachycardia

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hypotonia, gross motor delay, loss of eye contact, hand wringing

Rett syndrome (X-linked)

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tx for primary dysmenorrhea

NSAIDs

2. OCPs

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nasal discharge for how long before think sinusitis

10 days

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neuro sx, ash-leaf macules, angiofibromas/rhabdomyomas or shagreen patches

tuberous sclerosis

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RBCs in anterior chamber of eye post trauma

hyphema

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syndromes causing secondary glaucoma

NF, sturge weber, VHL

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type of diarrhea w/ cyclospora

profuse, non bloody, watery

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broken bones, cafe au lait spots, precocious puberty, hyperthyroid

McCune Albright syndrome

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infantile spasms, hypsarrythmia, mental retardation

West syndrome (usually caused by tuberous sclerosis)

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sudden rapid clusters of tonic contractures that slowly subside w/in 2 s

infantile spasms

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poor language, mental retardation, macroorchidism, FLK

fragile X

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fixed split S2

ASD

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fragile bones, early deafness, blue sclera

osteogenesis imperfecta (type I collagen defect)

dx of osteogenesis imperfecta

skin bx --> DNA sequencing

birthmark over lower spine management

US to r/o spina bifida oculta

progression of fifth disease

1. fever/HA/sore throat (1 - 2 days) 2. slapped cheeks (next 2 days) 3. 7 - 10 days later: lacey rash on trunk/extremities

red papule on scalp --> bald spot

tinea capitis

tx tinea capitis

oral griseofulvin

itchy skin (papules) on 2 family members

think scabies

skin infections, osteomyelitis, pneumonia

chronic granulomatous disease

albino things, frequent infections

chediak higashi

regular episodes of oral ulcers, fever, stomatitis, pharyngitis

cyclic neutropenia (usually every 21 days)

granulation tissue protruding through middle ear

cholesteatoma

delay in tooth eruption

celiacs

bowed legs and metaphysis breaking

blount disease

Eczema and low platelets

Wiskott Aldridge

Delayed cord separation

Leukocyte adhesion disorder

Albinism and immunodeficiency

Chediak Hagashi

Giant granules in neutrophils

Chediak Hagashi

Angioedema -- non drug related

C1 esterase def

Imperforate anus dx

Cross table x ray

electrolyte levels in rhabdo

``` CK (5x hi) HK HP hCa HUrea halbumin Hi troponin I ```

hemoptysis, hematuria, edema

goodpastures

testicular cancer workup

1. US | 2. AFP/beta HCG

marfan heart problems

mitral valve prolapse aortic regurge arrhythmia aortic dissection

1st step in short kid workup

x-ray of wrist/hand to kind out bone age

causes of accidental stooling

``` congenital (hirshsprung) functional constipation (from chronic constipation) neuro problems (check the wink) ```

vomiting, hNa, HK

congenital adrenal hypoplasia (21-hydroxylase def)

how long to wait for undescended testicle

4 mo

velocardiofacial syndrome heart problems

interrupted aortic arch, tuncus arteriosus, ToF

bifid uvula

cleft lip/palate problems

pain w/ eye movement + proptosis

orbital cellulitis

test for osteomyelitis

MRI

infant: jaundice, hepatomegaly, hypotonia, cataracts

galactosemia

recurrent oral and genital ulcers

Behcet's

hip x-ray: small femoral head, wide articular space

Legg-Calve-Perthes (avascular necrosis of femoral head)

test for hypertrophic cardiomyopathy

echo

ruddy baby risks

polycythemia (--> renal vein thrombosis)

cyanosis, resp distress, S3, liver enlargement

total anomalous pulmonary venous return

what'd you take: fever, tremor, tachypnea, tinnitus

ASA

tx for congenital torticollis

sudden death MCCs

long QT | wolf-parkinson-white

pseudoappendicitis syndrome causes

yersinia enterocolitica | campylobacter

test for crohn's/UC

colonoscopy

tx for impetigo

topical mupirocin | oral clindamycin if need be

systolic ejection click @ apex (ddx)

``` mitral valve (chanegs w/ valsalva) bicuspid aortic arch (doesn't change w/ valsalva) ```

triangle head, mom w/ polyhydramnios

Bartter syndrome

when is it a febrile seizure

age: 6 - 60 months type: generalized time: 15 min quick return to baseline with fever (duh)

chocolate brown blood

methemoglobinemia

healthy child w/ anemia

transient erythroblastopenia of childhood (self-limiting)

heme problem w/ phenytoin

folate deficiency

diff btwn folate/B12 def

folate (no CNS): high homocysteine, norm MMA | B12 (CNS) high homo, high MMA

poor tone, jaundice, hoarse cry

congenital hypothyroid

things babies smell like (WTF comat)

musty: PKU boiled cabbage: tyrosinemia sweaty feet: isovaleric acidemia

single, raised, "orange-peel" lesion on scalp

nevus sebaceous

erythematous lesion over glabella, nuchal area and eyelids

nevus simplex

downward displacement of acromion

acromioclavicular separation

cyanotic baby gets worse with O2

ductal dependent lesion | give PGE1

when to repair cleft lip/palate

lip (+ PE tubes) @ 3 months | palate @ 9 - 12 months

white forelock, deafness, blue eyes

Waardenberg syndrome

inguinal hernias, clouded cornea, stiff joints

Hurler dz

tx for baby of HIV mom

oral zidovudine

premie: apnea, pallor, bulging fontanelle

intraventricular hemorrhage

grunting, retractions and tachypnea post c-section

transient tachypnea of the newborn

crying --> cyanosis

ToF

premie on enteral feeds

necrotizing enterocolitis

abdominal xray: dilated loops, abnormal gas, bowel wall edema

necrotizing enterocolitis

dx appendicitis

abdominal US

exaggerated response to noise

Tay-Sachs

tx for babies of TB moms

INH prophylaxis | chest x-ray @ 4-6 wks

tx for reducible umbilical hernia

obs

tx for croup

neb: epi | oral dexamethasone

persistent hoarseness @ 3 yo

HPV

fragile bones, hepatosplenomegaly, increased ICP

vit A toxicity

sickle patient w/ abdominal pain

gallstones (dx w/ US)

Pediatrics Flashcards

(97 cards)