PEDIATRICS Flashcards by Dagmar Paredes

RED EYE

VIRAL: DENDRITIC DO NOT STEROID IT!
BACTERIAL: SELF LIMITING - SALINE
UVEITIS: PAIN - VA DIM - LAMP +
CORNEAL ABRASION: PAIN - STAIN
GLAUCOMA: PAIN - HEENT: ABN PUP RESP*

IM:

SCHNELLEN - VISUAL ACUITY*
FLUORESCEIN STAIN LAMP EXAM*

FM:
GRAM STAIN 4 BACT
GIEMSA STAIN 4 CLAM (RETIC OR ELEM BODIES)

OPHTHALMIA NEONATORUM

1-2 SILVER CHEMICAL
2-5 GONO
5-8 TRACHOMA WW1st - COB

FM:

SALINE
SALINE + IM CEFTRIAXONE
ORAL AZYTHROMICIN

How well did you know this?

Not at all

Perfectly

IMPETIGO

DZX

CELLULITIS
ERYSIPELAS
VZ

IM:

DX VISUAL APPEARANCE*
CULTURE OF THE SKIN LESIONS

MILD:
TOPICAL MUPIROCIN BACITRACIN GENTAMYCIN 
GENERALIZED:
ORAL DICLOXACILLINA 
SEVERE INFECTIONS:
OXACILLIN
NAFCILLIN

ALLERGIES:
RASH: IM IV CEPHAZOLIN
ANGIOEDEMA: MILD PO CLYNDAMICIN SEVERE: IV VANCOMYCIN

How well did you know this?

Not at all

Perfectly

RDS *

NASAL FLARING
CYANOSIS
GRUNTING

DZX

PNA
MECONIUM ASP SYNDROME
TTN
NON PULMONARY HYPOGLYCEMIA HYPOTHERMIA METABOLIC ACIDOSIS POLICYTHEMIA

MATERNAL AEROBIC CULTURES

UA
CBC
URINE TOXICOLOGY
CXR *

FETAL UMBILICAL ABG CBC D STICK
CPAP BPAP ETI
ENDOTRACHEAL INTUBATION
MULTIPLE DOSE SURFACTANT THERAPY
WEANING AS TOLERATED

How well did you know this?

Not at all

Perfectly

GERD

PYLORIC
DUODENAL ATRESIA
ANTRAL WEB
VIRAL GASTROENTERITIS

IWU:

CBC
SMA 7
UA
US*
LYTES IMBALANCE

FM:

PYLOROMYOTOMY
FEEDING SLOWLY AFTER SURGERY WITHIN 48 HRS OF SURGERY

How well did you know this?

Not at all

Perfectly

VOMITING NEONATE 3 WK

DZX

GERD: THICK FEED + PROKINET
VIRAL
D ATRESIA - D BUBBLE
PYLORIC

IWU:
CBC
SMA7
UA
US *

FM:
NPO/TPN
LYTES FIRST IF + 
PYLOROMYOTOMY
FEEDING SLOW 48 H AFTER

How well did you know this?

Not at all

Perfectly

CHILD ABD PAIN*

DZX

GASTROENTERITIS
CONSTIPATION
RLL PA
MES ADENITIS
UTI
APPY
PANCREATITIS

IWU:

CBC
UA
SMA7
AXR
CXR
AMYLASE- LIPASE
ABD US*

FM:

IVF LYTES
SURGERY* - APPY
NGT-NPO
PAIN MED
ABX

How well did you know this?

Not at all

Perfectly

5 YO* W/ UNKNOWN* IMMUNIZATION STATUS

GENERAL IMMUNIZATION

IPV = INACT POLIO VACC
DPT= DTaP acelular  pertussis

FIRST VISIT: DPT HBV MMR IPV 
HIB IF <5 YO
FU INTERVAL 1 MO DPT
2MOS HBV-IPV 
8 MOS HBV IPV
4-6 YRS ANOTHER DPT or DTaP BE4 ENTRY SCHOOL

IPV DOES NOT NEED 3RD DOSE AFTER 4 YO
11-12 YO MMR
VZ SINGLE DOSE IF NOT IMMUNE
Td RATHER THAN DPT IF > 7 YO 
Td EVERY 10 YRS

How well did you know this?

Not at all

Perfectly

INSUSCEPTION

> 2YO
SEC: LYMPHOMMA FOREING B
MECKEL, POLYP

CBC
AXR
ABD US*
BARIUM ENEMA *

FM:
IF > 48 HR = PERF -SURGERY

How well did you know this?

Not at all

Perfectly

8 YO O->
PAIN IN GROIN INNER THIGH

DZ X

SEPTIC ARTHRITIS
SCFE O>, OVER WT, ENDOC : SPINNING HEAD
JRA
STRESS  FRACTURE
TUMOR
CONVERSION REACTION

IWU:

IDP STANDING AP FROG LEG, LATERAL XR PELVIS*
CBC
ESR

FM:

PHYSICAL THERAPY
CONTAINMENT OF FEMORAL HEAD

LEG CALVE PERTHES > 6 YO POOR PROGNOSIS

How well did you know this?

Not at all

Perfectly

FTT 5th PERCENTIL

EXTREME OF NORMAL EXCLUSION DZ*
PRIMARY SHORT STATURE
SECONDARY SHORT STATURE

HYPOTHYROIDISM: REPLACE T4, CORTISOL AND GH AS INDICATED.
CONSTITUTIONAL DELAY TESTOSTERONE IN SELECTED PATIENTS
FAMILY SHORT
CHRONIC CONDITIONS
DWARFISM
TURNER GH/OXANDROLONE SEX HRT.

IWU:

CBC
SMA 18
ESR
UA

TSH AND TRH
X RAY LEFT HAND WRIST ASK PARENT PATTERN CONSTITUTIONAL DELAYED GROWTH
IGF 1: CHRONIC ILLNESS + MALNUTRITION

FM:
REVIEW OLD RECORDS: NORMAL GROWTH VELOCITY
DROWN CROSSING THROUGH A NORMAL CURVE TO A LOW PERCENT IS GROWTH FAILURE*

How well did you know this?

Not at all

Perfectly

GERD

VOMITTING
FTT
ATYPICAL SXS

IWU:
SMA 18
UA
CXR
BARIUM*
TE FISTULOGRAPHY
HEM STOOL

FWU:
PH *
UPPER ENDOSCOPY

FM:
FOOD: SMALL THICK FREQs
POSITIONING ANTACIDS H2 BLOCKs
PRO KIN CISAPRIDE
PPIs
SURGERY FUNDOPLICATION

How well did you know this?

Not at all

Perfectly

AMS
FALL BED
NEURO: UNRESPONSIVE LETHARGY
PE: FUNDOSCOPY*

CHILD ABUSE DZ X
MENINGITIS
ACCIDENTAL
SUBDURAL HEM AND RETINAL HEMO
METABOLIC RICKETS
IMMUNOLOGY ITP, SCHONLEIN HENOCH
HEMATOLOGY HEMOPHILIA, WwD
CONG MONGOLIAN SPOTS
OSTEOGENESIS IMPERFECTA BLUE SCLERAE 
BRITTLE BONE DISEASE

IWU:
CBC
LFT
AMYLASE LIPASE
UA
CK
BLEEDING TIME
SMA 7
CT SCAN HEAD*
FM:
SKELETAL SURVEY
DRAINAGE OF SUBDURAL HEMATOMA
DIVISION OF YOUTH AND FAMILY SERVICES

How well did you know this?

Not at all

Perfectly

FEVER 5DYS AND RASH MCLN SYND.
4/5: CRASH AND BURN*
PE: WORRISOME TKC GALLOP

DZ X
JRA
INFANTILE PAN
KAWASAKI
MYOCARDITIS VIRAL
LEPTOSPIROSIS
POSTREPTOCOCCAL DISEASE
DRUG TOXICITY
SJS: Mycoplasm, Sulf, Phenit

IWU:
CBC WBC
UA PROT

FWU:
2D ECHO CUTOFF  MORTALITY DIAM> 8 MM
ESR
CXR
EKG +
CRP A1 ANTITRYP HYPO ALBUMIN

TX:
IVIG FEBRILE LOWER CAD
HIGH DOSE 100 mg/kg SALICILATES
IF PERSISTENT LARGE ANEURYSM WARFARIN HEPARIN

FU:
STRESS TESTING AND ECHO CARD IF PERSISTENT CAD

How well did you know this?

Not at all

Perfectly

OMA
MOPS

COMPLICATIONS
MASTOIDS
EFFUSION
MENINGITIS
HEARING LOSS
SLOWED SPEECH
LEARNING DISORDER

INSUFFLATION*
TYMPANOMETRY
AMOXICILLIN FIRST LINE
W/ BETA LACTAMASE INHIB > 24 HRS IF PERSIST FEVER 
ANALGESIC

FU
2 WKS 
TUBE TYMPANOSTOMY IF 
LEARNING OR SPEECH
EFFUSION 4WK

How well did you know this?

Not at all

Perfectly

PICA 
MOVED OLD HOUSE*
COGNITIVE OR MS IMPAIRED*
IQ TO MEMORY TOP READING DISABILITY
PE: PALLOR AND II/VI M

LEAD POISONING

FANCONI SYND
PERIPHERAL NEUROPATHY
LATE:
INTRACTABLE SEIZURES ENCEPHALITIC
PERMANENT DISABILITY

DZ X

IRON DEF DZ X BASOPHILIA + FE STUDIES

HEPATITIS A AMS = LIVER DAMAGE = PT PROLONG HOSPITALIZE HIM + EXCLUDE SCHOOL FOR 1 WK

HYPOGLIC AMS = COCKTAIL D10%-50% BOL FB D5% INF OLDER DIAZOXIDE OR OCTEOTRIDE
THYROID

IWU:

CBC
BLOOD LEAD LEVEL*
LYTES
TSH
GLUCOSE
LFTs
PERIPHERAL SMEAR *
SERUM FERRITIN
BASICALLY Ca Na EDTA CHELATION TEST 4 RESPONSE EVAL

TX:
IVA
HYDRATE - NSS
Ca Na EDTA

15-19 SCREEN EVERY 3-4 MOS
>20 REMOVE FROM + LEAD ABATE AGENCY 
>45 URGENT MEDICAL ATTENTION 
ADD DIMECAPROL IF LEAD > 50 FOR RAPID CHELATION
59-69 EDTA or SUCCIMER
>70 INPATIENT

How well did you know this?

Not at all

Perfectly

ASTHMA

CROUP

EPIGLOTTIS 
FOREIGN BODY ASPIRATION
ALLERGIC REACTION 
BRONCHIOLITIS
PNEUMONIA

Study These Flashcards

IM :

OXYMETRY
PEAK FLOW 70%

FM:
OXY BY CATH
ALBUTEROL NEBULIZER
ORAL PREDNISONE
ABG NOT ROUTINE
IF OXY <95

FM:
CXR

OUTPATIENT MGMT
AVOID TRIGGERS

MILD INTERMITTENT SABA - LESS 2/WK 1/DY
MILD PERSISTENT SABA + LOW DOSE ANTINFLAMMATORY ICS OR CROMOLYN - MORE 2/WK LESS 1/DY

DAILY SXS
MODERATE PERSISTENT SABA + ICS MEDIUM TO HIGH DX + LABA
SEVERE PERSISTENT: FREQ HOSPIT + PO STEROID

FBA

Study These Flashcards

> 4YO
RIGHT MAINSTEM
CXR
RIGID SCOPE

EPIGLOTTIS
3D: DROOLING DYSPHAGIA DISTRESS RESP
Hib 2 -7 YO
TRIPOD

Study These Flashcards

IWU:
L- NXR: THUMBPRINT*
AIRWAY CONTROLLED CONDITIONS
BLOOD CS
EPIGLOTIS CS*
ABx 3rd G CEPHALOSPORIN -AMOXICILLIN SULBACTAM

CROUP

3 MOS TO 5 YO
PARAINFLUENZA

Study These Flashcards

IWU
AP NXR: STEEPLE* 
FM:
MILD:
CONT HUMIDIFICATION HOT OR COLD
SEVERE:
RACEMIC EPI + DEXAMETHASONE BOLUS SINGLE IM
OBSEVE 4 TO 6 HRS NO REBOUND = DISCHARGE

PAINLESS ABDOMINAL MASS
HBP

WILMS NEUROBLASTOMA

DZ X

RENAL VEIN THROMBOSIS
CHOLEDOCAL CYST
ECTOPIC KIDNEY OR HORSESHOE
PANCREATIC CYST
FECAL MATERIA
TERATOMA
RENAL VEIN THROMBOSIS

ASOCIATIONS
WAGR 11 seq
BECKWITH WIDEMAN

OVERALL 5Y SV R
80% LOCAL
50% WIDESPREAD

Study These Flashcards

IWU:

CBC
UA*
ABD US*
U CATHECOLAMINES VMA-HOMO VMA R/O NB
SMA 6 
LFT

FDP:
MRI: RENAL VEIN, CONTRALATERAL KIDNEY AND LIVER.
CT CHEST
ECHO CARDIOGRAM: R/O  T IN THE RA 
BX: SURGICAL SPECIMEN 4 11p13 del
COAGULATION STUDIES R/O Adq VwD
LAPAROTOMY

CHEM X 15 MOS

ACTINOMYCIN D + VINCRISTINE

RASH JOINT PAIN HANDS*
MISSING 11-12 YO MMR BOOST
PE: LAD RETRO AURICULAR
MILD CONJUNCT
RASH CONFLUENT ENTIRE FACE BEHIND EARS
ERITHEMA PAPULES
ENTIRE TRUNK

RNA TOGA VIRIDAE

DZX

RUBELLA 3 DYS MEASLES 
ROSEOLA INFANTUM
MEASLES CONJUNCT &amp; FEVER HIGHER 
SCARLET FEVER
INFECTIOUS MONONUCLEOSIS

Study These Flashcards

IWU:
CBC

FWU:

RUBELLA SPECIFIC IgM TITER*
IgG TITER*
SERUM EBV ANTIBODIES

FM:

INCUB 14 -21 DYS
CONTAG 2 DYS BE4 RASH LASTS 3 DYS
EXCLUDE FROM SCHOOL 7 DYS AFTER RASH APPEARS

ROSEOLA INFANTUM(EXANTHEMA SUBITO)
HHV6
6-15 MOS
FEVERFOR 3 TO 4 DYS

Study These Flashcards

POST OCC LAD

5-6 DYS

SCARLET FEVER
PE:
AXILA GROIN NECK THE GENERALIZES
STRAWBERRY TONGUE -SANDPAPER LIKE RASH
PASTIA LINES - CIRCUMORAL PALOR 
MILIARIA SUDAMINA

Study These Flashcards

IM:
RAPID STREPT TEST: STREP BETA HEM G A PHARYNX
TITER's STREPTOLISIN SERIC - O ....
OFF DAY CARE OR SCHOOL 
24 HRS OF APPROPRIATE TX
PENICILINE G
ALLERGIES:
ERITHROMICINE
FIRST GENERATION CEPHALOSPORINE
CLINDAMICINA

VZ*

RESP - PHARYNX - VIREMIA

DZ X

IMPETIGO BULLOUS OR STAPH
FOLLICULITIS
HFM SYND
DISEMINATED HSV

Study These Flashcards

IM:
SUPPORTIVE
NON ASPIRIN COUNSEL REYES SYND
ACYCLOVIR: HIGH RISK CASES

PEP IVIG:
NEWBORNS EXPOSED MATERNAL VZ
INMUNOCOMP CHILDREN
PREGNANT WOMEN

FU:

RETURN TO DAY CARE WHEN AL LESIONS HAVE DRIED AND CRUSTED

DISEMINATED HSV | ECZEMA HERPETICORUM

``` IM: TZANCK PCR 4 HSV ACYCLOVIR COVER LESION TO ATTEND DAYCARE OR SCHOOL ```

HFM - SYND COXSACKIE A 16 PE: ULCERS OROPHARYNX LESIONS HAND FEET AND BUTTOCKS

SUPPORTIVE CAN ATTEND SCHOOL CAREFUL WASHING AND HYGIENE

RSV* BRONCHIOLITIS 2 % HOSP MORTALITY SMALL AIRWAY AAA DZ X CHLAMYDIA BACTERIAL PNA ASTHMA RSV

IWU: CXR AAT + INTERSTITIAL NASO SWAB RAPID Ag DETECTION TEST PCR OR VIRAL CS SMEAR URT 4 SRV SYMPTOMATIC TX ADMIT 4 OBSERV INPATIENT: RR> 60 OR < 3MOS, CHD, NEUROMUSC, IMMUNE, CHRONIC LUNG DISEASE - CLD IM: OXYGEN ALL CHILD WHEEZING: AEROSOL ALBUTEROL TRIAL AND MOVE THE CLOCK' AND UPDATE NURSE NOTE AEROZOLIZED RACEMIC EPINEPHRINE FM: HIGH RISK TOO SICK PTS: RIBAVIRIN SMALL PARTICLE AEROSOL OXYGEN X 24 HRS X 3-5 DYS ADMIN EARLY RSV IVIG PALIVIZUMAB: ALL <2 MOS, PRETERM, CLD DO NOT USE IN CONGENITAL HEART DISEASE CHD

BACT PNA* TRIAD: FEVER COUGH TACHIPNEA BIRTH TO 2 MOS GROUP B STREP E. COLI LISTERIA

``` IWU: CBC CXR* ABG OXYG/M ``` FM: COMPLETE SEPTIC WORK UP INCLUDE CSF* TX: AMPICILLIN + AMINOGLUCOSIDE AMPICILLIN 3 rdG + CEPHALOSP CLAMIDIA 6 MO TO 6 YO "STACCATO COUGH" ERYTHROM X 14 DYS MYCOPLASMA: AZYTHROMYCIN + CLARITHROMYCIN

HSP W/ ACUTE ABDOMEN PE PURPURA* + EDEMA 25% ``` SCROTAL EDEMA TORSION TESTICULAR BOWEL INTUSUSCEPTION OR PERFORATION* RENAL ACTIVITY 1% CHRONIC ARTHRITIS SEIZURES ``` PATH IgA MEDIATED VASCULITIS NON THROMBOCITOPENIC BUT LEUCOCYTOKLASTIC PURPURA DZ X ITP BUT PLATELETS SEL ANA SMIDTH C3 C4 RMSF 3 HA FEVER PALE ROSE RASH INDIRECT IF Ab ASSAY DELAY + DEATH TX: TETRACYCLINE OR DOXICYCLINE KD CRASH BURN - IVIG + HD ASA - ECHO FU MENINGO PETECHIA PURPURA FUMINANS 16 % JRA EXTRARTIC INITIAL: FEVER FEW MOS SALMON PINK EVANESCENT RASH FIRST LINE: NSAIDS

IWU: FOBT CBC ESR UA* ``` OUTPATIENT POSSIBLE: DIET BLAND STEROID SUPPORT ACETAMINOPHEN ``` ``` FM: ADMIT 4 COMPLICATIONS ADB PAIN OR NEPHROTIC SURGERY CONSULT INSUSCEPTION BE CONSEQUENT : AXR,NPO,NGT,TPN ..... ``` FU: RENAL FUNCTION

ACNE VULGARIS DZ X SEBORRHEA GREASY ERYTHEMA YELLOW SALMON COLORED PLAQUES FROM DIAPER TO FACE TRUNK NECK SEBACEOUS RICH AREAS MALAR RASH ROSACEA >30 YO NOSE FOREHEAD CHIN NO COMEDONIAN TOPICAL METRO OR PO TETRA TELANGIECTASIA ERYTHEMA PAPULES PUSTULES TOP NON GLUCOCORT

IA: CAREFUL HX FACTORS THAT INFLUENCE FLARES OF SKIN CHANGES DIET, STRESS, MENSES, TOPICAL MED, FACE CARE, COSMETICS, ANTIBACTERIAL SOAPS, LOTIONS. FM: ``` BENZYL PEROXIDE TOPICAL TOPICAL (PREFERED) CLYNDAMICIN/ ERYTHROMYCIN PO DOXICYCLINE TETRACYCLINE PLAIN SOAPS ``` U BHCG CONTRACEPTION 1 MO AFTER AND BE 4 ISOTREONIN ISOTREONIN: SEVER NODULO CYSTIC LOW DOSE INTRACYSTIC MID POTENCY GLUCOCORTICOID INJECTIONS

KNEE PAIN - DISCOLORATION TX W RICE TRAUMA INDUCED DELAYED BLEEDING IN DEEP TISSUE* DZ X HEMARTHROSIS VwD: TXX - FFP, CRYOPRECIPTATE OR DDAVD HEMOPHILIA INFECTIOUS ARTHRITIS TRAUMATIC INJURY/LIGAMENT TEAR LONG TERM COMP: PRONE TO FACTOR V III Ab RESISTANCE CRYPRECIP ARE POOLED FROM MULT DONORS AIDS AND HEP C DDZ: MILD TO MODERATE HEMOPHILIA

IWU: CBC PT NORMAL!!! EXTRINSIC F II V VII X LIVER PTT PROLONGED!!! INTRINSIC F VIII IX XI XII HEMOPHILIA* INR FIBRINOGEN ASPIRATION OF KNEE CLINICAL THINKING: YOUNG MALE X LINKED RECESSIVE MILD HEMOPHILIA OR FACTOR INHIBITOR TO BE OR NOT TO BE FWU: MIXING STUDIES: DOES CORRECT * BLEEDING TIME FACTOR LEVELS 5% OF NORMAL FACTOR VIII FM: INFUSION OF FACTOR VIII CONCENTRATE OR CRYO PRECIPITATED TO RAISE FACTOR VIII TO 25 % OF NORMAL IMMOBILIZATION OF THE JOIN ORTHOPEDIC AND PHYSICAL THERAPY FOLLOW UP

ROTAVIRUS WATERY STOOLS ES FOBT POS WINTER CAN CAUSE DEATH DZ X ``` SHIGELA WBC PMN BANDS APPY VIRAL ENTERITIS PROTOZOA: ENTAMOEBA, GIARDIA, CRIPTOSPORIDIUM INTUSUSCEPTION ```

IWU: CBC WBC LYMPHO LYTES, BUN - CREA, GLUCOSE Na 133 K 3.5 Cl 100 BIC 15 BUN 20 CREA 0.7 A GAP 18 FOBT + BUT FECAL LEUKOCYTES NO DZX SHIGELLA UA GRAVIDITY >1030 FM: ENZYME IMMUNOASSAY 4 ROTAVIRUS* STOOL CULTURE

LEADING CAUSE OF DEATH BIRTH TO 10 YO

CONDITIONS ORIGINATING IN PERINATAL PERIOD CONGENITAL ANOMALIES SUDDEN INFANT DEATH SYNDROME UNINTENTIONAL NON MVA MVA

INTERVENTIONS CONSIDERED FOR THE PERIODIC HEALTH EXAMINATION SCREENING

``` HT and WT BP VISION SCREEN AT AGE 3-4 AT BIRTH ELECTROPHORESIS Hgb Phe LEVEL T4, TSH ```

INTERVENTIONS CONSIDERED FOR THE PERIODIC HEALTH EXAMINATION COUNSELING

``` SAFETY CAR SEATS < 5 YO LAD SHOULDER BELTS > 5 YO BICYCLE HELMET BICYCLING NEAR TRAFFIC SMOKE DETECTOR FLAME RETARDANT SLEEPWEAR HOT WATER HEATER TEMPERATURE <120-130F WINDOWS/STAIRS GUARDS POOL FENCE SAFE STORAGE FIREARMS MATCHES TOXINS DRUGS SYRUP IPECAC POISON CONTROL PHONE NUMBER LIMIT FAT AND CHOLESTEROL MAINTAIN CALORIC BALANCE EMPHASIZE FRUITS GRAINS VEGETABLES AGE >2 YO REGULAR PHYSICAL ACTIVITY CPR FOR CAREGIVERS/PARENTS ```

VACCINES

``` DTP OPV MMR Hib CONJUGATE HB VZ PCV OCULAR PROF AT BIRTH ```

HIGH RISK POPULATION

``` PRETERM LOW INCOME IMMIGRANTS INFANTS OF MOTHERS AT RISK OF HIV TB CONTACTS NATIVE AMERICAN/ ALASKA NATIVE TRAVELLING TO DEVELOPING COUNTRIES LONG TERM CARE FACILITIES RESIDENTS CERTAIN CHRONIC MEDICAL CONDITIONS INCREASE INDIVIDUALS OR COMMUNITY LEAD EXPOSURE INADEQUATE WATER FLUORIDATION FAMILY HISTORY OF SKIN CANCER NEVI FAIR SKIN EYES HAIR ```

POTENTIAL INTERVENTION FOR HIGH RISK | POPULATION

``` Hb Hto HIV TESTING PPD HEP A PCV INFLUENZA BLOOD LEAD LEVEL DAILY FLUORIDE SUPPLEMENT AVOID EXCESSIVE MID DAY SUN - SUN PROTECTIVE CLOTHES ```

PEDIATRICS Flashcards

(38 cards)