Pediatrics Exam 10 Flashcards Preview

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Flashcards in Pediatrics Exam 10 Deck (34):
1

MEDICAL EMERGENCY
Drooling/ Tripod position

Acute Epiglottitis

2

Twilight Croup

Acute Spasmotic Laryngitis
Sudden @ night onset

3

Most prevalent nutritional disorder in the US

Iron deficiency Anemia

4

Sickle cell -->bone marrow cant produce any more RBC’s

Aplastic Crisis

5

• Painful episode
• Distal ischemia and pain
Sickle Cell

Vasocclusive Crisis

6

Type of -Sickle Cell Crisis
-->spleen enlarged – working hard to remove abnorm rbc → blood pools to spleen

Sequestration Crisis

7

¾ of circulation pulls in spleen=hypovolemic shock

Sequestration Crisis

8

Greatest risk for Kawasaki Disease (KD)

boys < 1 yo

9

Consider KD in

any child w/ rash & fever of unknown origin

10

protrusion of abd contents through the abd wall @junction of the umbilical cord and abdomen

Omphalocele

11

Omphalocele develops

btwn 6-8wks

12

stricture of the anus

Imperforate Anus

13

Occurrence of Imperforate Anus

7th week of intrauterine life

14

S/S of Imperforate Anus

No Stool in 24h
Fistulas = difficult to repair, typically want to retract

15

Contraindicated w/ Imperforate Anus

Rectal Temps

16

RN Mgmnt - Imperforate Anus

Irrigate w/ NS after ALL BM
NPO
IV Fluids
NG tube for decompression

17

Highest Incidence of Cleft Palate

North American Indian
Cleft lip & palate= boys
Lip= girls

18

Cleft Lip and Palate

Boys

19

Cleft Lip

Girls

20

Primary Pallet formed by

7 wks gestation

21

Secondary Pallet formed by

~13 wks gestation

22

Lip unites at

~5-6 weeks gest

23

Maxillary processes fuse to form

primary palate by week 7 gestation

24

Palatal processes fuse to form

secondary palate by week 13

25

close cleft lip and pallet; usually preformed in stages; wait for baby to get older.

Palatoplasty

26

hyper-nasality (pinch your nose and talk)

resonance asc w/ cleft palate/ lip

27

omit sounds or substitute sounds

articulation:
asc w/ cleft palate/ lip

28

Least likely to exhibit cleft palate

African American

29

Tx of Choice for cleft palate

Plastic Sx- Palatoplasty

30

Failure of the esophagus to develop as a continuous passage

EA: Esophageal Atresia

31

Failure of trachea and esophagus to separate into distinct structures.

TEF: Tracheoesophageal Fistula (TEF)

32

Esophagus ends in a blind pouch; No connection to the trachea

Pure EA

33

( TEF w/o atresia)
fistula is present between otherwise normal esophagus and trachea

H – type

34

esophagus ends in a blind pouch
fistula to stomach (80-90%)

Proximal (EA with TEF):