Pediatrics Flash Cards - Case 17 - 4yo refuses walking Preview

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Flashcards in Pediatrics Flash Cards - Case 17 - 4yo refuses walking Deck (14)
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1
Q

Trio of reactive arthritis?

A

can’t see can’t pee can’t climb a tree

2
Q

Typical presentation of slipped capital femoral epiphysis?

A

Most commonly adolescent with months of vague hip or knee symptoms and limp with or without an acute exacerbation.

3
Q

Legg-Calve-Perthes disease: aka? ususally seen in which group?

A

avascular necrosis of the capital femoral epiphysis. Most commonly boys 4 to 10yo

4
Q

ESR is an indirect measurement of elevated … , an acute phase reactant.

A

fibrinogen

5
Q

Which is a more specific measure of elevated acute phase reactants: ESR or CRP?

A

CRP

6
Q

Most common causative organisms in septic arthritis in pediatrics?

A

STAPH; STREP (neonate: GBS infant & older: GrpA and Strep pneumo); HIB (if unimmunized); N. GONORRHEA (adolescents)

7
Q

Pain of transient synovitis usually subsides in … days.

A

3 to 10 days

8
Q

How do you diagnose transient synovitis?

A

Diagnosis of exclusion (r/o reactive arthritis, JIA, septic arthritis, leukemia, trauma, etc.)

9
Q

How do you treat transient synovitis?

A

ibuprofen and rest

10
Q

What is the pediatric dose of ibuprofen? And what is the concentration of ibuprofen oral suspension?

A

10 mg/kg q6–8 hrs PO (max dose = 40mg/kg/24 hr) || child oral susp = 100 mg/5 mL; infant oral susp = 200mg/5mL; tablets 100mg/ea

11
Q

What is the pediatric dose of acetaminophen? And what is the concentration of acetaminophen oral suspension? Chewable tabs?

A

10-15 mg/kg q4-6 PO (Max 5 doses/day) || Oral susp = 160mg/5mL | Chewables = 80mg/tab

12
Q

SCFE illness script and provocations to try and ilicit dx

A

Obese pre-pubertal male w/ sudden onset, unilateral hip OR knee pain w/ limited ROM and no erythema or swelling. Try to flex your hip and see if the leg externally rotates.

13
Q

DX? rash which lasts only a few hours (evanescent) that is also macular and salmon, and high-spiking and appears periodically (once or twice a day)

A

systemic JIA

14
Q

Transient synovitis is usually linked to a reccent case of …?…

A

URI; if the pt has a h/o GI bug, think reactive arthritis