Flashcards in Pediatrics/Growth and Development Deck (113)
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1
Hep B schedule
#1 - Birth
#2 - 1-2 months - at least one month after first dose
#3 - Age 6 months - but at least 2 months after 2nd dose
2
Tdap for adolescents
Tdap booster Age 11-12
3
Hib vaccine - when do you no longer give?
after 5 years of age
4
When is it okay to give live vaccines?
after 1 year of age
5
When do you give the MCV4 booster
Age 16
6
What is appropriate spacing for vaccines?
4 days prior is okay, any earlier is invalid and must be repeated.
7
ADHD characterized by
Hyperactivity
Impulsivity
Inattention
8
What is a common assessment scale for ADHD
Connors' - Long and short form
9
Asthma tx in 0-4 year olds
Use Nebulizer!
Inhaled corticosteroids (only one approved for young children is budesonide)
SABA - albuterol
leukotrine receprot agonist - montelukast
10
Asthma tx in 5-11 year olds
Can use inhaler as appropriate
Inhaled corticosteroids (fluticasone, budesonide)
SABA - albuterol
leukotrine receprot agonist - montelukast
11
What type of pneumonia is common in children under 5?
viral, treat empirically
12
What is the most sensitive sign of pneumonia in children?
Increased resp
13
Sx RSV
URI 1-3 days which progresses to lower resp tract infection
Paroxysmal wheezing
Increased RR 40-60
Fever
Cough
Thick purulent nasal secretions
14
What is the most common organism for croup?
Parainfluenza types 1,2,3
Adenovirus
Influenza virus
15
Westley Croup score
Mild disease (can keep with PCP) - barking cough, hoarse cry, no stridor at rest
Moderate (ER) - Stridor at rest, mild retractions, sx resp distress
Severe (ER) - Significant stridor at rest, retractions are severe.
16
Tx mild croup
Hydration, cool mist, antipyretics
Single dose of dexamethasone
17
Organism with epiglottitis
Hib
18
Cystic fibrosis
Mutation of chromosome 7
19
Enlarged nodes "rules"
10mm is enlarged unless...
Epitrochlear - >5mm
Inguinal - > 15mm
Cervical - > 20mm
20
Criteria for febrile seizures
Temp >38C
Age < 6yo
Absence of CNS infection
No metabolic abnormality
No hx of febrile seizures
21
Pyloric stenosis sx
3-6 week old male with projectile vomiting
Olive like mass better palpated after vomiting
22
GER
frequent regergitation in the absence of pathology
Resolves before 1 year of age
Place supine to sleep
23
Red flags with reflux in infants
GI bleeding
Refusal to feed
Forceful vomiting
Constipation/Diarrhea
Abd tenderness
Fever
24
Intussusception
Vast majoity under 2 yo
Sausage like mass
Classing child crys and pulls legs up to chest
25
Dx Intussusception
KUB, Abd US
26
Intussusception classic triad
Intermittant colicky abd pain, vomit, bloody mucus stool (currant jelly)
27
Encopresis
Involuntary stooling over 4 yo. More common in males. Constipation often underlying problem.
28
Replacement mild dehydration
5 tsp per pound over 4 hours
29
Replacement moderate dehydration
10 tsp per pound over 4 hours
30
