Flashcards in pediatrie 2 Deck (576)
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1
kid with drooling fever odynophagia dysphagia muffled voice and trismus what can cause that(3)
infection of larynx
Pharynx
or
deep neck space
2
clue for retropharyngeal abcess in the setting of drooling fever odynophagia dysphagia muffled voice and trismus(2)
inability to extend the neck
widened prevertebral space in lateral xray
3
complication of retropharyngeal abcess(4)
airway compromise
bactriemia
carotid artery rupture
jugular venous thrombosis
4
cause of retropharyngeal abcess
direct spread infection from paharyngitis
tonsilitis
otitis media
or sinusitis
5
bugs involved in retropharyngeal abcess
polymicrobial
6
stable patient with retropharyngeal abcess
polymicrobial
7
clue for early congenital syphilis(5)
hepatosplenomegaly
cutaneous lesion
jaundice
anemia
rhinorrhea
8
xray in congental syphilis(2)
metaphyseal dystrophy
periostitis
9
late manifestation of congenital syphilis (7)
2 years
frontal bossing
high arched palate
hutchinson teeth
intersticial keratitis
saddle nose
perioral fissures
10
screening test for syphilis(3)
VDRL
RPR
Enzyme immunoassay
11
confirmatory test for syphilis(3)
FTA-ABS
TPPA=traponema particle agglutination assay
12
in the vignette the clue for syphilis congenital
ulcerative on his feet
13
3 phases of pertussis
catarrhal
paroxysmal
convalescent
14
immunisation in pertusis(2)
5 doses of Tdap from 2 months and 6 years
TDAP booster age 11-18 and during pregnancy
15
CBC in pertussis
lymphocyte predominant leukocytosis
16
does immunization protects for life
no immunity doen not provide lifelong immunity
17
confirmatory dx of pertussis(2)
bacterial culture
PCR
18
rx of pertussis
macrolides
19
complication of pertussis(5)
pneumonia
weight loss
subonjonctival hemorage
pneumothorax
respiratory failure and deat
20
clue in catarrhal phase
mild cough
rhinitis
21
duration of catarrhal phase
1-2 weeks
22
clue for paroxysmal phase(4)
20-30 mn coughing paroxysms
inspiratory whoop
staccato cough
posttussive emesis
23
duration of paroxysmal phase
2 - 6 weeks
24
clue for convalescent phase(2)
cough and
post tussive emesis resolve
25
duration of convalecent phase
weeks to months
26
osteomyelitis in sickle cell disease(2)
salmonella # 1
staph aureus
27
important clue to dx pertussis
inadequate vaccination
28
predisposing factor for sinusitis
viral upper respiratory infection
29
clue for sinusitis(4)
erythema and swelling of the nasal turbinates
purulent drainage
congestion
cough
30
