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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

quid of preseptal cellulitis

mild infection of the eyelid anterior to the orbital septum