Flashcards in Peds 2 Deck (74)
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1
neonate with alopecia and orange-colored, nodular skin? Tx?
nevus sebaceous
tx = remove before adolescence, can undergo malignant degeneration
2
enzyme defect in PKU
phenylalanine hydroxylase
3
Newborn with vomiting, athetosis, seizures, developmental delay/MR, fair hair and skin
PKU
4
When is breastfeeding CI? (7)
HgE-Ag + Hep B, HIV, herpes on nipple, chemo, Lithium, radioactive iodide
neonatal PKU and galactosemia
5
Enzyme defect in galactosemia
G1P-UT
6
Newborn with FTT, bilateral cateracts, jaundice, hypoglycemia?
galactosemia
7
What are galactosemia babies at increased risk of?
E. coli infxns
8
Signs of concern in neonate w/ jaundice (4)
If:
present on 1st day of life, Total Bili >12, Direct Bili >2, rise of >5/day
9
Inherited causes of direct hyperbilirubinemia (2)
Dubin Johnson (black liver)
Rotor Syndrome (milder form)
10
TE atresia a/w?
VACTERL (vertebral,anorectal atreisa, cardiac, TE, radial/renal, limb)
11
Choanal atresia a/w?
CHARGE (coloboma, haert defects, atresia (choanal), retarded growth, GU, ear)
12
mature lungs lecithin:sphingomyeline ratio
>2
13
3 syndromes a/w omphalocele
Edwards, Patau, Beckwith-Weidemann
14
Neonate with umbilical hernia and macroglossia (big tongue)
congenital HYPOthyroidism
15
Structural abnormality that leads to infantile volvulus
Ladd's band
16
Normal rotation of gut during development
270 CCW around SMA
17
Dx CAH
meausre 17,OH-Progesterone before and after ACTH bolus
18
Tx 21alpha-hydroxylase deficiency
hydrocortisone/fludrocortisone + aldosterone
19
Neonate with RDS, hypocalcemia, polycythemia, dx?
maternal gestational DM
20
Empiric Tx neonatal sepsis
amp + gent
21
Empiric treatment of infant meningitis
cefotaxime + amp
22
MCCs of newborn sepsis
GBS, Listeria, E. coli
23
Neonate w/ maculopapular rash on palm/soles, sniffles and periostitis
Congenital syphilis
24
Neonate w/ hydrocephalus, intracranial calcifications and chorioretinitis? Tx?
congenital toxoplasmosis
Pyrimethamine (sulfadiazine + leucovorin)
25
Neonate w/ cataracts, deafness, heart defects and extramedullary hematopoeisis
Congenital rubella
26
neonate w/ microcephaly, periventricular calcification, deafness, thrombocytopenia, petechia, seizures? Tx?
Congenital CMV
Tx = Ganciclovir
27
Neonate w/ limb hypoplasia, cutaneous scars, catacts, chorioretinitis, cortical atrophy
CONGENITAL varicella (not neonatal)
28
When and how do you treat NEONATAL varicella
if mom was exposed either 5 days prior or 2 days after delivery, give baby VZIG
29
Tx gonococcal conjunctivitis
IV cefotaxime or cefalexin
30
