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Flashcards in Peds 4 Deck (66)
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1

Jerky dancing in eyes and limbs, bluish skin nodules and tender abd mass? Dx test?

Neuroblastoma
Dx = urine homovanillic or vanillylmandelic acid

2

CALLA and TDT positive testing

ALL

3

Tx ALL

VDP (vincristine, dexamethasone and prednisolone) + Intrathecal methotrexate

4

14yo boy with enlarged, painless rubbery LN, diaphoresis and weight loss

Hodgkin's Lymphoma

5

CD15/CD30 and Reed Sternberg Cells

Hodgkin's Lymphoma

6

7yo girl, nonproductive cough and large anterior mediastinal mass

Non-hodgkin's lymphoma

7

kid with high fever for 3 days THEN a pink, maculopapular rash develops on trunk and extremities

Roseola (HHV^ or 7) = exanthema subitum

8

2yo with fever, lacy reticular rash on face and upper body (not on palms/soles)

Parvo b19 5th disease = erythema infectiosum

9

Parvo is particularly bad in (3)

pregnancy, SS or thalassemia

10

Sandpaper rash

Scarlet Fever

11

Kid with sore throat develops 1-2 weeks later a maculopapular rash, desquamating that begins centrally and extends peripherally with strawberry tongue

Scarlet fever

12

Kid with a cough and runny nose, fever develops a macular rash around ears that spreads downwards, PE with gray spots on buccal mucosa

paramyxovirus = measles

13

Tx measles

supportive care and VITAMIN A!!!

14

kid with a sore throat develops fever, joint pain, fine rash on face that spread downwards with red spots on palate noted on PE

Rubella

15

Kid with poor feeding, vesicles on mouth, palm and soles with rash on butt/LE, +/- similar kids in daycare

Hand foot and mouth = coxsackie A virus

16

16yo male with swollen cheeks, fever and HA

paramyxovirus = MUMPS

17

2 serious sequelae of mumps

orchitis and/or sterility

18

Tx lyme disease

amoxicilin if <8yo, doxy of older

19

2 possible complications of RMSF

vasculitis and gangrene

20

Tx RMSF

doxycycline at ALL ages

21

Tx scabies

5% permethrin for ENTIRE family

22

kid with conjunctiva, multiple blisters and positive nikolsky sign, Tx?

SSS syndrome
Tx = IV oxicillin or nafcillin

23

MC tx for meningitis

ceftriaxone and vanc

24

Tx TB meningitis

RIPE and* steroids

25

Tx lyme meningitis

ceftriaxone

26

Tx listeria meningitis

ampicillin

27

Tx acute OM

amoxicillin or azithro
if no improvement, augmentin

28

Tx otitis externa

ciprofloxacin

29

strep throat criteria

Fever, anterior cervical LAD, exudates and lack of cough

30

Tx retropharyngeal abscess

aspirate or I&D plus: 3rd gen cephalosporine, ampicillin or clindamycin