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
