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Flashcards in Peds Deck (198):
1

First A in APGAR

Appearance, 0 - blue/pale, 1 - pink trunk, 2 - all pink

2

P in APGAR

Pulse, 0 - 0, 1 - 100

3

G in APGAR

Grimace with stimulation, 0 - None, 1 - Grimace, 2 - grimace and cough

4

Second A in APGAR

Activity: 0 - Limp, 1 - Some activity, 2 - Active

5

R in APGAR

Respirations: 0 - None, 1 - Irregular, 2 - Regular

6

If a child has mastoiditis, what is the next best step in management?

CT head and neck to reveal extent of infection

7

Down Syndrome cancer risks

Increase ALL, Decrease solid organ tumors

8

Childhood Disintegrative Disorder

Normal development in early childhood then loss of acquired skills. Onset 2-10 yrs. Boys

9

Rett Disorder

Normal development until 2 yrs. then loss of acquired skills. Onset 2-10 yrs. Girls. Seizures

10

Pertussis: tx

14 Days of Erythromycin (a macrolide) for pt. and close contacts

11

Tx for Kawasaki Dz?

IV Ig and ASA

12

Classic signs of peritonsillar abscess

Fever, Trismus (can't open mouth), "Hot potato" voice, Peritonsillar swelling, Uvula deviation

13

Ambiguous genitalia ddx?

5-alpha-reductase deficiency, Androgen Insensitivity

14

Bedwetting Tx.

Behavior mod, DDAVP, Imipramine (tricyclic)

15

Jejunal atresia keywords

bilious, triple bubble, d/t vascular accident in utero causing intestinal necrosis

16

Duodenal atresia keywords

bilious 1st day of life, double bubble, d/t failure of duodenum recanalize, assoc. w/ polyhydramnios

17

Hirschprung disease keywords

bilious, delayed passage of meconium age >48 hrs, Dx: Rectal biopsy gold standard

18

Necrotizing enterocolitis keywords

bilious, bloody stool, thrombocytopenia and unstable vitals, Dx: XRAY showing intramural air

19

Pyloric stenosis

NON-bilious, projectile vomiting, 3-6 wks age, olive mass, Dx: US

20

What is the most common nutritional deficiency in children?

Iron

21

When can cow's milk be given?

Not until 1 y.o.

22

Infectious mononucleosis keywords

EBV, splenomegaly, posterior cervical lymphadenopathy

23

Leukocyte adhesion deficiency

recurrent bacterial infections, delayed umbilical cord separation, CD18 deficient, No Neutrophils in infected tissues but levels increased in blood (cause they can't migrate)

24

Adenosine Deaminase Deficiency

Auto Rec, deficient mature B cells and T cells d/t adenosine toxicity

25

Chronic Granulomatous disease

impaired respiratory burst --> ineffective intracellular killing, Dx: (-) Nitroblue Tetrazolium test --> yellow is seen (normally should be blue)

26

Cerebral Palsy keywords

equinovarus deformity, clasp knife resistance

27

Galactosemia

galactose-1-p- uridyl transferase deficiency causing: jaundice, hepatomegaly, catarcts, hypoglycemia, Tx: Soy formula

28

Congenital CMV keywords

microcephaly, cataracts/chorioretinitis, periventricular calcifications, sensorineural hearing loss

29

DiGeorge keywords

22q11 microdeletion, decrease T cell production, wide set eyes, small mandible, holosystolic murmur/VSD/Tetralogy of Fallot, neonate with hypocalcemic seizures

30

Klinefelter (47XXY) cancer risk?

breast ca

31

XYY males description

pectus exxcavatum, explosive tempers --> "Juvenile delinquents"

32

What is the most common form of inherited mental retardation?

Fragile X (CGG repeat), S&S: macrocephaly, long face/forehead, high arched palate, large ears, macro-orchidism after puberty

33

Methylamlonic acidemia keywords

defect of methylmalonyl-CoA --> Succinyl coA, vegan breast feeding mothers who need B12

34

Who do you avoid HCO3- infusion in DKA?

HypOkalemia, shifts O2 curve left, cerebral acidosis, edema

35

What is the routine care of a child with sickle cell dz?

Daily PCN by 2 mo., Daily Folate by 6 mo., Meningococcal and PPV23 @ 2 y.o., Morphine/Hydromorphone for pain

36

Intussusception keywords, Dx? Tx

Bilious, RUQ Sausage mass, Currant Jelly Heme + stool, Target sign, Cannot give Rotavirus vaccine, Dx AND Tx: Air contrast enema

37

Meckel Diverticulum

remnant of omphalomesenteric (vitelline) duct, 3-6 cm size, 50-75 cm from ileocecal valve in 2 y.o. male, of gastric and pancreatic tissues causing painless hematochezia, Dx: Meckel Radionuclide scan/T-99 pertechnetate

38

choanal atresia

CHARGE syndrome, pink when crying, blue when stops crying/is feeding

39

Tx: Chlamydial conjunctivitis

Erythromycin PO

40

Meconium ileus

failure to pass meconium w/in first 48 hrs, assoc. with Cystic fibrosis. Tx: IVF, NG tube, surgery

41

Electrolyte imbalance in Cystic Fibrosis

hypOnatremic/hypoChloremic met alkalosis

42

Cystic Fibrosis

Auto Rec F508 mutation leading to recurrent sinopulmonary infections, steatorrhea, nasal polyps, Dx: Quantitative Pilocarpine Iontophoresis and Sweat Cl-, Tx: Intranasal glucocorticoids, Vit. ADEK supplementation, Aminoglycosides for Pseudomonas infections

43

Hypothyroidism growth curve in children

normal childhood growth then abrupt falling off growth curve

44

Tetralogy of Fallot keywords

PROV (pulm stenosis, RV hypertrophy, Overriding Aorta, VSD), boot shaped heart, Tet spells (irritable, tachypnea, cyanosis), harsh systolic murmur @ LSB, Tx: Knee-chest which increases SVR, O2, surgical repair before 6 mo.

45

Rheumatic Fever keywords

Strep pyogenes (Group A beta hemolytic), J

46

Henoch-Schonlein purpura (anaphylactoid purpura)

IgA mediated vasculitis post viral URI with mesangium deposition

47

Bruton's (X-linked) Agammaglobulinemia

X-linked recessive defect in B TyKinase, recurrent pyogenic (strep pneumo, H. flu) infections, Dx: Dec. Ig GAME and B cells

48

Common Variable Immunodeficiency (CVID)

acquired hypogammaglobulinemia, older than Bruton's, Dx: Dec Ig GAME but normal B cell count

49

Beckwith-Wiedemann

macroglossia, R sided hemi-hypertrophy, umbilical hernia, 11p15

50

First line tx. for club foot

Stretching and manipulation THEN serial casting between 3-6 mo.

51

Kawasaki Dz (Mucocutaneous Lymph node syndrome)

Fever >5d, polymorphous rash, cervical lymphadenopathy, bilateral non-exudative conjunctivitis, Inc. ESR, CRP, platelets, Tx: ASA + IVIg

52

Nurse Maid's elbow

Radial head dislocation, Tx: Hyperpronation

53

Lesch-Nyhan

X-Recessive HGPRT deficiency --> mutilation, gouty arthritis

54

Gilbert Syndrome

Dec UDP glucuronosyl Transferase causing disorder of bilirubin metabolism

55

Criggler Najjar

Dec. UDP transferase., Inc. bili and encephalopathy.

56

What is the most common cause of neonatal sepsis from birth to 3 mo. of age?

Group B. Strep

57

Transient Tachypnea of Newborn

incomplete evacuation of fetal lung fluid in full term infants leading to respiratory condition, assoc. w/ C-sections, Tx: supplemental O2 PRN

58

Atrioventricular Canal Defect

common in Down Syn., systolic and diastolic heart mumur, split loud S2, EKG with RV hypertrophy, Cyanosis when nursing

59

Sturge Weber

seizures + MR + port wine stain along CNV territory, Dx: "tramline" gyriform intracranial calcifications on skull xray, Tx: seizure control, laser therapy for skin lesions

60

Measles "Rubeola"

fever 104, 4 "C"s, Tx: Vit. A will dec. morbidity and mortality

61

Erythema Toxicum Neonatorum

Benign papules/pustules spares palms and soles that shows up first 2 wks of life, Tx: Spontaneous resolution

62

SCID

no lymph nodes, no tonsils, no thymic shadow, Dec. B, T, NK cells, - recurrent sinopulmonary infections, oral candidasis, persistent diarrhea, opportunistic and viral infections

63

Wiskott Aldrich

X-Recessive WASP gene., Classically a young male with eczema, thrombocytopenia, purpura, and encapsulated infections, Dx: Dec. IgM, T, platelets, but Inc. IgA and E

64

Most common cause of 2ndary HTN in children?

Fibromuscular dysplasia, "string of beads" on renal a. angiogram (Right > Left)

65

Rubella "German Measles" S&S, Tx?

66

Congenital Diaphragmatic Hernia sequelae

pulmonary hypoplasia and HTN, polyhydramnios

67

S&S congenital diaphragmatic hernia

concave scaphoid abdomen, barrel shaped chest, dx: prenatal US, Tx: endotracheal intubation

68

Diamond-blackfan Anemia "Congenital hypoplastic anemia"

progenitor defect causing inc. RBC apoptosis, S&S: pallor, short, web neck, shielded chest, long thumbs, Dx: inc. fetal Hgb, dec. retic., macrocytic anemia, Tx: Corticosteroids

69

Klumpke's Paralysis

C8-T1 injury, Claw hand: wrist extended, MCP jts. hyperextended, interphalangeal jts. flexed, Horner syndrome

70

Erb-Duchenne "Waiter's Tip"

C5-C6 (Tip me "$5"), Dec. moro reflex, Intact grasp reflex

71

Most common primary bone tumor

Osteosarcoma, @ metaphysis of long bones, Dx: spiculated sunburst, periosteal elevation (Codman's Triangle), Inc. AlkPhos, Inc. LDH, Tx: Chemo and Surgical excision

72

Refeeding Syndrome explained

Carbs --> insulin release --> intracellular movement of K, phos, Mg --> arrythmias and cardiopulmonary failure

73

Transposition of Great arteries keywords

Egg on a string, Narrow mediastinum, Cyanosis

74

Parvo B19

targets RBC precursors (dx: 0 Retics), lacy rash

75

Cephalohematoma

sub-periosteal hemorrhage (limited to surface of one cranial bone --> does not cross suture lines), no scalp discoloration

76

Tx. Pinworm

Scotch tape test, Metronidazole

77

Esophageal atresia/Tracheoesophageal fistula

Dx: Polyhydramnios on prenatal US, distended stomach and intestines, choking and regurg with initial feeding immediately after birth, risk for chronic GERD

78

Friedreich ataxia

AutoRec excess trinucleotide repeat sequences, Abnormal Tocopherol transfer protein, S&S: wide-based gait, dec. vibration/proprioception, no DTRs on LE, high plantar arches

79

What is the earliest manifestion of vaso-occlusion in sickle cell anemia?

dactylitis (AKA Hand-foot syndrome)

80

McCune Albright

defect in G-protein cAMP-kinase, 3 P's: precocious puberty, pigmentation (cafe au lait spots), polyostotic fibrous dysplasia

81

Craniopharyngioma keywords

Rathke's pouch, suprasellar and inferior to optic chiasm

82

Myotonic Dystrophy

AutoDom CTG trinucleotide repeat in DMPK gene on Chromosome 19q13.3, Facial weakness, hand grip myotonia, inverted V-shaped lip

83

Duchenne Muscular Dystrophy

X-Rec deletion of Dystrophin gene on chrom Xp21, Dx: DNA blood analysis then mm. biopsy if blood samples not diagnostic, S&S: Trendelenburg waddling gait, progressive proximal mm. weakness (Gower's), calf pseudohypertrophy, death from respiratory failure

84

Becker Muscular dystrophy

X-Rec dystrophin gene deletion from Xp21.

85

IgA Deficiency

recurrent sinopulmonary and GI infections and anaphylactic transfusion reactions (episodic diarrhea secondary to Giardia)

86

Posterior Vermis Syndrome

unbalanced gait, trunk dystaxia, horizontal nystagmus, papilledema, HA/vomiting, d/t Medulloblastoma

87

Fetal Alcohol Syn keywords

small palpebral fissues, smooth philtrum, small gestational age, septal defects

88

Congenital adrenal hyperplasia (CAH)

21-OH-lase deficiency leading to Inc. 17a-OH-progesterone, S&S: ambiguous genitalia in girls, hyponatremia, hypotension

89

Brick Red Urate Crystals in diapers

sign of dehydration

90

Tx. Lead Poisoning

Chelation: EDTA(IM) or DMSA(PO)

91

Berger IgA Nephropathy, Dx?

recurrent painless hematuria preceded by URI, Dx: Immune complex deposition in mesangium

92

Post Strep Glomerulonephritis, d/t, Dx?, Tx?

d/t GABHS (strep throat or impetigo), Dx: Dec. C3, normal C4. ASO +, anti-DNAse Abs, Tx: Fluids, diuretics, CCB for HTN

93

Rapidly Progressive Glomerulonephritis Dx

Crescentic glomeruli

94

Goodpasture Syndrome S&S, d/t?

nephritis + pulm hemorrhage, d/t SLE, HSP

95

What is the most common cause of chronic stridor? S&S? Dx?

Laryngomalacia, inspiratory stridor worse when supine and when crying/feeding, Dx: laryngoscopy showing Omega shaped epiglottis

96

Retropharyngeal abscess, Dx?

fever, drooling, dysphagia, stridor, and muffled voice which is often polymicrobial, Dx: widened pre-vertebral space on lateral neck xrays

97

Croup (laryngotracheobronchitis) keywords

Tx?

Steeple sign ("Up" the steeple"), barking cough, parainfluenzae virus

 

Tx: Racemic Epinephrine

98

Wilm's tumor arises from? keywords

metanephros, mass that doesn't cross midline

99

What does the mesonephros give rise to?

Guy parts "EVES": Ejaculatory ducts, Vas deferens, Epididydymis, Seminal vesicles

100

What does the paramesonephron give rise to?

Female parts: Fallopian tubes, Uterus, Vagina

101

NF-1 keywords

cafe au lait, MACROcephaly, feeding and learning problems

102

NF-2

bilateral acoustic neuromas, cataracts

103

Osteogenesis imperfecta keywords

COL1A1 mutation, osteopenia, blue sclera, hearing loss

104

If IV access isn't possible in pediatric emergencies what do you do?

Intraosseous access, often proximal tibia

105

Hypertrophic cardiomyopathy keywords

AutoDom, systolic @ LSB, increases with valsalva, decreases with hand grip/passive leg raise, Tx: BB

106

Vesicoureteral Reflux (VUR) Grading

I: undilated ureter, II: into ureter and collecting system, III: dilation of ureter and collecting system, IV: blunted calyces, V: tortuosity of ureter

107

Vesicoureteral reflux (VUR) often leads to? dx? tx?

UTIs, Voiding cystourethrogram showing retrograde flow, Tx. TMP-SMX, Nitrofurantoin

108

Epiglottitis keywords

abrupt stridor, Thumb's sign "(epigloTTiTis Thumb), Haemophilus influenza type B,

 

Tx: Intubation. Hyperextension of neck, IV PCN, Cephalosporins, Carbapenems

109

Prader Willi keywords

hyperphagia and obesity

110

Chronic Granulomatous Disease, Tx?

-defective NADPH oxidase phagocytosis causing susceptibility to Catalase + organism (staph aureus, serratia, burkholderia, klebsiella, aspergillus), Tx: TMP-SMX and y-IFN 3x/wk

111

Tx. Neonatal meningitis

Ampicillin + Ceftriaxone/3rd gen ceph

112

Salmonella keywords

poultry, eggs, turtles, watery/bloody diarrhea, gastroenteritis

113

Shigella keywords

Gram (-) Motile NON-lactose fermenter, watery diarrea --> bloody stool

114

Trichuris Trichiura "Whipworms" Dx? Tx?

often found in South East US, whipworms cause rectal prolapse, stool for ova and parasites, Tx: Albendazole

115

Which strains are covered by Gardasil

6, 11 --> genital warts, 16, 18 --> cervical ca.

116

Febrile seizure: when does it occur? Different types? Tx?

between 6 mo. and 6 y.o., Simple: 15 minutes with possible lateralizing signs, Tx: Lorazepam (if seizures last >5 min) and Fosphenytoin if that doesn't work

117

If a child beyond neonatal period (e.g. 5 y.o.) has herpetic lesions, what should you suspect?

Possible sexual abuse

118

Tx: Atopic dermatitis

topical corticosteroids (but not on face, genitalia, intertriginous), oral antihistamines

119

Seborrheic dermatitis ("cradle cap") keywords, tx?

greasy brown scales, Tx: Ketoconazole, low potency steroids

120

Neuroblastoma keywords, Dx?

adrenal gland tumor, raccoon eyes, lymphadenopathy, bluish skin, Dx: CT, MRI, Increased VMA and Homovanillic acid (catecholamines)

121

VATER

Vertebral abnormality, Anus imperforate, Tracheoesophageal fistula, Radial/Renal anomalies

122

Malrotation and volvulus, d/t, Dx? Tx

bilious vomiting, blood per rectum, incomplete intestinal rotation during development, Using upper GI series Contrast: Lig. of Treitz on R side of abdomen (Malrotation), Corkscrew/birds beak of duodenum (Volvulus); Tx: Stop enteral feeds, use NG, LADD procedure

123

Tx. Comedones

1. Topical Benzoyl peroxide or Retin A, 2. Isoretinoin if severe

124

What is the most common cause of UTIs in boys? dx? Tx?

Posterior Urethral valves causing dribbling, poor stream, palpable kidneys, VCUG and postnasal USG, Bladder catheterization then Endoscopic Transurethral valve ablation

125

Tx ADHD. Children with ADHD often have what else?

Methylphenidate, Dextroamphetamine, Atomoxetine (SNRI), Oppositional defiant disorder, conduct disorder, anxiety, and depression

126

Slipped Capital Femoral Epiphysis puts obese children at risk for?

Avascular necrosis

127

Klippel-Feil keywords

torticollis, cervical vertebrae fusion, short neck

128

Waardenburg Syndrome keywords

Think xmen's rogue is deaf: Sensorineural hearing loss, Partial albinism/forelock of gray hair, Heterochromic iris

129

Blount Disease (Idiopathic Tibia Vara) keywords

Abnormal medial Tibial epiphysis, Prominent Beaking and calcification

130

Legg-Calve-Perthes keywords

painless "antalgic" limp gait d/t idiopathic avascular, femoral head necrosis, often boys, limited int. rotation and hip abduction

131

Reye Syndrome S&S, Labs?

encephalopathy and acute liver failure (mitochondrial hepatopathy), Increased AST/ALT, PT/INR, PTT, Ammonia

132

Catarrhal Stage (of Pertussis) S&S

mild cough and rhinitis for 1-2 wks

133

Paroxysmal Stage (of Pertussis) S&S

coughing fits, inspiratory "whoop", "staccato" cough, emesis, apnea, cyanosis. all for 2-6 wks

134

Convalescent Stage (of Pertussis) S&S

resolution of cough and post-tussive emesis that comes after weeks to months

135

Pertussis Tx. and Post-exposure ppx

1 mo: Azithromycin x 7d or Erythromycin x 14d

136

Neimann Pick keywords

AutoRec, sphingomyelinase, no reflexes, hepatomegaly

137

Tay Sachs keywords

AutoRec, Hexoaminidase, hyper-reflexia

138

Krabbe keywords

Autorec, Galacto-cerebrosidase lysosomal storage disorder

139

Gaucher keywords

Gluco-cerebrosidase deficiency, anemia, thrombocytopenia, hepatomegaly

140

Hurler Syndrome keywords

Hydrolase deficiency lysosomal storage disorder, Coarse facies, hernias, cloudy cornea, hepatosplenomegaly

141

Biliary Atresia S&S, Dx, Tx

conjugated hyperbilirubinemia --> jaundice, dark urine, pale stool, Dx: US, Hepatobiliary Scintigraphy, Liver biopsy, Intraoperative cholangiogram is the Gold standard, Tx: Kasai Hepato-porto-enterostomy procedure

142

Von-Gierkes keywords

Type I Glycogen storage disease, G-6-Phosphatase deficiency, hypoglycemia, lactic acidosis, hyperuricemia, doll-like face

143

Pompe (acid maltase deficiency) Dz. keywords

Type II, Floppy baby, macroglossia, heart failure

144

Tx. Cyanide poisoning

Hydroxycobalamin

145

Adverse effect of Lindane (Gamma-Benzene Hexachloride) lotion for scabies

Neurotoxicity in small infants

146

What is a contraindication for all vaccines?

severe allergic rxn

147

S&S Fetal Dilantin Exposure

midface hypoplasia, low nasal bridge, ocular HyPERtelorism, accentuated Cupid's bow of upper lip

148

S&S Small for Gestational Age baby

hypoglycemia, polycythemia --> Hyperviscosity syndrome

149

What is the tx. for Hyperviscosity Syndrome in SGA baby

Partial exchange transfusion with saline/LR

150

d/t, Dx, S&S? Tx

d/t surfactant deficiency secondary to prematurity,

151

S&S of Donor Twin in Twin-Twin Transfusion

Oligohydramnios, anemia, hypovolemia, shock

152

S&S of Recipient Twin in Twin-Twin Transfusion

Polyhydramnios, larger size

153

Potter Sequence keywords

pulmonary hypoplasia secondary to oligohydramnios, wide spread eyes, low set ears, broad nose

154

Caput succedaneum keywords

soft tissue swelling often presenting portion, ecchymotic, cross suture lines

155

Atrial Septal Defect (ASD) keywords

wide, fixed split S2 @ LSB, pulmonary stenosis murmur, thrombocytopenia

156

Ventricular Septal Defect (VSD) keywords

harsh, blowing, holosytolic @ LSB, diastolic apical rumble

157

Ebstein anomaly keywords

downward displacement of tricuspid valve causing: quadruple rhythm S3 and S4 (Triscupid Regurg), mid-diastolic murmur @ LSB, R atrial hypertrophy

158

Total Anomalous Pulm. Venous Return (TAPVR) keywords

obstruction to pulm. venous return, snowman venous congestion, fluffy CXR

159

Noonan Syndrome aka Male Turner Syndrome

short, web neck, shield chest, cryoptorchidism, pulm stenosis, pectus excavatum

160

What cardiac defect would you most likely see with Ehlers Danlos, Klinefelter?

Mitral Valve Prolapse, midsystolic click, @ apex

161

Teeth development

1. Mandibular central incisors, 2. Maxillary central incisors

162

Tx. of Phenobarbital OD

activated charcoal

163

Prune Belly Syndrome S&S

pulm. hypoplasia, wrinkly abd wall, oligohydramnios

164

What is the most common hereditary nephritis?

Alport Syndrome (hematuria, hearing loss, ocular anomalies)

165

Homocystinuria keywords

AutoRec, Cystathione B. Synthase deficiency, dislocated lenses, arachnodactyly

166

Werdnig-Hoffman (Spinal mm. atrophy type I) S&S

floppy baby, defective survivor motor neuron gene destroying neurons in brain and spine

167

Tuberous Sclerosis keywords

Ash-leaf hypopigmentation, Shagreen path over sacrum,

168

Prehn Sign, significance?

Lifting of scrotum, Pain gets worse --> torsion, Pain gets better --> epididymitis

169

Eisenmenger Syndrome

cyanosis and dyspnea secondary to L to R shunting seen in large VSDs

170

Anemia of Prematurity, d/t

normocytic, normochromic, low retic anemia often seen in hospitalized, premature, LBW infants, d/t transition of erythropoiesis sites of neonate

171

Roseola Infantum (Exanthem subitum) d/t

abrupt high fever THEN centrifugal rash to extremities,

172

Parinaud syndrome, d/t

limited upward gaze, ptosis, Collier's sign of upper eyelid retraction, d/t pinealoma

173

Trachoma conjunctivitis: d/t, Dx:, Tx:

follicular conjunctivitis and neovascularization (pannus formation) in cornea, Dx: giemsa stain of scrapings,

174

Edwards Syndrome keywords

Trisomy "E"ighteen for EDWARDS, LBW, microcephaly

175

Patau Syndrome keywords

Trisomy "ThirTeen" for paTau, cleft lip, polydactyly

176

Developmental Dysplasia of Hip, Dx? Tx?

Normal female baby with abnormal acetabulum resulting in hip instability and uneven leg creases, Ortolani and Barlow tests, Ultrasound to confirm, Tx: Pavlik harness to splint hip in flexion and abduction

177

Pt. with cryptorchidism, hypospadias, aniridia, retardation should raise suspicion for what?

Wilms Tumor. Baby has WAGR (Wilms, Aniridia, GU, Retardation)

178

When is HepB Vaccine given?

Birth, 1-2, 6-18

179

When is Rotavirus vaccine given?

2,4,6

180

When is DTaP vaccine given?

2,4,6, 15-18, 4-6y

181

When is Hib and Pneumoccocal vaccine given?

2,4,6, 12-15

182

When is Inactivated Polio vaccine given?

2,4, 6-18, 4-6y

183

When is influenza vaccine given?

yearly from 6 mo onward

184

When is MMR and Varicella vaccine given?

12-15, 4-6

185

When is Meningococcal Vaccine given?

2-6y

186

When is Tdap given? (Tetanus)

Substitute 1 time dose of Tdap for Td booster, then boost with Td q10y

187

Wilson's Disease inheritance?

pathophys?

S&S?

Tx?

Auto Recessive

reduced Copper excretion from liver leading to:

Kayser-Fleischer rings, parkinsonism, icterus, elevated AST/ALT, neurologic S&S

Tx: Penicillamine, Screen 1st Degree relatives

188

Tx. Lead poisoning

EDTA

189

Tx. Mercury

Dimercaprol

190

Tx. Iron poisoning

Deferoxamine

191

Subgaleal hemorrhage keywords

crosses suture lines

grows slowly over first day of life

Hemorrhagic shock!

192

Lab abnormalities in baby born to diabetic mother

Hypoglycemia

Hypocalcemia (d/t low PTH)/Hypomagnesemia

Hyperphosphatemia

 

193

Meconium Aspiration Syndrome

What would you see on CXR?

What complication can arise?

Q image thumb

Term Baby with persistent respiratory distress (retractions, grunting, flaring)

CXR with bilateral patchy opacities, possible hyperinflation or pneumothorax

 

Persistent Pulmonary HTN --> acidosis and hypoxia and death

 

 

194

Posterior Urethral Valves

S&S

Dx

male infant with hydronephrosis/cortical thinning, bilateral flank mass AND an abdominal mass, may also have Potter facies and pulmonary hypoplasia

 

Dx to confirm: Voiding Cystourethrogram

195

Langerhans Histiocytosis X keywords

solitary, lytic painful long bone lesions in children

eosinophilic

Tx: Resolve spontaneously

 

196

Precocious Puberty Tx

Leuprolide (GnRH agonist) will negative feedback on GnRH

197

McCune-Albright 

S&S

Tx

precocious puberty

Polyostotic fibrous dysplasia

Unilateral café au lait spots "Coast of maine border" that doesn't cross midline

 

Tx: Ketoconazole (estrogen synthesis blocker), Tamoxifen (anti-estrogen)

198

Henoch-Schonlein Purpura (HSP)

S&S

Tx

Vasculitis affecting children, 50% after URI

IgA and C3 deposition in small vessels

palpable purpura on legs, buttocks, abdominal and joint pain, hematuria

 

Tx: Supportive care