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Flashcards in Peds Deck (198)
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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