PEDS Flashcards
CLEAN-UP (20 cards)
A child with undescended Testes undergoes an orchiplexy. Is there still a risk for testicular cancer?
Yes. Higher than the general population.
Cholesteomas can cause hearing loss, cranial nerve palsies, virtigo, brai abscess or meningitis. What will the otologist order to confirm the dx?
CT or surgical visualization
The likely pathogens to cause otitis media in children?
Strep pneumo, H. Flu and Moraxella Catarrhalis
Treatment for External Otitis Media?
Topical antibiotic drops
Why do infants that are born SGA (<10 percentile of gestational weight) end up with Polycythemia?
They end up having fetal hypoxia, produce lots more EPO and this causes polycythemia.
Why does iron poisoning cause hypotensive shock and anion gap metabolic acidosis?
Poor perfusion and accumulation of lactic acid.
How do I conform that a child has ingested Iron tablets
Serum Iron levels and abdominal x-ray since iron is radiopaque.
Treatment for Hydroceles in children!!
None!! Just observe, will spontaneously resolve in less than a year.
How do I treat a teen with otitis externa likely caused by pseudomonas or staph. a ?
remove debris from ear, use topical ear gtts like fluoroquinolone and +/- glucocorticoids
Why is it not recommended that a child with a caustic ingestion not undergo an upper GI endoscopy immediately.
Do upper GI endoscopy within 24 hrs because if it is done too soon, extent of the damage may not be seen and if it is done later, the risk of perforation increases.
What does the diagnostic lumbar puncture of a newborn with HSV show?
Temporallobe hemorrhage and edema - virus is transmitted to temporal lobe via olfactory bulb.
Blood lead levels have to be over what number to administer chelation therapy?
> 45
treatment for blood lead level between 45 - 69ug/DL?
Succimer (Dimercaptosuccininc acid (succimer)
Treatment for blood lead levels > 70ug/DL
Dimercaprol (British anti-Lewisite)_ + calcium disodium Edetate (EDTA)
Why is there a normal PaO2 in Methhemglobinemia?
Arterial blood glas only measures unbound arterial oxygen as opposed to hemoglobin bound oxygen and displays a falsely elevated oxygen saturation level.
When Methylene Blue (electron acceptor for NADPH) can’t be administered like in the case of a patient with G6PD, what can I use as a reducing agent for a child with methhemoglobinemia?
High dose vitamin C
What is the acute management of Epiglotitis?
Airway protection such as intubation an antibiotics.
2 ways to correct nurse maids elbow?
- Hyper pronate the forearm = preferred
2. Supinate the forearm and flex the forearm
What are the feathures of Langerhan cell histiocytosis?
- punched out lytic lesions
- Central Diabetes Insipitus
- Rash
What are the lab findings in a child with Idiopathic Juvenile Arthritis?
- Anemia
- Elevated inflammatory markers (ESR, CRP)
- hYPERFERRITINEMIA
- HYPERGAMMAGLOBULINEMIA
5 THROMBOCYTOSIS
