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Flashcards in Peds Deck (189)
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1

Nontender abdominal mass associated with elevated VMA and HVA

Neuroblastoma

2

Most common type of tracheoesophageal fistula

Esophageal atresia with distal TEF - 85%
Unable to pass NG tub

3

Not CI to vaccination

Mild illness and/or low grade fever, current abx, prematurity

4

Tests to RO shaken baby syndrome

Opthalmologic exam, CT, MRI

5

Neonate has meconium ileus

CF
Hirschsprung disease is associated with failure to pass meconium for 48 hrs

6

Bilious emesis within hours of first feeding
Double bubble on AXR

Duodenal atresia

7

2 month baby presents with nonbilious project emesis, olive shaped mass
Dx
Managment

Pyloric stenosis
Correct metabolic abnormalities (hypochloremic hypokalemic metabolic alkalosis) then pyloromyotomy

8

Most common primary immunodeficiency

Selective IgA def

9

Infant has high fever and onset of rash as fever breaks- what at risk for

Febrile seizure due to roseola infantum

10

Immunodef: boy has chronic resp infection. Nitroblue tetrazolium test neg

Chronic granulomatous disease

11

Immunodef: child has eczema, thrombocytopenia, high IgA

Wiskot Aldrich

12

Immunodef: 6 month old boy life threatening Pseudomonas infection (or S pneumo or Haemophilus)
No tonsils or other lymph tissue

Bruton's X linked agammaglobulinemia

B cell def

13

Acute phase Tx Kawasaki

High dose ASA for infl and fever
IVIG to prevent coronary a aneurysms

14

Tx mild and severe unconjugated hyperbili

Mild: phototherapy
Severe: exchanges transfusion
DO NOT PHOTOTX IF CONG

15

Sudden onset mental status changes, emesis, liver dysfcn after ASA

Reye's syndrome

16

Child loss of red light reflex. Dx Inc risk of what cancer?

Suspect retinoblastoma
Osteosarcoma inc risk

17

Vaccination at 6 months

HBV
DTaP
Hib
IPV
PCV
Rotavirus

18

Tanner stage 3 in 6 yo female

PRecocious puberty

19

Infection of small airways with epidemics in winter and spring

RSV bronchiolitis

20

Current jelly stools, colicky and pain, bilious vomiting, sausage shaped mass in RUQ, target sign on US
Tx

Intussusception

Air barium enema

21

Congenital heart disease causes secondary HTN
Find on PE?

Coarctation of aorta
Dec femoral pulses on exam

22

1st line Tx otitis media

Amoxicillin x 10 D

23

Most common pathogen causing croup

Parainfluenze type 1

24

Homeless child small for age, peeling skin, swollen belly

Kwashiorkor- protein malnutrition

25

Defect in X linked syndrome with mental retardation, gout, self mutilitaion, choreoathetosis

Lesch Nyhan - pruine salvage problem with HGPRTase def

26

Newborn girl with continuous machine like murmur
Rx

PDA
INdomethocain to close

27

Newborn with posterior neck mass and swelling of hands

Turner

28

Age reflexes disappear

6 months

29

Developmental milestones: 2 months

Social smile
Lift head 45 degrees
Eyes follow to midline
Coos

30

Developmental milestones: 4 months

Laughs, aware of caregiver, localizes sound
Lift head 90 degrees
eyes follow past midline
Rolls front to back, grasps rattle