peds other 3 Flashcards
(35 cards)
In case of maternal GBS positivity, up to what age can this bacteria cause disease in the baby?
Up to six months of age.
Since the introduction of expanded screening, how many congenital metabolic diseases are screened routinely in Hungary?
27 and SMA screening is also available.
SMA - spinal muscular atrophy
How does the concentration of protein and glucose of CSF change in bacterial meningitis?
Protein concentration is increased
Glucose concentration is decreased.
What are the direct and indirect signs of appendicitis?
Direct sign:
- tenderness at the McBurney point.
Indirect signs:
- Blumberg sign
- Rovsing sign
- Obturator sign
- Psoas sign
How does the total iron binding capacity change in case of anemia and inflammation?
Increased in anemia, decreased in inflammation.
The pathogen causing neonatal infection that can be identified by maternal vaginal secretion
screening.
Streptococcus agalactiae
(group B Streptococcus, GBS)
Which disease should be suspected in case of neonates with distended abdomen and severe
constipation?
Hirschsprung-disease
What is the typical feature of stool in biliary atresia?
Clay-colored (acholic) stool.
How long to wait after surgery before bathing?
7-8 days.
Imaging modality of choice when evaluating a child for infantile hypertrophic pyloric stenosis:
ultrasonography
In which cases of middle-ear inflammatory disease should we suggest tympanostomy tubes
(Grommet)?
Chronic serous otitis media
and/or chronic dysfunction of the Eustachian tube.
What are the alarming signs of retinoblastoma?
What examinations are required?
Alarming Signs:
Strabism
Leukocoria
- ophthalmoscopic examination.
At what platelet count is there major risk of bleeding?
Below 10-20 G/l
What are the diseases most commonly associated with type 1 diabetes mellitus?
Celiac disease
Hashimoto thyroiditis.
What are the most typical histologic findings in ulcerative colitis?
Crypt abscesses.
What does allogeneic stem cell transplant mean?
The patient (recipient) gets hematopoietic stem cells from another person (donor).
You find a high GGT in a patient with ulcerative colitis, what should you think about?
Sclerosing cholangitis.
What are the two main components of the treatment of pseudocroup?
Rectal steroid
Inhalation of adrenaline.
What are the two typical anamnestic features of acute appendicitis?
First, epigastric and periumbilical pain
Later, the pain is localized in the right lower abdominal quadrant.
What does autologous stem cell transplantation mean?
A procedure in which a patient’s healthy stem cells are collected from the blood or bone marrow before high dose chemotherapy, stored, and then given back to the patient after treatment.
What are the upper airway infections that should be treated with antibiotics?
- Streptococcus angina
- Acute otitis media
- Acute bacterial sinusitis.
The most common endocrine disorder causing growth retardation:
Thyroid dysfunction – hypothyroidism.
Most common cause of acute abdomen in children:
appendicitis.
Name at least five examples when pulse oximetry is not informative!
- Carbon-dioxide intoxication
- Methemoglobinemia
- Severe anemia
- Cardiac failure
- Cold extremities.
