PEDS Review Flashcards
(322 cards)
1
Q
Neonatal jaundice with breast feeding< 6 times/d:
A
breastfeeding jaundice.
2
Q
TTT Of breast feeding jaundice:
A
increase frequency of breast feeding.
3
Q
Neonatal jaundice with breast feeding>8 times/d:
A
breast milk jaundice.
4
Q
TTT of breast milk jaundice:
A
temporary cessation of breast feeding for 2ds then resume breast feeding.
5
Q
Jaundice at 1st day:
A
hemolytic disease of new born(DT Rh incompatability).
6
Q
Jaundice at 3rd day:
A
physiological jaundice.
7
Q
Direct Jaundice after 7th day:
A
biliary atresia.
8
Q
1st step in management Of neonatal jaundice:
A
total & direct bilirubin.
9
Q
Bilirubin> 270 micromol/L :
A
phototherapy.
10
Q
Bilirubin> 340 micromol/L :
A
exchange transfusion.
11
Q
Asymptomatic Indirect hyperbilirubinemia in healthy adult:
A
gilbert $.
12
Q
TTT of neonatal hypoglycemia… 1st line:
A
IV glucose.. if failed: IM glucagon.
13
Q
Cyanosis with feeding which improve with crying… Dx:
A
choanal atresia.
14
Q
Test of choice if choanal atresia suspected:
A
catheter test.
15
Q
Inv. Of choice for Dx of choanal atresia:
A
CT scan with contrast.
16
Q
1st step in management of choanal atresia:
A
airway to keep mouth open.
17
Q
Neonate with microcephaly, pigmented retina:
A
congenital CMV infection.
18
Q
Inv of choice of congenital CMV infection
A
urine antigen
19
Q
innocent murmur management:
A
reassure; BUT, refer to pediatrician is the right answer if found.
20
Q
MCC of omphalitis :
A
staph. Aureus.
21
Q
MC source of infection in omphalitis:
A
umbilicus.
22
Q
MCC of cleft lip, cleft palate:
A
genetic.
23
Q
Fused labia:
A
leave it alone (if DOC is asked: estrogen cream)… never to pull them apart.
24
Q
MCC of club foot:
A
postural (esp. in primigravida).
25
3 days of fever followed by maculopapular rash.. Dx:
roseola infantum.
26
VURTI+ koplik spot on buccal mucosa then maculopapular rash.. Dx:
measles.
| After Dx of measles, you must notify.
27
Most imp. Complication of measles:
OM.
28
Most imp. Vitamin to be given in measles:
vit. A.
29
VURTI+ slapped check… Dx:
erythema infectiosum. CO: parvovirus B19.
30
Parvovirus B19 infection in pt with SCA or HS:
aplastic anemia.
31
Parvovirus B19 infection in pregnancy:
hydrops fetalis in fetus.
| No school exclusion for pt with parvovirus B19 inf. (pregnant teacher shouldn’t go to school).
32
Strawberry tongue circumoral pallor sandpaper rash=?
scarlet fever.
33
Ulceration on post. Pharynx, uvula, palate only:
herpangina.
34
The same+ ulceration on hand and foot=?
hand foot mouth disease.
35
School exclusion in hand, foot and mouth disease
till all lesions crust
36
Organism causing herpangina & hand foot mouth diseases:
coxsackievirus.
37
Ulceration on lips only:
HSV infection.
38
Wheezes in child<2ys with URTI… Dx:
bronchiolitis …… CO: RSV.
| Child with bronchiolitis is at greater risk of bronchial asthma.
39
TTT of bronchiolitis:
only supportive (O2 by nasal cannula& fluid)…. No abs.
40
Inspiratory stridor worse on lying down+ barking cough =?
croup.
41
Organism of croup:
parainfluenza virus.
42
TTT of Mild to moderate croup:
inhaled cortisone.
43
TTT of severe croup:
inhaled “nebulized” adrenaline.
44
Very high fever, expiratory stridor, drooling of saliva..Dx:
epiglottitis.
45
Organism of epiglottitis:
H.influenza.
46
TTT of epiglottitis:
admission & intubation.
47
Fever for 5ds+ 4 of the following (CREAM; Conjunctivitis, Rash, Erythema, Adenopathy N MM involvement) = ?
Kawasaki disease.
48
Most imp. Inv for kawasaki?
echo
49
Most serious complication of kawasaki
myocarditis, coronary aneurysm.
50
1st line of TTT of Kawasaki:
IVIG
51
2nd line of TTT of Kawasaki
aspirin.
52
Child with fever, crying pulling on his ear… Dx:
OM.
53
MCC of OM:
stept. Pneumonia.
54
Most specific finding on otoscopy:
loss of mobility of ear drum.
55
Drug of choice of otitis media ( current updates)
paracetamol only
If no response……….amox
If still no response,………amox-clav
56
Most imp test after recovery :
hearing assessment.
57
Swelling behind the ear after PM.. Dx:
mastoiditis.. inv of choice: CT scan.
58
TTT of chronic OM:
aural toilet.
59
Drug of choice for chronic OM
ciprofloxacin drops
60
Varicella post-exposure proph:
vaccine for immune-competent within 72 hs & IVIG for pregnant immune-compromised.
61
School exclusion for varicella:
until blisters dried or at least 5 ds after the rash.
62
MC compl of mumps in children:
encephalitis.
63
MC compl of mumps in adult:
orchitis.
64
30 yrs old Pt on sulfasalazine with H/O mumps when he was a child. now he has abnormal semen analysis.. cause:
sulfasalazine.
65
Long standing H/O dry cough esp. at night :
BA
66
Long standing H/O dry cough with fever:
pertussis.
67
Inv of choice at 1st 3 Ws of pertussis presentation:
PCR of nasopharyngeal swab.
68
Inv of choice after 3 Ws:
seology.
69
Prevention of pertussis:
vaccine.
70
School exclusion for pertussis:
at least 3Ws of cough or 5ds of Abs TTT.
Regardless of age or immunization status, all close contact to a case of pertussis must receive erythromycin.
Give vaccine to non-immunized & those who received last dose in >10 yrs.
71
Accidently discovering of abdominal mass in a child:
nephroblastoma.
72
INV. Of choice of nephroblastoma:
CT scan.
73
Painful mass which may crosses midline periorbital ecchymosis
neuroblastoma.
74
Uneven thigh skin folds, discrepancy of leg length… Dx:
DDH.
75
Diagnostic tests of DDH:
barlow test, ortolani test.
76
Inv of choice of DDH:
<4 ms: US …. >4 ms: x-ray.
77
TTT of DDH:
pavlik- harness maneuver.
78
Painless limp with collapsed femur head in x-ray:
perthe’s disease.
79
Painful limp in obese male teenager with limitation of movement:
SCFE.
80
x-ray of SCFE:
displaced femoral head medially and posteriorly.
81
TTT of SCFE:
emergently surgery. (DT fear of avascular necrosis).
82
Limitation of movement in perthes SCFE:
abduction and internal rotation.
83
1st step in management of any child with limping:
x-ray EXEPT in clear cases of transient synovitis; 1st step: US.
84
H/O camping then malabsorption $... Dx:
giardiasis TTT: meronidazole.
85
Best inv. Of giardiasis:
intestinal biopsy.
86
Newborn with frothy saliva & milk regurge.. Dx:
esophageal atresia.
87
1st step in esophageal atresia
passage of wide bore catheter following by x-ray.
88
TTT of esophageal atresia:
surgery.
89
Inflammation of penis+ inability to retract in backward=?
phimosis.
90
TTT of phimosis:
cortisone cream.
91
Inflammation of penis+ inability to retract in forward=?
para-phimosis.
92
TTT of paraphimosis:
urgent manual reduction… if failed: incision.
93
Whitish discharge on glans penis in a child=?
TTT:
balanitis;
cortisone.
94
From medical point of view:
circumcision is NOT recommended.
95
Urethral opening at the ventral surface of penis:
hypospadias… next step: never to do circumcision (the foreskin will be used in the surgery).
96
Child with Difficulty in initiation of micturition s H/O urinary cath.=?
urethral stenosis.
97
Inv. Of choice for Dx of urethral stenosis:
urethroscopy.
98
TTT of urethral stenosis?
repeated dilation…. If failed: surgery.
99
Diarrhea in a complete healthy child<5ys old with normal inv:
toddler diarrhea.
100
Excessive fruit juice:
tooth caries, obesity, and diarrhea.
101
MCC of constipation in pediatric:
diet
102
Maximum timing of constipation
after weaning
103
Constipation since birth
Meconium ileus or hirschsprung
104
Cp……in functional constipation
full rectum with stool
105
MCC of anal fissure in infancy
constipation
106
MCC of rectal prolapse in kids
constipation
107
TTT of acute constipation
enema
108
Most effective Tx of acute constipation?
bowel training
109
MCC of rectal prolapse in children:
constipation.
110
Rectal prolapse recurrent chest inf.+ FTT =?
Cystic fibrosis
111
Most imp Q to be asked in a child with rectal prolapse:
bowel habit.
112
Abdominal cramping + diarrhea after lactation/dairy products = ?
lactose intolerance.
113
Inv. Of choice of lactase intolerance:
hydrogen breath test.
114
TTT of lactase intolerance:
lactose free diet (lactose free formula in infants).eg: soy based formula
115
MCC of epistaxis in children :
hot weather.
116
Healthy Child with leg pain that may awaken the pt from sleep, all inv. Are normal….. Dx:
growing pain… management: reassure.
117
Healthy child crying & pull his leg to his abdomen, all inv are normal.. Dx: infantile colic…. Management:
reassure and diet modification.
118
Crying followed by cyanosis and then convulsion.. Dx:
breath holding spells.
119
Convulsion then cyanosis:
epilepsy.
120
Involuntary passage of stool> 4yrs = ?
encopresis.
121
TTT of encopresis?
toilet training… if failed: diet modification… if failed: laxatives.
122
Involuntary passage of urine> 5yrs =?
enuresis.
123
MCC of enuresis:
psychological BUT, urine culture MUST be done 1st.
124
MC organic cause of enuresis:
UTI.
125
Most imp inv. To be done in enuresis:
urine culture.
126
Pt with enuresis, ‘ll go camping after 1-2 ds, best management:
desmopressin.
127
Best long term TTT of enuresis:
alarm clock.
128
Inv of choice of hydrocephalus:
CT scan (not US) “MRI>CT>US”.
129
Limping after VURTI or with the onset of URTI =?
TRANSIENT SYNOVITIS.
130
Most common cause of limping in kids
TRANSIENT SYNOVITIS
131
Inv of choice of transient tenosynovitis:
US.
132
TTT of US?
analgesics, joint traction.
133
N.B. 1st inv of choice of limping child:
X-ray.
| And kid with limping should be referred
134
N.B. 1ST inv of choice of limping after VURTI:
US.
135
Fluid the child need every day:
150mg/ kg.
136
4 Ws infant with excessive vomiting, good general condition… Dx:
GERD.
137
4 Ws infant with excessive vomiting, bad general condition.. Dx:
CHPS.
138
Best inv of GERD:
24 Hs ph monitoring.
139
Best advice to mother with an infant with GERD:
upright position after feeding.
140
Mother lose consciousness in daughter wedding, normal physical exam, normal test.. most imp Q to ask:
H/O separation anxiety while child.
| Separation anxiety in children is NOT part of normal development; need psych TTT.
141
MCC of painless bleeding in child<2ys old:
meckel’s diverticulum.
142
TTT of mickel’s diverticulum:
surgery.
143
TTT of choice of allergic rhinitis:
intra-nasal cortisone at night.
144
Chronic cough + rhinorrhea which improve with antihistaminic:
post-nasal drip.
145
Hives, Hypotension, wheezy chest+/- lip and tongue swelling after bee sting/ peanut ingestion=?
anaphylaxis.
146
Hives, pruritus, flushing after bee sting/peanut ingestion= ?
urticaria (allergy).
147
MCC of anaphylaxis:
food> bee sting> drugs.
148
MC components of cake causing anaphylaxis:
nuts> sugar, egg.. etc.
149
TTT of anaphylaxis:
IM epinephrine at the thigh.
150
Epinephrine dose:
| 1. Adult>12 ys: 0.5mg IM
0.5mg IM
151
2. Child 6-12 ys:
0.3mg IM
152
3. Child <6 ys:
0.15mg IM
153
Pt with recurrent anaphylaxis:
epinephrine pin.
154
Sudden onset respiratory distress localized wheezes in children:
FB inhalation.
155
Most serious cause of localized wheezes in adult:
tumor.
156
Male child with recurrent chest, GIT infection >6ms of age + decrease in all ig and lymphoid tissue.. Dx:
X-linked agammaglobulinemia.
157
TTT of x-linked agammaglobulinemia:
IVIG.
158
Recurrent infections recurrent suppurative lymphadenitis and multiple gingival abscesses=?
CGD.
159
MC affected WBC in CGD:
neutrophils. (enlarged LNs that may ooze pus with neutrophils And bacteria inside).
160
MC organism causing infection in CGD:
staph aureus.
161
Which Enzyme is affected in CGD?
NADPH oxidase.
162
Specific test to diagnose CGD:
nitroblue tetrazolium test.
163
Head trauma Child with skull fracture (open, depressed or basal) develop convulsion, recurrent vomiting or altered mental status
CT is a must.
164
Head trauma child with no loss of consc. &; only 1 episode of vomiting
reassure.
165
Head trauma child with persistent headache & 2 episodes of vomiting
observe for 4 hours.
166
If GCS less than 8
immediate intubation
167
Assessment of child growth:
always follow growth chart (not given percentage).
168
growth: between 5th-85th percentile=?
normal growth.
169
growth: between 85th-95th percentile=?
overweight.
170
growth >95th percentile= ?
obese.
171
growth <5th percentile=?
underweight.
172
Most affected parameter by acute malnutrition:
weight.
173
Period of accelerated growth that follow periods of arrested growth:
catch up growth.
174
Best clinical indicator for overwt & underwt in children:
BMI growth chart (not numbers).
175
MCC of obesity overall:
over feeding.
176
Failure To Thrive (FTT):
| Most common cause
psychological
177
FTT + constipation only
hirschprung disease
178
FTT + constipation + recurrent chest infection
.cystic fibrosis
179
FTT+ steatorrhea + recurrent chest infection
cystic fibrosis
180
FTT + steatorrhea
celiac
181
If FTT is DT neglect
Report to child protective authority.
182
Vaccination schedule for premature infants:
the same schedule & dose as mature infants.
183
Child with VURTI, now time of vaccination:
give as schedule.
184
Child missed vaccination dose:
catch up vaccine schedule (give him missed vaccines now).
185
“Imp. Ex.” MMR vaccine:
1st dose at 12 m& 2nd dose at 18 m.
| Egg allergy is NOT a contra-indication to MMR vaccine.
186
Somalian kid previously received doses of OPV comes to u, WT NEXT??
Give IPV.
187
Mam refused to give vaccines to her kid. 1st step:
talk 2 her, if refused: refer for counseling, if still refused: report to child protective authority
188
MCC of short stature:
normal variant “constitutional”.
189
1st step in assessment of short stature, delayed puberty, precocious puberty:
x-ray to detect bona age (BA).
190
If CA> BA:
REASSURE… if BA>CA: very bad.
191
TTT of Obese child:
exercise prog (NOT diet as food is vital 4 development).
192
MCC of iron deficiency anemia in infants:
prolonged exclusive breastfeeding.
| Start weaning at 4 ms (very imp. To start give iron fortified cereals).
193
MCC of decreased breast milk:
decreased frequency.
194
Frequency of breastfeeding:
at least 8 times/ day.
195
Choking in infants:
slapping on the back.
196
Chocking in adults:
heimlich maneuver.
197
Sudden onset cough, dyspnea localized wheezes=?
FB aspiration (1st step: x-ray).
198
Unilateral offensive nasal discharge in mentally retarded kid=?
FB in the nose.
199
TTT of FB in the nose:
removal under anesthesia.
200
Infant with an insect in ear.. 1st step:
kill it by oil.. then removal with forceps or ear toilet.
201
Child with fish bone in larynx:
laryngoscopy.
202
Child ingests battery; x-ray shows it at the esophagus:
remove it by endoscope.
203
MCC of bloody vaginal discharge in infants:
FB in the vagina.
204
TTT of FB in the vagina:
removal under general anesthesia.
205
Immigrant infant from Sudan; most imp to check:
Ca& vit. D (high risk of rickets).
206
Cause of neonatal gynecomastia:
passage of maternal hormones.
207
Management of neonatal gynecomastia:
observe (never squeeze).
208
Best way to asses fetal IUG:
US.
209
Defect in both BPD, abdominal width=?
Symmetrical IUGR (MCC: chromosomal abnormalities, congenital infection).
210
Defect in abdominal width, normal BPD= ?
asymmetrical IUGR (MCC: placental problems as preeclampsia).
211
MCC of RDS:
prematurity.
212
Risk of high flow O2 to premature:
1.Retinopathy of prematurity. 2. Lung dysplasia.
213
1st step in management of Meconium stained amniotic fluid:
CTG &; scalp pH monitoring
| suction NOT recommended any more in cases with meconium staining
214
1st step in meconium stating
mask ventilation
215
If very low apgar score with no response :
intubation.
216
Tachypnea in neonate delivered by CS with normal CXR:
transient tachypnea of neonate……. TTT: O2.
217
Subconjunctival Hge in neonate:
reassure
218
MCC of facial n. palsy in neonates:
forceps delivery.
219
Bluish discolouration on buttocks since birth=?
Mongolian spots.
220
Management of Mongolian spot:
reassure
221
Red strawberry mass raising above surface of face of neonate=?
hemangioma.
222
TTT of hemangioma:
reassure (‘ll spontaneously disappear at 7-8 ys)… if not: cortisone is the 1st line TTT.
223
Dark purple color at face of neonate (at trigeminal distribution) not raising above the skin=?
port wine stain= capillary malformation.
224
Most imp inv to be done for pt with port wine stain:
brain CT (to exclude sturge- weber $).
225
Translucent cyst since birth=?
cystic hygroma.
226
MC site of cystic hygroma:
face.
227
Cyst at neck side=?
branchial cyst…. TTT: remove by surgery.
228
Most common fate of branchial cyst
infection
229
Firm painless swelling at birth & later, head tilt to one side=?
congenital torticollis.
230
Excessive watery tears in infants.. Dx:
blocked naso-lacrimal duct.
231
Most imp advice for naso lacrimal duct blockage?
massage of the duct several times/day (improvement occurs at 6-12 ms).
232
Dyspnea, cyanosis at birth with scaphoid abdomen, intestinal sound at chest, intestinal shadow IN THE CHEST at X-ray… Dx:
Congenital diaphragmatic hernia.
233
TTT of Congenital diaphragmatic hernia
decompression, resuscitation and immediate surgery.
234
MC complication in infant of diabetic mother:
hypoglycemia.
235
Neonate to mother with DM.1st: good apgar score then: depressed……………..MCC:
hypoglycemia.
236
MCC of neonatal RDS:
prematurity.
237
Prevention of RDS:
antenatal cortisone.
238
TTT of RDS:
surfactant.
A treatment strategy of early (within 20 to 30 min after birth) surfactant therapy is associated with significant decrease in duration of mechanical ventilation, lesser incidence of air-leak syndromes, and lower incidence of bronchopulmonary dysplasia.
239
Persistent non-bilious vomiting at 2-6 Ws of age:
CHPS.
240
Persistent Bilious vomiting since birth.. Dx:
duodenal atresia.
241
Inv of choice in duodenal atresia:
abdominal x-ray (double bubble sign).
242
TTT of duodenal atresia:
surgery.
243
No passing of stool since birth, no anal opening..Dx:
imperforate anus.
244
Inv of choice of imperforate anus:
x-ray with the pt upside down.
245
Neonate with High pitched cry, sweating, tremor, vomiting, diarrhea and may be convulsion ...Dx:
neonatal abstinence $ (neonate to opioid abusing mother).
246
TTT of neonatal abstinence $:
opioids.
247
Neonate with low apgar score, confusion, decrease in RR, BP, PR and may be pinpoint pupils. cause:
TTT:
passage of opioid to fetus during labor (maternal anesthesia)……
naloxone.
248
School exclusion:
| Chicken pox………
until vesicles dried.
249
School exclusion: Hand foot mouth disease
until vesicles dried.
250
School exclusion: Impetig:
until 24hs from starting abs TTT.
251
School exclusion: Measles:
for 4 ds after rash appearance.
252
School exclusion:Pertussis:
for 5 ds after abs TTT or 3 Ws of cough.
253
School exclusion: Erythema infctiosum:
exclusion of pregnant teacher not the infected kid.
254
Child living in low socioeconomic status environment develop abdominal pain, constipation & change in behaviour…Dx:
lead poisoning.
255
When u suspect paracetamol toxicity; assessment of paracetamol level in blood 4 hs after ingestion:
If paracetamol ingested is <200mg/kg?
no TTT.
256
If paracetamol ingested is >200mg/kg?
give antidote.
257
Antidote for paracetamol toxicity:
IV N-acetyl cysteine.
258
Pt presented with symptoms of Paracetamol toxicity, time of ingestion is not known…. Next step:
give antidote.
259
Vomiting, tinnitus, hyperventilation after ingestion of large dose of medication………..Dx:
aspirin toxicity.
260
Metabolic changes in Aspirin toxicity:
1st>>
Then>>
respiratory alkalosis DT hyperventilation
metabolic alkalosis DT defect in metabolism.
261
Pt work in close garage, BBQ party with geadache, irritability, lethargy and cherry red skin color…Dx:
TTT:
CO poisoning….
high flow O2.
262
Farmer presented with lacrimation, salivation, urination, defecation, rhinorrhea, bronchorrhea/wheezy chest, decrease in BP, PR and may be pin point pupil……………….Dx:
OPC poisoning.
| Organophosphate
263
1st step in TTT of OPC poisoning:
remove pt clothes.
264
Antidote of OPC poisoning:
Atropine
2 PAM
oximes.
265
Child ingested pills which appear opaque in abdominal x-ray
iron poisoning.
266
TTT of iron poisoning:
deferoxamine.
267
Child ingest white pills develop arrhythmia….1st step:
ECG… then if ECG changes: give NAHCO3.
268
Genetics of important diseases:
| Hemophilia
x-linked
269
G6PD
x-linked
270
Duchenne
x-linked
271
Huntington
AD
272
Gilbert
AD
273
Spherocytosis
AD
274
Essential tremors
AD
275
Ehler-danlos
AD
276
Marfan syndrome
AD
277
Adult Polycystic kidney disease
AD
278
Familial adenomatous polyps
AD
279
Peutz-jehers
AD
280
HOCM
AD
281
Tourette syndrome
AD
282
CYSTIC FIBROSIS
AR
283
Thalassemia:
AR
284
Galactossemia
AR
285
Sickle cell anemia
AR
286
Wilson
AR
287
Hemochromatosis
AR
288
Type of toothpaste used under 17 ys old
low fluoride
289
Preferred type of milk in lactose intolerance
soy based milk
290
Most common cause of delayed milestones is?
prematurity.
291
Delayed milestones + H/O prolonged jaundice or prolonged stay in the ICU
consider neurological problem
292
First step in dehydrated in kid
oral feeding if failed then Iv feeding
293
When to say direct hyperbilirubinemia
when direct is more than 20% of the total
294
Direct hyperbilirubinemia after 1st week
biliary atresia
295
prolonged jaundice, constipation, hypotonia, enlarged tongue, umbilical or inguinal hernia, mental retardation
congenital hypothyroidism
296
Most common cause of delayed milestones is?
prematurity.
297
After sting bite if the child develops?????
| Rash only or limited swelling
oral antihistamine(oral promethazine)
298
Rash+wheezy chest+hypotension or vomiting, what to give?
IM adrenaline
299
Most imp inv with a drowsy kid in the morning
blood sugar
300
9 yrs kid started menstruation
normal puberty
301
2 yrs kid started menstruation
precocious puberty
302
2 yrs kid with breast enlargement only
thelarche
303
Head increased rapidly in size in a baby
hydrocephalus
304
Tall boy, infertile, gynecomastia with mental retardation
klinefelter SYNDROME
305
1ST inv in infertility in pt with klinefelters
testosterone level
306
tx of infant presenting with opiod withdrawal?
morphine
307
Baby with hx of sudden bending of trunk, what is this?
Infantile spasm
308
Most common congenital heart defect?
VSD
309
Tx of infantile spasm?
1. Steroids
| 2. Can use ACTH
310
Most common complication of long QT?
Torsades de Point
311
MC deficiency in celiac disease
Iron
312
difference b/w autism and Asperger
Autism = language delay
313
6/2 rule for hernia diagnosis and repair
brith and 6 weeks --- 2 days to repair
6 weeks to 6 months ----2 weeks to repair
>6 months-----2 months to repair
314
Most ominous sign in croup
Hypoxemia
315
after ochioplexy, what risk does not change?
infertiity
316
amount of adrenalin given for anaphylaxis
0.01ml per kg
317
Tx of choice for kid with WPW and SVT
Propanol
318
Baby with gasping, gags and turning blue with occasional apnea, think?
Pertusis
319
Tx of pertusis?
Zmax
320
how do u measure severity of perusis?
degree of lymphocytosis
321
combination of Laba and ICS does what in kids with asthma?
Increases severe excacerbation
322
persistant drainage from umbilicus that is non purulent, what is it?
Tx choice
Umbilical Granuloma
Silver nitrate
