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Flashcards in peds103 Deck (49):
1

diff between umbilical hernia, oomphalocele, and gastroschesis

umbilical hernia covered by skin, oomphalocele covered by peritoneaum, gastroschesis uncovered intestines (always to the right)

2

simple febrile seizure

nonfocal (tonic-clonic or atonic), one episode less than 15 mins or multiple less than 30 mins

3

complex febrile seizure

focal, one episode greater than 15 mins or multiple greater than 30 mins

4

management of febrile seizure

abortive therapy if seizure greater than 5 mins, reassurance/education; brain imaging can be considered in complex febrile seizure only

5

prognosis for febrile seizures

normal development/intelligence; 30% risk of recurrence, less than 5% risk of epilepsy

6

age for febrile seizures

6 mos to 6 years

7

recurrent URI, persistent nasal drainage, and nasal polyps

rule out CF

8

2 yo how many words

200 words

9

builds a tower of 6 cubes

2 years

10

walks down and up stairs, jumps, throws a ball overhead

2 years

11

follows two step commands, removes clothes

2 years

12

copies a circle, uses utensils, stacks 9 blocks

3 yo

13

climbs stairs with alternating feet

3 yeas

14

rides a tricycle

3 years

15

states first name

3 yo

16

washes/dries hands

3 yo

17

draws a person, begins to use sciessors, holds crayon with tripod grasp

4 yo

18

hops on one foot without losing balance

4 yo

19

counts to 10

4 yo

20

tells stories, uses plurals and prepositions

4 yo

21

klumpke palsy

c8, t1 are injured; forearm pronators, wrist flexors, and dilators of the iris and elevators of the eyelid ; claw hand; moro intact; grasp reflex absent

22

erb-duchenne palsy

most common type of brachial plexus injury and involves the C5 and C6; leads to waiter's tip posture; grasp reflex intact; may have decreaed or absent moro reflexes

23

newborn with failure to thrive, bilateral cataracts, jaundice, and hypoglycemia

galactosemia, caused by galactose-1-phosphate uridyl transferase def, leading to elevated galactose in the blood

24

aminoaciduria, hepatic cirrhosis, hypoglycemia, and mental retard

galactosemia

25

neonate with cataracts only

galactokinase def

26

neonate with cutaneous lesions on the palms and soles, hepatosplenomegaly, jaundice, anemia, and rhinorrhe

congenital syphilis

27

late congenital manifestations of syphilis

present after two years of age; frontal bossing, high arched palate, hutchinson teeth, intersitialkeratitis, saddle nose, and perioral fissures

28

treatment for syphilis

parenteral penicillin G

29

hepatosplenomegaly, hydrocephalus, chorioretinisit, and intracranial calcifications

congenital toxo

30

sensorineural hearing loss, cataracts, heart defects, hepatosplenomegaly, petechiae or purpura (blueberry muffin)

congenital rubella

31

IUGR, hepatosplenomegaly, petechiae or purpura, microcephaly, chorioretinitis, sensorineural hearing loss, and periventricular calcifications

congenital CMV

32

xray of baby born with congenital syphilis

metaphyseal dystrophy and periositis

33

fever, odynophagia/dysphagia, drooling, neck siffness, muffled voice, and unable to open the mouth completely

infection of the larynx, pharynx, or deep neck space

34

what imaging to see retropharyngeal abscess

CT with contrast

35

difference in the dishcarge of chlamdia and gon conjunctivitis?

chlamyd is more watery, mucoud discharge and less purulent than gonococcla

36

how to prevent gonoccocal conjunctivitis

topical erythromycin within 1 hours of birth

37

most common type of leukmia in kids

ALL

38

lymphoblasts that lack peroxidase positive granules but often contain cytoplasmic aggregates of periodic acid Schiff pos material (PAS)

ALL

39

peroxidase pos material

in myeloblasts

40

histologic starry sky appearance

burkitt lymphoma (which responds well to chemo due to high mitotic rate

41

auer rods

acute myelocytic leukemia (AML)

42

myelodysplastic syndromes

clonal stem cell disorders which may progress to acute leukemias; usually seen in elderly patients and characterized by pancytopenia

43

TdT positive staining

expressed only by pre B and pre T lymphoblasts

44

recurrent sinopulm infections, oral candidiasis, persistent diarrhea, opportunistic infection and viral infections

SCID

45

absent lymph nodes and tonsils, lymphopenia, absent thymic shadow on chest xray, and abnormal T, B, and natural killer cell enumeration

SCID

46

common variable immunodeficiency is the same as

acquired hypogammaglobinemia

47

CVID

manifest at later age (15 yo), serum concentrations of IgG, IgA, IgM and IgE may be decreased; NO absence or decrease in the number of B cells

48

x-linked agammaglobineumia

aka Bruton's agammaglobinemia

49

male infant who is initially asymptomatic until 6-9 mo, when he begins to have recurrent Strep pneumo or H flu infections

Bruton's agammaglobinemia