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Flashcards in peds93 Deck (12):

parinaud oculoglandular syndrome

conjunctivits, and preauricular lymphadnitis; seen in cat scratch disease


management of cat scratch disease

supportive care; antibiotics reserved for patients with systemic disease (oral azithromycin, TMP/SMX, or ciprofloxacin)


why are kids less than 12 years with TB usually not contagious?

their cough is minimal and their pulm lesions are usually small


extrapulmonary TB disease

cervical lymphadenitis (scrofula), the most common form of extrapulm TB disease in kids; meningitis; abdominal involvemnt; skin and joint involvemnt; skeletal disease; dissem or miliary TB


what kind of skeletal diseae do you get in TB

Pott's disease, involving the vertebra


Pott's disease

extrapulm TB involving the vertebra


radiographic features of TB disease

hilar or mediastinal lymphadenopathy; Ghon complex; lobar involvement, pleural effusion, or cavitary disease, which typically affects the upper lung segments


describe the tuberculin skin test

contains 5 tuberculin units of purified protein derivative; becomes pos 2-12 weeks after exposure; pos TB test is read by measuring the area of induration, not erythema


results of TB test

greater than 5 is pos in kids with high risk factors; greater than 10 in kids younger that 4, chronic med condition, or live in endemic area; greater than 15 for rest


definitive diagnosis of TB

pos culture from early morning gastric aspirates obtained by NG tube, pleural fluid, CSF or other body fluid; pos staining for AFB; pos histology


management of latent TB

isoniazid for 9 months; some given daily pyroxidine (vit b6) to prevent neuro complications of INH therapy


management of patients with TB diseae

2 months of INH, rifampin, and pyrazinamide, followed by 4 months of INH and rifampin