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Flashcards in peds93 Deck (12):
1

parinaud oculoglandular syndrome

conjunctivits, and preauricular lymphadnitis; seen in cat scratch disease

2

management of cat scratch disease

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

3

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

their cough is minimal and their pulm lesions are usually small

4

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

5

what kind of skeletal diseae do you get in TB

Pott's disease, involving the vertebra

6

Pott's disease

extrapulm TB involving the vertebra

7

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

8

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

9

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

10

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

11

management of latent TB

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

12

management of patients with TB diseae

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