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Flashcards in Pretest Deck (18):
1

Milia

benign tiny white keratin plugs on nose, ceeks or chin

2

How to test for HIV in infants

do HIV PCR
ELISA will be falsely positive from mom's antibodies

3

What can formula dilution do to infants?

chronic hyponatremia --> hyponatremic seizures

4

Pustular melanosis

benign self limited 1-2 mm pustules that result in hyperpigmented stage lasting for wks to months

5

ACEI in pregnancy is teratogenic can cause?

renal dysgensis, oligohydramnios

6

Seborrheic dermatitis common in newborn infant appearing as scaly, yellow patches assoc with hair loss. Treat with?

topical steroids
selenium sulfide

7

hematemesis or melena in newborn period should be initially evaluated with?

Apt-downey test to differentiate maternal and fetal hemoglobin

put alkali in blood and maternal blood will react to make hematin

8

Mom is O+ and infant is A+ or B+ or AB --> can result in

ABO hemolytic disease with positive coombs test

9

Conjunctivitis after 6-12 hrs of birth -->
Conjunctivitis after 2 d of birth -->
Conjunctivitis after 5-14 d of birth -->

Conjunctivitis after 6-12 hrs of birth --> chemosis
Conjunctivitis after 2 d of birth --> gonoccocal
Conjunctivitis after 5-14 d of birth --> chlamydial

10

How can propranolol cause problems during pregnancy and after delivery?

during preg, propranolol can cause growth retardation

during delivery, propranolol can diminish ability to increase HR and CO if infant has aphysia.

11

Someone with cleft lip and palate? Timeframe for fixing them? Complications of cleft lip and palate

cleft lip -repair within 2-3 mo
cleft palate -repair later btw 6 mo-5 yr

Comp: recurrent otitis media, hearing loss, speech defects

12

Phrenic nerve paralysis from upper brachial plexus injury can be confirmed with

ultrasound or fluoroscopy showing "seesaw" movements of diaphragm

13

Subgaleal hemorrhage should be suspected when

increase head circumference acutely and scalp feels squishy

14

Ex-premie now at 6 mo with macrocephaly and hydrocephalus usu 2/2 to which comp of prematurity

germinal matrix hemorrhage

15

subperiosteal hemorrhage aka

cephalohematomas (do not cross midline)

16

cephalohematomas vs caput succedaneum

cephalohematomas -do not cross midline, most resolve on its own

Caput succedaneum -soft tissue swelling of the scalp that crosses midline

17

Recurrent episodes of swelling of hands and feet after emotional stress and exercise -which hereditary condition?

hereditary angioedema AD due to inadequate C1 esterase inhibitor --> increase kinin --> edema in subcutaneous tissue in GI tract leading to abd pain and beware of laryngeal edema

18

Infantile glaucoma needs immediate evaluation by surgery. What's the classic triad?

Tearing, photophobia, blepharospasm