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UT Peds Flashcards

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1
Q

what is: nevus sebaceous

A

newborn –> area of alopecia w orange, nodular skin

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2
Q

nevus sebaceous: tx

A

risk of malig degen –> remv b4 adol

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3
Q

PKU: ssx

A

1st few mo:

  • MR
  • vomit
  • sz
  • athetosis
  • dev delay
  • fair hair/eye/skin
  • musty odor
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4
Q

galactosemia: pathophys

A

defect G1p-uridyltransferase –> G1p accumulate –> damage kidney, liver, brain

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5
Q

galactosemia: ssx

A
  • MR
  • direct hyperbili –> jaundice
  • hypogly
  • cataract
  • sz
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6
Q

galactosemia: comp

A

E coli sepsis

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7
Q

galactosemia: tx

A

no lactose

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8
Q

neonatal jaundice: how know is pathologic?

A
  • 1st day of life
  • bili >12
  • direct bili >2
  • rate of rise >5/day
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9
Q

neonatal jaundice –> pathologic –> next step?

A

Coombs test

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10
Q

Coombs test for pathologic neonatal jaundice –> results?

A

+: Rh/ABO incomp

  • :
  • twin/twin, mom/fetus transfusion
  • IDM
  • spherocytosis
  • G6PD def
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11
Q

biliary atresia: comp

A

liver fail

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12
Q

cause: direct hyperbili

A
  • sepsis (ALWAYS r/o)
  • biliary atresia
  • galactosemia
  • hypothyroid
  • choledochal cyst
  • CF
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13
Q

bili >20: comp? tx?

A

kernicterus –> exchange transfusion

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14
Q

MOA: phototherapy

A

ionize/isomerize bili –> excrete

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15
Q

diag hernia: comp? tx?

A

pulm hypoplasia –> 3-4 days for lungs to mature –> surg

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16
Q

prenatal US –> diag hernia –> next step?

A

have mother deliver at facility w ECMO

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17
Q

TE fistula –> assoc?

A

VACTER: vertebral, anal atresia, cardiac, radial, renal

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18
Q

condition: cyanotic when feed, pink when cry

A

choanal atresia

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19
Q

choanal atresia –> assoc?

A

CHARGE: coloboma, heart defect, retarded growth, GU, ear/deaf

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20
Q

gastroschisis: lab result

A

high maternal AFP

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21
Q

omphalocele –> assoc?

A
  • Edward
  • Patau
  • Beckwith-Wiedemann
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22
Q

Beckwith-Wiedemann: presentation

Study These Flashcards
A

big baby –> big tongue, hypogly, ear pits

23
Q

umbilical hernia –> assoc?

24
Q

tx: umbilical hernia

Study These Flashcards
A
  • nothing

- if persist 2-3yo –> surg

25
newborn --> bilious vomit --> ddx?
- intestinal atresia | - malrotation & volvulus
26
newborn --> malrotation & volvulus --> presentation?
- bilious vomit - draw up legs - abd distention
27
intestinal atresia --> assoc?
Down's
28
newborn --> malrotation & volvulus --> pathophys?
Ladd's bands --> kink duodenum
29
not pass meconium --> ddx?
- meconium ileus (CF) | - Hirschsprung's
30
meconium ileus: dx? tx?
gastrograffin enema
31
Condition: DRE --> poo explosion
Hirschsprung's
32
Condition: premature --> bloody diarrhea
necrotizing enterocolitis
33
necrotizing enterocolitis --> XR?
pneumocystis intestinalis (air in wall)
34
tx: necrotizing enterocolitis
- NPO - TPN (if necess) - abx - resect necrotic bowel
35
RF: necrotizing enterocolitis
- premature gut - intro feed - formula
36
intussusception: dx? tx?
barium enema
37
dx: congenital adrenal hyperplasia
17-OH-progesterone b4/after ACTH bolus
38
tx: congenital adrenal hyperplasia
hydrocortisone & fludrocortisone
39
condition: ant midline mass, no pee
post urethral valve
40
tx: post urethral valve
- catheter to remv urine | - surg
41
diabetic mother: comp
- placental insuff/IUGR - congenital heart dz - NTD - caudal regression synd - small L colon synd
42
diabetic mother --> diet supplement?
folate 4mg/day
43
gestational DM: comp
- LGA - hypogly - hypoCa - polycythemia - jaundice - RDS
44
neonate --> hypogly --> comp? tx?
sz - freq feed (if glc<40) - IV dextrose (if glc <20)
45
neonate --> hypoCa --> comp?
sz
46
gestational DM --> neonate --> polycythemia --> pathophys? comp?
big baby --> need more O2 --> hypoxia --> increase EPO --> polycythemia --> clot
47
pathophys: gestational DM --> neonate --> RDS
high insulin --> no cortisol surge prior to birth --> decreased lung maturation
48
condition: limb hypoplasia, cutaneous scar, cataract, chorioretinitis, cortical atrophy
congenital varicella
49
congenital varicella: when give VZIG?
if mom exposed 5day b4 to 2day after delivery
50
Bruton agammaglobulinemia: presentation
starting 6-9mo: - mult ear infxn, diarrhea episode, pneumonia - no tonsils
51
Bruton agammaglobulinemia: labs
- no B cells | - low Ig
52
condition: 17yo --> low Ig, normal B cell
combined variable immune def (acquired)
53
combined variable immune def: comp
lymphoma

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