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35 Cards in this Set
- Front
- Back
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? do w/ kids w/ perisistent OM ?
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Hearing evals; 1 month > OM, 50% kids have effusion; 10 % w/ effusion > 3 mo
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Effusion > 3 mo:
Hearing loss, abnl ear exam, at risk kids; what do you do if hearing/ear exam nl? |
Hearing loss, abnl ear exam, at risk kids: ENT referral
- hearing/ear exam nl: monitor |
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Birth, what sinuses?
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Ethmoid and maxillary
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2-5 yo what sinuses?
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Sphenoid
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4-7 yo; what sinuses?
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Frontal
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? dx sinusitis?
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Persistent sx > 10 days: rhinorrhea, cough, halitosis
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Tx of sinusitis
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Augmentin
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Dx sinsusits?
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CT
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Neck mass, soft diffuse, boggy, transilluminates; how dx? What’s it associated w/ ?
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Cystic hygroma ~ trisomy 21, turner, 18; achondrolasia, noon, klinefelter
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Endothelial benign tumor; soft red blue hue; rapid growth in first 12 mo;
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Hemangioma
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Nontender mass in lateral anterior triangle; ? dx tx? Due to what?
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Branchial cleft cyst, Us; antbx if infected; due to incomplete infoluation of branchial cleft
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Mass moves w/ swallowing/tongue movement; midline, anterior triangle mass; inflamed w/ URI; dx? What do you need check?
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Thyroglossal duct cyst; ~ thyroid probes;
-surgical excision after resolution of infection |
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Head til due to contracted SCM muslcle? Mass
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Torticollois; tx: stretch, positioning
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Acute, U/L, red tender neck mass; due to ? what are causes?
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Bacterial: staph, Gp A strep, H. flu
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**Papules at inoculation site, neck mass; cervical adenopathy? Cz, tx?
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Cat scratch fever: bartonella hensale (GNR);
-benign but treat w/ azithro, cipro or doxy |
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Most common cause of cervical adenopathy? Multiple, bilateral
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Viral: rubella/parvo, adenoa; HSV, HHV6
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Atypical, can be isolated LAD; U/L, painless, submandibular;
-cz/tx? |
M. TB; ~ pulm issues ; Don’t aspirate to avoid fistula;
-surgical excision is tx |
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F, night sweats, wt loss pallor, LAD; cervical adenopathy
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Hodgkins
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Pre teens, teens, generalized LAD, malaise, pharygntitis
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Infx, mono
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Cervical LAD, + rash, tong/lip changes, ext changes, conjunctivitis, F
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Kawasaki
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Parotitis; what’s most common complx of mumps
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Septic mengiigits;
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Most common bacterial cz of parotitis
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Staph
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Larygnomalacia – improves w/ what position
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On tummy(prone)
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Horase barky cough, worse at night;
-cause? ; stridor; dx? Tx? |
Largngeotracheobronchitis;
-xray: steeple sign; tx: steroids, consider reacemic epi; cz: parainflu 1,2,3 |
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Toxic, sore throat, dysphagie, drooling, stridor; F, sniffing position; cz?
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Epiglotitis ; cz: staph, Gp A strep
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6mo – 4 yo; sudeen cough, gagging, choking, dsypnea
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FBA; coronal plane – esophagus: see the $;
-intrathroacici: abnl CXR, atelectasis, PNa, cough, wheezing; -extrathoricacic: stridor, croupy cough |
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3 yo w/ F, sore throat, neck mass, stridor, neck stiffness; what’s cz?
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Gp a Strep; retropharngeal abscess
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Sore throat, voice change, dysphagia, odynophagia, trismus; 10 yo;
➢ cz/dx/ t? |
GAS, staph, anarobes; hyper nasal voice;
- large tonsillar abscess; - amox/clav or clinda; I/D |
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NB w/ jaundice, hoarse cry; what on cranial exam helps your dx?
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hypothyroidism; ~ large fontanelle
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Hoarse cry, jaundice, umbil hernia, large fontanelle, ~ what?
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Hypothyroidism
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Why NB have probs w/ bili
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Shorter RBC life span; immaturity of liver, increased enteroheatic ciculation
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What’s hi conjugated bili?
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> 2 or > 10-20% of total bili
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No physiologic jaundice if ?
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Jaundic in 1st 24 hours; conjugated > 2; bili > 5 / day
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Hi indirect bili; poor progosis; what’s genetics?
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Ciglar najjar, AR
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Benign hi bili indirect ~ stress; genetcs
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Gilberts; AD
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