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47 Cards in this Set
- Front
- Back
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boy with resp distress, pulse that varies with resp*, perioral cyanosis*, delayed cap refill*, drowsy* |
asthma exacerbaion |
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pulsus paradoxus (variance of >10 between in and out) |
-obstructive airway dz -tamponade -constrictive pericarditis |
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airway inflammation in asthma is a result of: |
mast cell activation |
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why is it that after ALBUTEROL* in asthma attack, actually wheezing worsens/comes out*???? |
because "clear" breath sounds in asthma attack actually mean complete obstruction and no air movement |
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how to dx asthma |
improvement in respiration/child's color with albuterol |
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kid has asthma sx after "mowing grass" trigger exposure, takes albuterol and is fine. 2-4 hours later has really bad wheezing etc. why? |
this is a late phase reaction as inflammatory cells accumulate in the airways. albuterol can't help it. |
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4mo all of a sudden has resp distress and fever in winter |
RSV/Adenovirus bronchiolitis |
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Tx for bronchiolitis |
O2, albuterol/epi med nebs |
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CXR in bronchiolitis |
hyperinflated lungs with areas of atelectasis |
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8yo boy's growth chart has platued, stopped growing. normal exam. tall parents |
growth hormone deficiency |
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constitutional growth delay |
kid is short but has normal growth rate*, but one of his parents had a delay in puberty and turned out fine |
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bone growth at same rate as height growth |
constitutional growth delay |
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G.H. screening tests |
IGF-1, somatomedi C, IGF-BP3 |
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6HOUR* old baby, vaginal delivery, "grunting", hypothermic*, poor feeding, poor perfusion, white coun* with left shift |
neonatal sepsis: most likely GBS**** |
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prophylaxis for group b strep infxn |
ampicillin during labor to mom |
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what leads to increased risk of GBS infection? |
-ruptured membranes** -chorioamnionitis -fever during labor |
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tx for gbs infxn |
IV gent/amp |
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why is it important to treat chlamydial conjunctivitis asap with erythromycin? |
to prevent chlamydial pneumonia later |
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infxns in frist 6 days of life causing PNA/Sepsis |
-gbs -e. coli -h. flu -listeria |
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LATE-onset infx (7-90days of life) |
-staph aureus -e. coli -klebsiella -pseudomonas -enterobact etc |
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tx for early onset infxn |
amp/gent |
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tx for LATE onset infxn |
vanc/cef |
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neonate with marked monocytosis*, rash*, pallor, poor feeding, tachypnea, cyanosis |
listeria |
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most common heart malf in downs |
AV canal defect |
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neonate doing well then all of a sudden gets cyanotic,low sat,* etc. single LOUD S2* heard, no murmur |
transposition |
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"normal" systolic murmur, kid ok |
benign pulmonary flow murmur: doesn't radiate*!! |
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kid with daily*** high-spiking fevers* rash*, "body aches"* that come and go with fevers, 1day hx of refusal to bear weight. diffuse LAD*, organomegaly*, joint swelling!. What does CBC show? |
high WBC and PLT count with anemia: juvenile arthritis |
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3 types of juvenile arthritis |
-systemic -polyarticular -oligoarticular |
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polyarticular arthritis |
-usually cervical spine, temporomadibular joint -young patients are RF-, older patients are RF+ |
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oligoarticular arthritis |
-ANA+ -knee/ankle -whatch out for anterior uveitis!!!!* |
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tx juve arthri |
-NSAIDS, steroids, methotrexate |
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how to monitor for uveitis |
routine slit-lamp exams |
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CBC on parvovirus B19 |
0% retic count because it attacks the erythroid precursors and lyses compensatory reticulocytes |
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baby has short gut from NEC, ileocecal valve gone, now getting paler and paler |
anemia d/t B12 deficiency from terminal ileum resection and bad absorption |
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Tx for b12 deficiency in short gut baby |
monthly IM B12 shots |
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microcytic anemia |
Fe |
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macrocytic anemia and LOW retic count d/t inadequate b.m. production |
B12, folate, trisomy 21, hypothyroid |
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macrocytic anemia but HIGH retic count |
hemolysis |
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infant drinks goats milk |
w/o for B12 def |
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kid has RED, TENDER tongue, macrocytic anemia |
juvenile pernicious anemia (Aut. Rec), kid can't secrte Intrinsic Factor for B12 |
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previously healthy 3 yo in a newly renovated home, has seizure, abdominal Sx, neuro Sx |
Lead toxicity!!! |
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kid had pharyngitis, now has periorbital edema, mild HTN, tea-colored urine, RBC casts in urine |
acute poststrep glomerulonephritis |
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recurrent*, painless* hematuria, usually before URI |
Berge nephropathy |
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U/A for post strep nephritis |
-HIGH spec grav -LOW pH -hematuria/proteinuria -casts |
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serum markers for PSGN |
-ASO antibodies -anti-DNAse B antibodies |
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Tx for HTN in PSGN |
CCB |
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coughing up blood and nephritis |
Goodpastures |
