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31 Cards in this Set
- Front
- Back
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What tests do you do if you suspect infection?
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CBC
Blood culture Urine CSF CXR |
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What is considered fever in a baby under 2 months?
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> 100.4 rectally
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What are the most common bacterial organisms that cause infections in newborns?
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Group B Strep
E. coli Listeria |
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What are the most common viral organisms that cause infections in newborns?
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Herpes simplex
Enterovirus Adenovirus |
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How do you treat GBS?
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Pen G
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What tests do you do with a spinal tap?
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Cultures
Cell count Protein Gram stain Glucose |
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What is the normal cell count and glucose in CSF?
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Cell count - less than 10
Glucose- 2/3 of serum glucose |
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What tests should you do in a 5 week old baby with a fever?
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CBC
Blood cultures Urinalysis Urine cultures CSF analysis and cultures CXR |
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What is the MC cause of fever in a baby under 2 months old?
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Viral
Tx with Ceftriaxone while cultures are pending |
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MCC of fever in a baby 2 months to 3 years?
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Viral
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children 3 months – 3 years with fever and no obvious source, what should you look for?
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Occult bacteremia
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What is the MCC of occult bacteremia?
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Strep pneumonia 85%
WBC >15000 |
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What is the MCC of purpura fulminant?
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N. meningiditis
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What is the MCC of meningitis in a baby?
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Viral- enterovirus
Bacterial causes- streptococcus |
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What is the treatment of viral meningitis?
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Support treatment
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What are the CSF findings in bacterial meningitis?
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> WBC
> Protein < Glucose |
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What are the CSF findings in viral meninitis?
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> WBC
Mild protein elevation Normal glucose |
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What is the empiric therapy for meningitis?
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ceftriaxone or cefotaxime
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What is the treatments for Lyme disease?
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Doxycycline
Amoxycillin |
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What causes Rocky MT spotted fever?
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Ticks
Treat with Tetracycline |
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What is the MCC of pharyngitis and name the organisms
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Viral 90%
EBV Cocksackie Adenovirus |
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What's the MCC of bacterial pharyngitis?
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GABHS
H.flu Diptheria N.gonorrhea Tx with Pen G |
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Rapid onset of otalgia, fever, and irritability. What is the diagnosis?
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Acute otitis media
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What are viral causes of otitis media?
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RSV
Adenovirus Influenza |
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What are the bacterial causes of otitis media?
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S. pneumonia
H. flu M. catarrhalis |
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How do you treat otitis media?
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1st line: Amoxicillin 40mg/kg/day
2nd line: Augmentin |
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MCC of Croup?
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Viral: parainfluenza type I
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What do you see on X-ray in a child with croup?
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Steeple sign: narrowing of the airway
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How do you treat Croup?
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Dexamethazone
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MCC of sinusitis?
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Viral
Bacterial causes: S.pneumo H.flu M.cat Treat after 7 days of symptoms with amoxicillin |
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How do you treat epiglotitis?
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Intubation
IV Ceftriaxone |
