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31 Cards in this Set

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What tests do you do if you suspect infection?
CBC
Blood culture
Urine
CSF
CXR
What is considered fever in a baby under 2 months?
> 100.4 rectally
What are the most common bacterial organisms that cause infections in newborns?
Group B Strep
E. coli
Listeria
What are the most common viral organisms that cause infections in newborns?
Herpes simplex
Enterovirus
Adenovirus
How do you treat GBS?
Pen G
What tests do you do with a spinal tap?
Cultures
Cell count
Protein
Gram stain
Glucose
What is the normal cell count and glucose in CSF?
Cell count - less than 10
Glucose- 2/3 of serum glucose
What tests should you do in a 5 week old baby with a fever?
CBC
Blood cultures
Urinalysis
Urine cultures
CSF analysis and cultures
CXR
What is the MC cause of fever in a baby under 2 months old?
Viral

Tx with Ceftriaxone while cultures are pending
MCC of fever in a baby 2 months to 3 years?
Viral
children 3 months – 3 years with fever and no obvious source, what should you look for?
Occult bacteremia
What is the MCC of occult bacteremia?
Strep pneumonia 85%

WBC >15000
What is the MCC of purpura fulminant?
N. meningiditis
What is the MCC of meningitis in a baby?
Viral- enterovirus

Bacterial causes- streptococcus
What is the treatment of viral meningitis?
Support treatment
What are the CSF findings in bacterial meningitis?
> WBC
> Protein
< Glucose
What are the CSF findings in viral meninitis?
> WBC
Mild protein elevation
Normal glucose
What is the empiric therapy for meningitis?
ceftriaxone or cefotaxime
What is the treatments for Lyme disease?
Doxycycline
Amoxycillin
What causes Rocky MT spotted fever?
Ticks

Treat with Tetracycline
What is the MCC of pharyngitis and name the organisms
Viral 90%

EBV
Cocksackie
Adenovirus
What's the MCC of bacterial pharyngitis?
GABHS
H.flu
Diptheria
N.gonorrhea

Tx with Pen G
Rapid onset of otalgia, fever, and irritability. What is the diagnosis?
Acute otitis media
What are viral causes of otitis media?
RSV
Adenovirus
Influenza
What are the bacterial causes of otitis media?
S. pneumonia
H. flu
M. catarrhalis
How do you treat otitis media?
1st line: Amoxicillin 40mg/kg/day

2nd line: Augmentin
MCC of Croup?
Viral: parainfluenza type I
What do you see on X-ray in a child with croup?
Steeple sign: narrowing of the airway
How do you treat Croup?
Dexamethazone
MCC of sinusitis?
Viral

Bacterial causes:
S.pneumo
H.flu
M.cat

Treat after 7 days of symptoms with amoxicillin
How do you treat epiglotitis?
Intubation
IV Ceftriaxone