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17 Cards in this Set
- Front
- Back
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RH incapability
-what can this cause in baby? |
RH neg mother, RH pos child
-may cause hemolysis in baby --> anemia, hyperbilirubinemia |
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How do you test for RH incapability?
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routine blood test for mom & dad
-COOMBS test if suspicion |
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Iron deficiency anemia
-MC seen in who? SS? |
MC seen in purely breast fed infants
SS: if mild none, if severe: pale, irritable, delayed milstones, pica |
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How do you diag Fe deficiency anemia?
-what kind of anemia is this? |
microcytic hypochromic anemia
-Low MCH, MCV -inc RDW -Inc TIBC -dec Ferritin |
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Acute Myelocytic Leukemia
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-spleen &LN are not enlarged
-see gum hypertrophy -elevated WBC, dec in all other cells -Worse survival rate than ALL |
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What is the MC childhood malignancy?
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Acute lymphoblastic leukemia (ALL)
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Sickle cell disease
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autosomal recessive hemolytic anemia
MC in African Americans -blood gets stuck & causes pain & infarction |
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Hereditary Spherocytosis
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autosomal dominant defect in RBC membrane
-spherical shaped RBCs get caught in spleen = inc rate RBC destruction -Splenomegally is MC sx |
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Von Willerbrands Dz
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MC inherited bleeding disorder
-prolonged bleeding time bc of VW factor antibody |
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Obstructive Sleep apnea
-what is the treatment? |
-prolonged partial airway obstruction or intermittent complete obstruction
TX: adenotonsillectomy, or CPAP (continuous positive airway pressure) |
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How do you prevent SIDS?
-Sudden infant death syndrome |
-infant sleep on back
-dec co-sleeping -dec maternal smoking |
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Kleinfelter's syndrome
-What does it look like? |
Male phenotype, XXY chromosome
-poor functioning testes -microorchidism (sm testes) w/normal external genitalia, infertility, gynecomastia -borderline IQ, Tall |
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What does Turner's syndrome look like?
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Females, only 1 X chromosome (45XO)
-streak ovaries, amenorrhea -no 2nd sex characteristics, infertility -webbed neck, short stature -inc risk of coarctation of aorta |
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What is the common presentation of a child with Fetal Alcohol syndrome?
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microcephally, short palpebral fissures, cardiac anomalies
-joint defects, thin upper lip (1st 3 months of pregnancy is most critical time!) |
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What foreign bodies do you want to make sure you remove right away?
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Batteries and magnets
-sharp objects are also more worry |
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What are the drugs to avoid in children?
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Fluroquinolones: affect joint & tendons
Tetracycline: tooth discolorations |
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What is the most common form of child abuse?
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neglect: parents ignore cry of baby, inability to recog child's cry
MANDITORY to report any child abuse!!! |
