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37 Cards in this Set
- Front
- Back
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Essay on FEVER
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MC peds complaint
85% Viral 8-15% Bacterial <2 months: GABHS, E.coli, Listeria Test: CBC,culture,UA,urine cx,CSF,X-Ray 2 mo-3 yrs: S.pneumo 85%, H.flu, N.meningitidis, Occult bacteremia 4% Tests: CBC UA, culture >6 months: Viruses; Supportive treatment |
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What is the leading cause of shock worldwide?
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Hypovolemic: Dehydration or hemorrhage
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What are early signs of compesated shock?
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Increased heart rate
Poor systemic perfusion |
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Late signs of Decompensated shock
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Weak central pulses
Altered mental status Decreased urine output Hypotension |
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What is the initial management of shock?
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100% FIO2
ensure adequate airway/ventilation Establish vascular access Provide fluids Monitor oxygen, H/R urine output Consider vasoactive infusion (ie dopamine) |
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What is the initial Management of cardiopulmonary failure?
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Oxygenate, ventilate, monitor
Reassess for Resp failure Shock Vascular access |
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MCC of death in children beyond the first few months of life
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Trauma (MVA)
Drowning Homicide: leading cause death under 1 yr |
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How do you manage cardiopulm arrest?
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ABCs
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MCC of resp collapse in kids
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Asthma, bronchiolitis
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Begins with a 'Herald Patch', X-mas tree rash; most likely cause is viral
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Pityriasis Rosea
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Pearly white umbilicated papules caused by Poxvirus
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Molluscum contagiosum
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Red Rose papules
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Chicken Pox
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What are the complications of chicken pox in adults and children?
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Adults: Pneumonia
Children: Staph infection from scratching |
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Sickle cell inherited pattern?
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autosomal recessive
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Infection of skin that excludes the groin, palms, and soles
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Tinea corporis
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How do you treat Tinea corporis?
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Topical antifungal for 2-4 weeks (lotrimin)
If severe – oral griseofulvin |
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How do you treat Tinea Capitis?
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Griseofulvin taken orally for 8-12 weeks
Selenium sulfide shampoo may decrease the shedding of spores |
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How do you Diagnose Tinea corporis and Capitis?
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KOH prep
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How do you treat scabies?
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Permethrin 5% cream entire body for 8-12 hours
Reapply in 1 week |
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How do you get tinea corporis?
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From direct contact of infected person or animal
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Erythematous pustular rash over the trunk, buttock, and legs; honey-colored crusted plaque
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Impetigo
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MCC of anemia in kids?
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Iron deficiency
Age 12-24 m |
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Risk factors for iron def anemia?
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Cow's milk
Erratic solid intake |
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What are some complications of sickle cell?
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Acute Chest Syndrome
Spleen rupture: risk of sepsis with pneumococcus, e. coli, Hflu |
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MC pediatric malignancy?
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ALL: Acute Lymphocytic Leukemia
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How do you diagnose Leukemias
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Bone Marrow aspiration and Biopsy
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How do you treat ALL?
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Chemotherapy: Vincristine, Prednisone, MTX
Bone marrow transplantation for chemo failure |
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Signs and symptoms of anemia
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Pallor
Fatigue Dyspnea Tachycardia Dizziness |
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What do you see on RBCs with lead poisoning?
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basophilic stippling
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What % of blacks carry the sickle cell trait?
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8%
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Reed sternberg cell is found in?
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Hodgkin's Lymphoma
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What are the stages of hodgkin's lymphoma?
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I- one lymph node region
II- >2 lymph node regions III- lymph node regions on both sides of diaphragm IV- Disseminated + nonlymphatic organs |
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Burkitt's Lymphoma is caused by what virus?
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EBV, most common in African people
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How can you tell someone is in resp distress?
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Color
Resp Rate Labored breathing |
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MCC of shock?
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dehydration
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What are the 3 types of shock?
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Distributive
Cardiogenic Hypovolemic: septic, anaphylactic, neurogenic |
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What is the treatment of Urticaria (hives)
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Usually self limited
Avoid trigger Antihistamine Epinephrine for acute severe cases H2 Blockers |
