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84 Cards in this Set
- Front
- Back
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microceph with drug exposure?
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usually not
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metabolic errors present when?
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1-3 days after birth
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how to test for toxo?
rubella? cmv? |
toxo - infant igs
rubella - mother and infant igs cmv - urine cx these 3 can causse microceph, organomegaly and rash |
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what is ballard score
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estimates gestational age
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sga and lga percentiles?
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10th and 90th percentiles
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microcephaly %
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10th%
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KKD requirements for term, preterm and very low birth wt babies
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term - 100-120 cal/kg/day
pre-term - 115-130 very low (1000-1500 grams) - 150 |
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asq questionairre
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assess devo in first 5 years
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peds questionairre
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assess devo till age 8
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pallor assoc with...
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neuroblastoma. and not with a wilms tumor or teratoma.
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stop bottle at age...
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2
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see dentist at age...
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3
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read the summaries of clinical scenarios
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kdsafasdfasdf
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adhd criteria
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>=6 inattentioon or hyperactive sx
and incons with devo level and impairs 2/3 of social, academic or occupational and present for >=6 months and presents before age 7. |
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pre-htn, stage 1 htn, and stage 2 definitions
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prehtn - sbp and dbp btwn 90-95th%
stage 1 - 95-99 +5mmHg 2 - >99 +5mmHg |
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overwt/at risk of overwt definition
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bmi 85-95% or bmi >25
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obese/overwt definition
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bmi>95 or bmi>30
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limited rom with slipped capital fem epiphyses?
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yes - esp with internal rot
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adhd med and dose
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methylphenidate 18mg bid M-F
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puberty age ranges in boys and girls
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boys - 10-15
girls - 8-13 |
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can there be decreased retics with iron def?
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yes
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types of vwd
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I - most common. no protein. minor issue
II - busted protein. III - AR!!! very low vwf levels. |
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increase the HCM by...
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standing
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tanner staging
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1 - child
2 - some fine hair and bigger nuts 3 - lateral pubes - more phallus length 4 - pubes not at medial thighs yet 5 - full (about 20mls) |
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time to expect rds infant
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born at 34 weeks or 37 if IDM
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TTN more common with...
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IDMs and C-section babies
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random things assoc with IDM babies
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hypocalcemia and shoulder dystocia (big out of the canal)
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week for a post-term baby
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past 42
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polycythemia is an issue with LGA or SGA babies?
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sga
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nl hr and rr in first vs. second hour of life
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hr160-180; 60-80
rr 120-160;40-60 (remember 160 and 60) |
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tx ttn - if rr btwn 60-80 and over 80
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60-80 - NGT
>80 - npo and ivf with dextrose |
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tx hypoglycemia in a newborn -
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treat if <=35 or 45 with sx
5%gluc in water then BM/formula give IV dextrose if that doesn't work. you want it btwn 41-50 |
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breastfeeding jaundice - conj or unconj?
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unconj
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high pitched cry with jaundice?
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should prompt further eval
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caput succedaneum
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serum over periosteum - crosses suture lines
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normal amt of ankle clonus
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10 beats in newborn
3 max in 1-2 month old |
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decreased activity in baby with downS??
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no - but yes with congen hypothy
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increased font size with...
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congen hypothy
also with shaken baby. |
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fever of unkonwn origin
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spent 2 weeks iwth the fever and a week trying to figure it out
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iv and po abx for uti in infant
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iv - amp and gent (can do ceftri as well)
po - bactrim, augmentin. NOT NITROFURANTOIN FOR PYELO! |
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f/u care post-uti in infant
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VCUG
abd US UA radionucline cystogram |
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criteria for kawasaki
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fever > 5 days and 4/5:
rash extrem changes lad mucosal changes conjunctival redness |
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measles presentation
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head cold then rash on neck then feet in 2-3 days
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gas rash presentation
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starts in groin, axilla, neck then spreads.
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varicella rash presentation
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on trunk first
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pts with lower resp obstruc will have long...
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expiratory phase
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mcc bronchiolitis
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rsv
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causes of bacterial pneum
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< age 5 - s pneum
> 5 - mycoplasma pneum (c. pneum in a 3 wk old to a 4 month old) |
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pertussis stages
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catarrhal - uri-like
paroxysmal - cough and wheezing convalescent - cough lessens |
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croup is...
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any cause of subglottic inflammation.
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need abx for acute bronchitis?
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no - will have rhonchi
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rhonchi vs rales
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rhonchi - coarse and large airways
rales - fine and small airways |
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foxed obstruc
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sounds during both insp and exp
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sinusitis and AOM bugs
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spneum, hflu, mcat, gas
tx with cefuroxime or amox-clav |
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conventional audiometry
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for pts >=4 y.o. a behav test
(for younger pts is the visual reinforcement audiometry) |
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rate of decreasing na if hypernatremic
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no more than 1meq/2 hrs
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how long to replace deficit if hypernat
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over 48 hours
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po replacement fluid rate
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5-10ccs / 1-5 minutes
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when to use 1/2NS
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if pt >10kg
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maint fluid rule
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100-50-20
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with dka, bolus until...
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stable with good neuro functin.
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fluid replacement duration in dka
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1st 4 hours - NS
isonat - 1/2ns or 1/4 for 12 h hyponat - for 24h hypernat - for 48h |
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goal ph and bicarb levels in tx dka
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ph>7.3, bicarb>15, normal AG
gluc<300 (rate of drop is 80-100 per hour) - goal is btwn 120-250 |
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fever in ___ cases of osteo
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1/2
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for jra, need sx for at least...
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6 weeks
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osteo presents...
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indolently
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defects that don't cause chf
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asds and cyanotic heart defects (5 ts)
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3 werid things that cna cause splenomegaly
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gaucher's disease
sle jra |
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splenomegaly with hsp and itp?
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NO
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tx of itp
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obs, oral steroids, ivig, rhogam
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low grade fever with...
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appendicitis and acute cholecystitis
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thresholds for tachycardia in infants and kigs
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150-200 infant
100-150 kids |
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increased icp and hypophosphatemia and glycosuria is associated with...
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lead intox
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proph anticonvulsants given when...
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kid has shaken baby syndrome
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wt gain in first 4 months
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doubles (20-30g per day)
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ftt %tiles
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wt 3rd %
weight for height < 3% slowing of the wt gain rate |
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all states req to screen for...
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pku and hypothy.
and all do cf anyway |
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does cf have hemolysis with it?
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yes!- increased platelets and an anemia (increased retics; low haptoglobin)
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dysuria with crohns?
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yes at times
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uc always affects...
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rectum
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bayley scales
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in depth devo assessment (nb - different from ballard)
assoc with cerebral palsy |
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tx of tinea versicolor
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selenium sulfide lotion
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mupirocin
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used for impetigo
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how to dx tinea corporis
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koh wet mouth - branches and rod shaped septate hyphae
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