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39 Cards in this Set

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kid shoves a button battery up their nose...is this an emergency or no?

***
YES

GET IT OUT OF THERE!!

can cause necrosis
kid presents with a purulent foul smelling discharge coming from one nostril. What is a possible cause?
nasal foreign body
pt presents with sniffing, sneezing, itchy eyes, and a nasal crease. What do they have?
Allergic Rhinitis
a kid comes in and has pale boggy mucosa, clear drainage, and shiners... what do they have
Allergic Rhinitis
most common cause of cold
rhinovirus
how many colds can a young child have a year?
6-7

can have 50% increase if in daycare
kid has sore scratchy throat, runny nose that can change color of the course, and cough. What does he likely have?
cold
a kid has a cold and the mom asks if she can give him aspirin...you reply
HECK NO..liver toxicity
at birth, what sinuses are present, which is likely to get infected?

****
Ethmoidal and maxillary sinuses

so a baby can really only get a Ethmoidal infection
what age does the sphenoidal sinus show up
5
what age do the frontal sinuses begin forming
Frontal sinuses begin forming 7-8 YO and not completely developed until adolescence
what are the 3 most common bacterial pathogens causing sinusitis (prob not on test)
Streptococcus pneumoniae
Nontypable Haemophilus influenzae
Moraxella catarrhalis
facial pain and headache are ____ in children
rare
pt seems to have a cold but it has gone on for about 10-14 what do you think is the problem?
sinus infection (bacterial)
pt has severe respiratory symptoms including temp of 102 (39) and purulent nasal discharge for 3-4 days...what do they have
sinus infection

so the key is to note that you can either have cold like symptoms that last for 10+ days, or you can have more serious symptoms for a shorter period of time
effects of antihistamines, decongestants, mucolytics, steroids, and nasal washes in children with sinusitis?
doesn't really do much

try anti-biotics
Periorbital cellulitis, Orbital cellulitis, and meningitis are all possible complications of what?
Sinusitis (pediatric)
Pott puffy tumor (bone infection of frontal bone) is a possible complication of what?

***
sinusitis
which ear problem is associated with acute infection?

which is noninfective accompanied by effusion
infection--> AOM acute otitis media

noninfectinve-->otitis media with effusion (OME)
major bacterial causes of otitis media?
Streptococcus pneumoniae
Nontypable Haemophilus influenzae
Moraxella catarrhalis
is AOM viral or bacterial?
either
you look in someone's ear and see:
Fullness or bulging or complete retraction
Erythema
Abnormal whiteness

what is this?
acute otitis media
pt has clear-fluid behind the TM and it doesn't move much... what does the kdi have?
otitis media with effusion (OME)
when do you consider giving a kid ear tubes when they have OME?
6-12 months of continuous bilateral OME

9-18 months of continuous unilateral OME

Evidence of hearing loss
Redness and/or tenderness over mastoid
Swelling behind ear
May cause ear to stick out

what does the pt have, what was it secondary to?
acute mastoiditis

secondary to AOM

tx: IV antibiotics and/or surgery
most common cause of otitis externa (swimmers ear)?

**
Pseudomonas
pt has Ear pain accentuated by manipulation of pinna or tragus
Itching
Conductive hearing loss
Serous or purulent secretions

what do they have?
otitis externa
Pharyngitis is caused by what (general terms)
90% Viral
10% bacterial
cause of Infectious Mononucleosis
Epstein-Barr Virus
if you see Generalized cervical adenitis
and exudative tonsilitis what does the pt have
Infectious Mononucleosis
kid was recently diagnosed with Infectious Mononucleosis and wants to play football..what do you say
have to wait in case of splenomegaly
Sudden onset fever
Dysphagia
Headache
Vomiting and abdominal pain
and ulcers on the back side of the mouth (uvula, palate, tonsils)

what does the pt have? cause?
herpangina

enteroviral infection
primary difference when trying to distinguish btw herpangina and stomatitis?
herp: back of mouth

stom: front of mouth
Fever
Mouth pain (refusal to eat)
Salivation
Ulcerative on any part of oral lining but usually in anterior portion of mouth

what is this
Stomatitis
With/without fever
Vesicles/ulcers anywhere in mouth
Maculopapular, vesicular, and/or pustular lesions on hands, fingers, feet, buttocks, and groin

pt has? cause?
hand foot mouth!

Enteroviral (Coxsackie A) infection
Conjunctivitis
Fever
Exudative pharyngitis
GI symptoms

what is this..cause?
Pharyngoconjunctival Fever

adenovirus
normal cause of Acute Bacterial Pharyngitis
Group A beta-hemolytic Streptococcus
pt has :
Yellow, blood-tinged tonsillar exudate
Petechiae on soft palate
Anterior cervical adenopathy
Fever*
Headache*
Belly pain*
Sore throat*

what is it and most likely cause
Acute Bacterial Pharyngitis

caused by:
Group A beta-hemolytic Streptococcus (pyogenes)
what are 4 giveaways for strep throat?
Fever*
Headache*
Belly pain*
Sore throat*