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Peds Rot Random

QuestionAnswer
periventricular calcifications think CMV infection. Do a urine culture. Other sx include growth retardation and 4hepatosplenomegaly
Pan calcification of the brain Think toxoplasmosis
Which cardiac conditions are associated with Cyanosis at birth? 4t's= Truncus arteriosus, Total anomaly of pulmonary valve, Transposition of the great vessels, Tetralogy of Fallot
Egg on a string Transposition of the great vessels. Due to the arrangement of the vessels, the heart lies more horizontally
Croup vs bronchiolitiis Croup pts usually maintain a pulse ox>90%, whereas acute bronchiolitis pts usually have lower pulse ox since it is a LRI and ventilation is affected.
Names of croup laryngotracheobronchitis, supraglottitis, bacterial tracheitis
maculopapular rash from head progressing to the trunk, conjunctivitis, fever, and especially occuring in children from out of the country measles
Rubella is also known as german measles
Before puberty, the most common complication of mumps is meningitis. After puberty, in males, the most common complication is orchitis
Painless sores on the genitals think syphilis
>7 days post birth with red eye think Chlamydial conjuntivitis
Which STI does erythromycin protect against? Gonorrhea, not chlamydia
SALTER Grading S: same as the growth plate, A: above (metaphysis), L: lower (epiphysis), T (through the metaphysis and epiphysis), R: everything is crunched together
"Scotch plaid pitting" of nails and patches of complete hair loss Alopecia Areata. cause thought to be immunologic.
Most common abdominal Tumor in children neuroblastoma (malignant).
2nd most common abdominal Tumor in children Wilm's Tumor (other sx other than abdominal mass include HTN due to either renin secretion by tubular cells or compression of the renal vasculature, and microscopic or gross hematuria.
The majority of Neuroblastomas occur in the abdomen. Thoracic is the second most common place
The most common site of metastatic spread in Wilm's tumor is the lungs
The most common autosomal chromosomal abnormality Trisomy 21 (Down's Syndrome)
PE findings in a Trisomy 21 child brachycephaly (flat occiput), flat facial profile, up-slanted palpebral fissures, small ears, small mouth with protruding toungue. "Simian Creases", "Sandal Sign", incurved fifth finger (clindodactyly)
Other abnormalities associated with Trisomy 21 generalized hypotonia, cardiac defects (endocardial cushion defects and septal defects in 50% of cases), Gi anomalies (Hirschprung's dz, duodenal atresia), hypothyroidism, mental retardation. Leukemia 20x more common
Prognosis for babies born with Trisomy 13 Poor. 50% dies before reaching 1 month of age; 90% die by 1 year of age
Patau (Trisomy 13) features Microcephaly with sloping forehead, cutis aplasia of scalp, microphthalmia, cleft lip and palate, Congenital heart dz (VSD,ASD,PDA), Omphalocele, Polydactyly, renal defects, cryptorchidism, agenesis of corpus callosum
If Developmental dysplasia of the hip is suspected in a 1 month old newborn after a positive Barlow and Ortalani test, Asymettry of the gluteal folds and Galeazzi sign, which imaging modality should be used? US. The hips and pelvis are not ossified at birth; radiographs are not helpful until 4-6 months of age.
Anomalies associated with Developmental dysplasia of the hip include Cause is intrauterine packing and decreased movement, so other findings are: clubfoot, congenital torticollis, metatarsus adductus, and infantile scoliosis. Pavlik Harness may be prescribed
The most serious complication of Developmental Dysplasia of the Hip Avascular Necrosis of the femural head. More likely to occur when the child has been left untreated for longer than 6 months. DDH should be checked for routinely until child is ambulatory
Created by: ltm12
 

 



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