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amblyopia aka lazy eye
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cerebral palsy
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CPN
Neuro/renal/infex/dermal/psych/cardiac
| Question | Answer |
|---|---|
| amblyopia aka lazy eye | strabismus, cover good eye and force bad eye to work |
| cerebral palsy | intellectual disability seen in <1/2 kids with CP speech vision and hearing impaired |
| trisomy 21 aka downs syndrome | protruding tongue flat forehead, low set ears, caused by 3 chromosomes on the 21st pair, may need smaller special spoon |
| febrile seizures | most common between 6m-3yrs uncommon greater than 5 |
| ICP | sunset eyes are late s/s, avoid activities that will increase ICP, low stimulation hold and whisper |
| meningocele | hernia protrusion of saclike cyst containing meninges but no spinal cord |
| mylomenigocele | protruding sac containing CSF most common type of spina bifida |
| neural tube defects preoperative assessment | monitor spontaneous movement, know head circumference baseline, position pt prone off sac, cover sac with saline and sterile dressing |
| postoperative neural tube defects | assess for paralysis and neurogenic bladder post volume voids >20ml very important tx for neonates , avoid latx |
| meningitis | LP will show decrease glucose seen in bacterial meningitis |
| leading poisoning (plumbism) | blood lead level >5 treatment >45, >70 really bad, carried by RBC so hbg level will be low and neuro s/s, need IV therapy |
| restraints | need order every 2hr, behavioral every 15 min assess |
| UTI | kidney infx. pyelonephritis, ecoli most popular, avoid bubble baths, bed wetting |
| hypospadias | underside of meatus sx around age 1-4yrs avoid infx |
| nephrotic syndrome | autoimmune process that occurs after 1 wks from immune assault, increase, protein loss and urine will be fark and foamy, albumin levels decrease, dehydration, no salt foods |
| acute glomerulonephritis | occurs 1-2 wks after group A streptococcal, loses permeable, ASO titer inceased, increase BP, intervention steroids, |
| nephrotic syndrome | increase glomei increased permeability, loses albumin, 3rd spacing |
| live vac | MMR, varicella, nasal influenza, rotavirus |
| don't give influenza vac | if allergic to eggs, or <5 years with asthma and wheezing |
| MMR | do not give with severe immunosuppression not associated with HIV |
| side effects live vac | 2-3wks, varicella itching |
| MMR | give at 12-15 months and 4-6yrs don't give <12 months |
| varicella | transmission 1-2 days before the appearance of rash, until scabbed, incubation 10-21 days, vesicles, |
| Mononucleosis | inscreased atypical lymphomas, virus in monocytes, lethargy positive mono spot test, activity restrictions |
| TB | read in 48-72 hrs children are usually asymptomatic |
| fifth diseasse | human parvoviruss, slapped face,droplet, contagious the week before rash |
| lyme disease | bacterial illness by ticks: 3 stages. early bulls eye rash with burning warmth 3030 days after bite, early head and nerves, late disease: nerve damage and brain inflamed tx: antibiotics |
| scabies | apply scabicided leave for 8-12 hrs repeast 1 week later, treat everyone in ccontact, mite bites and eggs |
| ring warm (tinea) | fungus, selsun blue shampoo, antifungal powder |
| head lice | nix apple 2nd time 7-10 days later |
| steven Johnson syndrome | sloughing of skin, maybe causes by antx or anticonvulsants, worsening burn, begins lik flu, eye lubricants prevents blindness |
| tetralogy of fallot | cyanotic heart disease, pulm. artery stenosis, ventricular septal defect, hypertrophy of right ventricle, and over riding aorta |
| tetralogy of fallot s/s | bone marrow makes more RBCs to compensate for decrease 02 knee to chest positioning |
| ventricular septal defect | most common will have lower HR, digoxin and diuretics high cal food, surgery |
| rheumatic fever | 1-6wks after group A beta inx, untreated strep, prevention is key |
| Kawasaki disease | leading cause of acquired heart disease, 25% heart damage, CHF, and thrombosis is complications |
| Kawasaki disease acute phase | give antipyretics, inflamed mouth and tongue, rash, swollen |
| Kawasaki disease subacute phase | fever goes away, hands and feet peel, irritability persists |
| Kawasaki disease convalescent phase | ESR and C reactive protein remain elevated arthritis present |
| Kawasaki disease interventions | IVIG, aspirin 80-100mg/kg divided every 6hrs, cardiac monitoring, and fluids |
| spastic CP | needs high cal diet due to hypermobility |
| ataxic cp safety | wear helmet |
| dyskinitic CP | moves face more |
| dilantin/phenytoin can cause | gum hyperplasia |
| increase icp s/s | bludging font. increase BP, decrease HR |
| lead poisoning | combines with hemoglobin in liver |
| babinski reflex disappears at | 2yrs |
| stops holding finer at what age | 4m |
| mishaped or placed ears needs to be seen by | urologist |
| chelating process | lead excretes lead through the urine |
| Babinski disappears at what age | 2yrs |
| dilatin causes | hitsutism |
| febrile sz patter familia? | yas |
| ICP Vitals | decreased everything |
| external VP shunt level | eye level |
| bacterial meningitis precautions | mask |
| reyes syndrome caused | saliclated during viral ifx |
| phenobarbital preassess | pregno? |
Created by:
rmak47