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Sick Child
Info & Q; NP Exam
| Question | Answer |
|---|---|
| What vaccines are live? | 1. MMR (measles, mumps, rubella) 2. VZV (varicella zoster virus) |
| If child did not receive Hib by age 4-5 what to do? | Skip it |
| What age do you give MMR? | Over 1 year old because it is live virus |
| When would you not give VZV? | 1. less than 1 year old 2. immunocompromised 3. pregnant women 4. hx of chicken pox |
| What is most common SE from tetnus shot? | sore arm |
| Can you give Flu and pneumococcal on same day? | Yes but don't have to |
| Can you give MMR and VZV on same day? | Yes and you MUST in order to develop max titer; if not wait one month for other |
| How are live virus vaccines given? | subcutaneously |
| what is an "attenuated" virus? | hit in the head with a baseball bat; weakened |
| MMR is famous for? | Rash one week later |
| The most common bacterial pathogen for pneumonia in children of all ages is? | S. pneumoniae |
| What is significance of respiratory rate in children? | Their tubules are smaller in diameter thus are compromised earlier than in adults so respiratory rate is very significant |
| Pneumonia is child is typically treated with? | azithromycin because covers s. pneumo(G+) and the atypicals c. pneumo and m. pneumo |
| Bronchiolitis is typically caused by? | RSV |
| How can we dx RSV? | Nasal swab in 30 minutes |
| SIDS risk: | 1. MALES 2. Mother <19 yo 3. Sibling 4. Low birth weight |
| Persistent drainage from one nare in child, or SMELL (from bacteria G-) think? | Foreign body |
| Most common cancer in children is? | leukemia |
| When you think of leukemia you must think of what? | bone marrow; failure of the bone marrow thus problems with RBC, WBC and platelets |
| What might we find upon PE in child with Pyloric Stenosis? | Palpable olive mass RUQ |
| What sympton might child with pyloric stenosis complain of? | projectile or MONSTER vomit; usually in 1st born males |
| What else is significant with pyloric stenosis other than vomiting and mass? | is baby still wetting diapers; is fluid getting through and if not RUN; punt these kids |
| what is encopresis? | involuntary soiling |
| what else might we find with encopresis? | constipation; this is chronic constipation; |
| in young girls with encopresis we must consider this as Diff Dx? | sexual abuse |
| What is initial management for encopresis? | client and family education |
| Best laxative for children? | Miralax |
| What is cryptorchidism? | undescended testicle |
| How do you dx cryptorchidism? | physical exam; palpate scrotum |
| Child with Hip Pain or limp, think? | Legg-Calve-Perthes Disease |
| Popular test used to ID hip prob in child is? | Trendelenburg; a "pos" sign is to dx |
| If child has diaper rash related to yeast then we should check for what? | thrush in the mouth |
| Koplicks Spots are associated with? | Measles |
| strawberry tongue is often asso with what? | Strep |
| Herpangina is characterized by what? | ulcers in the mouth only; caused by coxsackievirus A; very CONTAGiOUs |
| Hand Foot and Mouth Disease is caused by? | Cox A and is found in the hand, feet and mouth |
| Cox B causes what diseasae? | myocarditis |
| Roseola info | Herpes Virus 6; high fever 103 - 105; sudden macular rash (splotchy not bumpy) |
Created by:
dprest
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