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Step III

Step III - Peds 5

what are the rule of 2s for Meckel’s 2 feet prox ileocecal (60-100cm), 2 inches long, 2 yo, 2% population, 2% symptomatic, 2 types of ectopic tissue (pancreatic and gastric), Males 2x > females
Diagnostic study for Meckel’s Techn99scan
Tx for meckel’s surgery
bilious emesis, which begins several hours following the initial post-delivery feeding, double bubble XR, malrotation of intestines, congenital heart dz Duodenal atresia
what is the patho phys of duodenal atresia Failure intestines to canalize in 8th and 10th week gestation leading to polyhydramnios in utero
type of abdominal wall defect that occurs when the abdominal viscera herniates through the umbilicus into a sac covered by peritoneal tissue and amniotic membrane Omphalocele
exopthalmos, macroglossia, gigantism, hyperinsulinemia and hypoglycemia + wilms tumor Beckwith-Wiedemann syndrome
Omphalocele is also a/w what condition/dz Beckwith-Wiedemann syndrome
evisceration of intestine through the abdominal wall, just lateral to the umbilicus. mass is edematous, dark in color, and typically appears to be covered by a gelatinous matrix of greenish material Gastroschisis
Infants who are exclusively breast-fed should have what supplements vitamin D supplemented via formula mixture
Human milk contains significantly higher levels of what vitamin c/w cow’s milk vitamin C (approximately 4 times)
Protein levels are almost twice as high in what kind of milk compared to mother’s milk Cow’s milk (not good for baby kidneys
Iron from what milk source is better absorbed by baby Mom > cow
What vitamins/nutrients are higher in cow’s milk c/w mother milk Vita K, protein
Etio of erythema infectiosum Parvovirus B19 (5th dz)
Rash on hands/extremities and spreads caudally RMSF
rash usually starts on the head and spreads caudally Rubeola/ measles
desquamating skin rash on palms, soles Neonatal syphilis
morbiliform rash on his head that spread to his palms and soles + recent cough, runy nose and red watery eyes Measles/rubeola
rash hands and feet +/- buttocks, ulcers in posterior palate and pharynx Coxsackie A; hand, foot mouth disease
“slapped cheek” rash + erythematous, pruritic, maculopapular rash starts arms and spreads to the trunk and legs 5th dz/erythema infectiosum
generalized lymphadenopathy, an erythematous and tender maculopapular rash, and polyarthritis Rubella
etio of measles Paramyxo virus
MCC epistaxis in kids Nose picking (trauma) to Kiesselbach’s plexus > nasal foreign body > deviated septum > prolonged dry air inhalation
The following sequence of treatment modalites should be performed for children presenting with epistaxis Direct pressure > topical nasal vasoconstriction > anterior nasal packing > ENT consultation for posterior nasal packing (blocking choana)
Tetanus toxoid should be administered intramuscularly to patients suffering from tetanus-prone wounds such as present >6 hrs, deeper than 1 cm, contaminated, infected, exposed to saliva or feces, crush injuries and puncture wounds
What age groups / timeline require tetanus toxoid injection if they are less than 7 years of age, or if it has been more than 5 years since their last booster (everyone gets booster q10yrs)
Tetanus immunoglobulin (TIG) should be administered to Pts >60yo, pts who have received < 3 doses of tetanus toxoid in their lifetime.
Created by: DrINFJ



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