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Step III

Step III - Peds 6

QuestionAnswer
If there is any doubt the patient has had his original series of three tetanus immunizations you should do what add tetanus immune globulin to tetanus toxoid shot
Children, high fever, rash. Etio of meningitis Neisseria
Newborn, no rash. Etio of meningitis Listeria via vagina
0-3mos Newborn, rash. Etio of meningitis group B strep (agalactiae) via birth canal / group D enterococci (mom GI) >> E. coli / Kelbsiella >> Listeria
Teens Etio of meningitis Neisseria
> 18yo Etio of meningitis S. pneu
2mos – 12yo, Etio of meningitis Neisseria
Tx for intussusception Air-contrast barium enema (dx as well as tx)
Medication in pregnancy a/w dev of pyloric stenosis Macrolides esp erythromycin in first two weeks of life
In what cases would mom be using erythromycin during pregnancy post-exposure prophylaxis or treatment of pertussis
What are the (4/5) criteria for dx Kawasaki’s dz Bilateral conjunctivitis / Mucosal changes of lips and pharynx (strawberry tongue) / Derm changes of peripheral ext (erythema, upper + lower ext edema, desquamation) / Truncal rash (non-vesicular, one day after fever) / Cervical lymphadenopathy
Kawasaki’s dz is a/w what condition coronary artery aneurysms
Tx for Kawasaki’s IVIG, ASA
sore throat, fever, strawberry tongue, and a characteristic "sandpaper" rash Scarlet fever
Etio of Scarlet fever S. pyogenes
Sequelae of strep pharyngitis Scarlet fever AND rheumatic fever
Post strep infection affecting heart, brain, joints Rheumatic fever
Compare and contrast familial short stature w/ constitutional short stature Const: bone age = height age and behind chrono age; familial: bone age > height age but = chrono age
growth retardation, weakness, osmotic diarrhea, and dermatitis herpetiformis Celiac sprue
tx for tropical sprue Tetracycline
decrease in the lecithin:sphingomyelin ratio (< 2:1) = RDS
recurrent spontaneous abortion is d/t anti-phospholipid syndrome
when should steroids be given to prevent RDS 24-34 wks gestx in high risk pre-mature delivery moms
MCC death in ages 1-9yo MV traffic > unintentional drowning > electrical burns
MCC death Age < 1 1) suffocation 2) MV traffic 3) drowning
MCC death Age 1-4 1) MV traffic 2) drowning 3) fire/burn
MCC death Age 5-9 1) MV traffic 2) drowning 3) fire/burn
MCC death Age 10-14 1) MV traffic 2) drowning 3) other land transport
MCC death Age 15-24 1) MV traffic 2) poisoning 3) drowning
MCC death Age 1-4 1) MV traffic 2) drowning 3) fire/burn
MCC death Age 5-9 1) MV traffic 2) drowning 3) fire/burn
MCC death Age 10-14 1) MV traffic 2) drowning 3) other land transport
MCC death Age 15-24 1) MV traffic 2) poisoning 3) drowning
Definitive tx for OSA in peds Surgical resection of tonsils and adenoids
high fever, abdominal pain, generalized tonic-clonic seizures, watery diarrhea w/ blood and mucous Shigella
diarrhea (+/- bloody), low-grade fever, and abdominal pain lasting 1-3 weeks, n/v yersinia
chills, diaphoresis, anorexia, dry cough, a dull frontal headache, and myalgias before the onset of a high fever Salmonella typhi
Created by: DrINFJ