click below
click below
Normal Size Small Size show me how
Peds 2 Infancy to Ad
Infancy to Adolescence
Question | Answer |
---|---|
What meds and interventions are used in the tx of cerebral palsy to alleviate contractures and improve f'n? | Non-pharm: PT, bracing, surgery. Pharm: dantrolene, baclofen, botox, benzos. |
A 15yo preg girl requires hospitalizatoin for preeclampsia. Should her parents be informed? | No. Parental consent is not necessary in tx preg minors. |
What is the tx for mastitis in a pt that is breastfeeding? | PO abx (dicloxacillin) and contin breastfeeding |
How many calories are present in an ounce of breast milk? How many calories are present in an ounce of formula? | both have 20kcal/ounce |
What are the caloric needs for an infant younger than 6mos? | 100-120kcal/kg/d |
What work-up should be performed on a newborn with a single umbilical a? | Renal US (can have significant renal asymptomatic anomalies) |
What are the MC problems that arise in preemie infants? | RDS, hypoglycemia, persistent PDA, infections/sepsis, retinopathy of prematurity, intraventricular hemorrhage, and NEC |
What is the difference btwn caput succedaneum and cephalohematoma? | Caput crosses the midline. Cephalohematoma doesn't. Remember that "caput" has a hard "c" sound like "cross" does. |
What is the next step in mgmt of a newborn female with bloody vaginal d/c in the first week of life? | normal (caused by progesterone withdrawal after leaving mom's body) |
Permament vascular malformations most commonly occurring on the nape of the neck, but also upper eyelids and middle of forehead. | Macular stains (stork bites). Benign but persist thru-out life. |
What medication can be used to treat thrush in an infant? | Nystatin oral suspension. Make sure it is thrush and not milk by trying to swab the mouth; thrush will not come off. |
By what age should 96% of children have closed anterior fontanelles? | 24mos |
What is the ddx for pathologically opened anterior fontanelles? | Down syndrome, achondroplasia, Ricket's, congenital hypothyroidism, and increased intracranial pressure |
Soft occipital bone like a ping pong ball in a 3-12mo old child is called _______ and is highly suspicious for ______. | Craniotabes. Rickets. |
What happens to skin turgor in moderate dehydration? Severe? | Moderate: tenting. Severe: no skin turgor. |
What happens to the fontanelle in mild dehydration? Moderate? Severe? | Mild: flat. Moderate: soft. Severe: sunken. |
What is the capillary refill in mild dehyration? Moderate? Severe? | Mild: <2s. Mod: 2s. Severe: >3s. |
What is the tx for roseola infantum? | Nothing but antipyretics. |
A 2yo baby boy presents with 2-3mm yellow pustules with red bases. What are these likely to be and what is the px? | Erythema toxicum nenonatum. Self-resolves in 3 weeks. Benign. Expect to see eosinophilia (E for E tox and Eosinophils) |
Why is it important to document Mongolian spots? | To prevent untrue allegations of abuse. |
What mnemonic can you use for the questions you should ask during an annual adolescent exam? What does it stand for? | HEADSSS: Home environment, Employment/Education, Activities, Drugs, Sex, Suicide, Safety |
What interventions have been shown to reduce the incidence of SIDS? | Back sleeping on firm mattress, keeping infant cool, use of pacifier, no toys or pillows in crib, no smoking |
What is the number 1 killer of adolescents and why? | Accidents b/c of increased risk taking behavior |
What newborn skin finding matches the following descriptions?: 2-3mm yellow pustule with red base (similar to white head) arising in first 24-72h, micro exam of the pustular contents reveals numerous eosinophils, resolves in 3 weeks. | E tox (don't need bx to dx) |
What newborn skin finding matches the following descriptions?: spider-webbing, marbling of skin | cutis marmata |
What newborn skin finding matches the following descriptions?: intense reddening of gravity dependent side and blanching of the nondependent side with a line of demarcation between the two, lasts a few sec-min | Harlequin color change |
What newborn skin finding matches the following descriptions?: due to accumulation of seat beneath eccrine sweat ducts that are obstructed by keratin at the stratum corneum | milia |