Congenital Defects
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| show | FUO - shotgun approach
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| "FWS or FUO? No baseline labs, except an occasional UA" | show 🗑
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| FWS or FUO? Admission is like3ly and needed | show 🗑
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| show | Both FWS and FUO. Exception is if a kid looks sick and has FUO
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| show | FWS
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| "The Sepsis Infection Response Syndrome (SIRS) is better 4 dxing adults than peds, so I will not write questions about them" | show 🗑
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| SIRS due to infection is called | show 🗑
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| show | severe sepsis
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| show | septic shock
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| show | Group B Strep
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| 3 most common causes of sepsis in neonates | show 🗑
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| Most common causes of sepsis in infants and toddlers is… | show 🗑
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| How do you dx sepsis? | show 🗑
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| show | "CNS, CV, Resp, Renal (or anything that indicates END ORGAN DAMAGE)"
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| What CNS signs indicate that a child is toxic? | show 🗑
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| What CV signs indicate that a child is toxic? | show 🗑
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| What respiratory signs indicate that a child is toxic? | show 🗑
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| What renal signs indicate that a child is toxic? | show 🗑
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| "If a neonate or infant <3mos has left the hospital and appears septic, what labs should you draw to evaluate?" | show 🗑
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| Treatment for sepsis requires hospitalization for close monitoring and early aggressive IV abx use to tx the cause. What abx should you use in neonates? Children? | show 🗑
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| show | "GBS, E. coli, Listeria "
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| What are the MC causes of septic meningitis in infants? (clue: two are the same as sepsis +1) | show 🗑
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| show | Chlamydia trachomatous
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| What are the MC causes of aseptic meningitis? | show 🗑
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| show | "Fungal, parasitic, and TB"
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| show | fever
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| What are common S&S of meningitis? | show 🗑
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| show | "fever, toxic apperance, nuchal rigidity (not common in under 2yo), kernig's sign, brudzinski's sign, bulging fontanelles, petichiae or purpura"
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| Which organism can cause septic meningitis that can take a child from slightly ill to dead in hours? | show 🗑
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| show | meningococcal meningitis
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| What lab values are consistent with meningitis? | show 🗑
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| What should you do before a lumbar puncture (especially if noted papilledema or focal neurological signs)? | show 🗑
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| "WBC/cc of 1-50,000 indicate what type of infection?" | show 🗑
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| "WBC/cc of <1,000 indicate what type of infection?" | show 🗑
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| show | TB
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| show | bacterial
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| show | encephalitis
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| show | CNS abscess
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| What abx do you use to treat meningitis in neonates? In infants/children? | show 🗑
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| What general tx methods should you use to treat meningitis? | show 🗑
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| show | Meningococcal vaccine for all children at 11-12 yo and all adolescents going to military or dorm // CLOSE CONTACTS: Rifampin for 2 days
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| What type of organisms most commonly cause encephalitis? | show 🗑
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| This type of encephalitis presents similar to multiple sclerosis | show 🗑
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| What do you need for a definitive dx of encephalitis? | show 🗑
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| show | steroid
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| show | acyclovir
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| show | "source (eg pneumonia, cellilitis, etc) and occult (hidden causes ie UTIs)"
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