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Congenital Defects

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Question
Answer
FWS or FUO? Get baseline labs   show
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"FWS or FUO? No baseline labs, except an occasional UA"   show
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show FUO  
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FWS or FUO? No empiric antibiotics   show
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FWS or FUO? Empiric antipyretics   show
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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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Most common cause of sepsis in neonates   show
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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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show poor urine output  
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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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show NEONATES: Amp/Gen. Children: Cefoxitin or Rocephin  
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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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show "Viruses (ie Enterovirus, HSV, and arbovirus (rare)"  
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"Other than viruses, what else can cause aseptic meningitis in children?"   show
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show fever  
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show "fever, AMS, HA, neck pn, progressive onset"  
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What might you find on exam of a child with meningitis? (Funky BB PP -- FTNK BB PP)   show
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show N. meningitidis  
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Which type of meningitis can cause purpura and may cause death even after treatment? (write in)   show
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show "Leukocytosis with neutrophilia on CBC, LP with an opening pressure >20 cm H20"  
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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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show bacterial  
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"WBC/cc of <1,000 indicate what type of infection?"   show
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WBC/cc of <500 indicate what type of infection?   show
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show bacterial  
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"What pathology presents like meningitis, but often has focal deficits, seizures and mental status changes?"   show
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"What pathology presents like meningitis, but often has focal deficits, and can only be diagnosed on CT?"   show
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What abx do you use to treat meningitis in neonates? In infants/children?   show
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show "Aggressive abx, Hospitalization (possibly ICU), IV hydration and antipyretics"  
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How can you prevent meningitis for those who are NOT close contacts? What about those who are?   show
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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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