Inservice Deck 6 - OB/GYN ED and pediatric Flashcards

1
Q

Most common surgical emergency in pregnancy?

A

appendicitis

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2
Q

female recently post-partum with signs of CHF has what diagnosis?

A

cardiomyopathy (dilated)

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3
Q

peripartum cardiomyopathy treatment in ED?

A

fluid restriction, diuretic, ACE +/- dig, anticoag with heparin

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4
Q

recent postpartum with fever, foul-smelling vag discharge, swollen tender uterus has what diagnosis? tx and dispo?

A

endometritis
IV abx
admit

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5
Q

GERD treatment if antacids haven’t worked?

A

H2 blocker, PPI

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6
Q

Most sensitive modality for 26 week pregnant patient s/p blunt trauma with abd pain?

A

cardiotocographic monitoring

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7
Q

patient with second trimester bleeding and large uterus

A

molar pregnancy (snowstorm US)

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8
Q

classic presentation of patient with placenta previa?

A

painless 3rd trimester bleeding

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9
Q

diagnosis of 35 year old 25 weeks pregnant presenting with BP 160/11, AST/ALT 600/500 and 75K platelets?

A

HELLP syndrome

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10
Q

most common cause of death with HELLP syndrome?

A

hemorrhage (intracranial, then hepatic/splenic), tx with delivery

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11
Q

pregnant and seizing, medication? diagnosis?

A

eclampsia, Mg 4-6 g IV over 15 minutes

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12
Q

patient given Mg, when respirations drop to 8 and sats 90%, management?

A

CaCl, stop mg

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13
Q

patient with history of c section, now having twins presents with severe abd pain and hypotension. Dx?

A

uterine rupture

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14
Q

number 1 cause of postpartum hemorrhage?

A

uterine atony

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15
Q

next step for 30 year old female who has beta hcg of 6000, empty uterus, and BP 98/50

A

OR, ectopic pregnancy

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16
Q

initial fluid bolus for children?

A

20 cc/kg

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17
Q

2 week old child who develops cyanosis that is not improved with high flow oxygen has cardiac or pulmonary defect?

A

cardiac

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18
Q

1 day old brought in for vomiting after all feeds with respiratory difficulty. No NGT

A

tracheosophageal fistula/esophageal atresia

19
Q

steeple sign is associated with what illness?

A

croup

20
Q

tx when patient peds toxic and in respiratory distress with steeple sign

A

intubate and perform bronch, concern for bacterial tracheitis

21
Q

med indicated if child with croup remains in respiratory distress despite saline nebs?

A

epi nebs

22
Q

4 month old male with wheezing, sats 90%, occ rales, nontoxic and with nonspecific xray. Dx?

A

bronchiolitis

23
Q

differential in non-consolable, afebrile, crying infant?

A

CRYING

corneal abrasions
rectal - fissure/abscess
Yarn/hair tourniquet
Intussusception, infection/meningitis
non-accidental trauma
GU (torsion, phimosis, hernia
24
Q

how far should umbilical vein catheter be placed?

A

until blood returns

25
Q

2 month old premature child who had required mechanical ventilation at birth presents with tachypnea, sx of RAD. xray shows cystic changes. Patient improves with oxygen and nutrition has what?

A

bronchopulmonary dysplasia

26
Q

1 week old preemie has fever and acute abdomen? radiology sign?

A

necrotizing enterocolitis

pneumatosis intestinalis

27
Q

most common cause of massive lower GI bleed in child

A

meckels

28
Q

fracture in 2 year old who refuses to walk

A

spiral fracture of tibia

29
Q

most common cause of bloody stool in 8 month old?

A

anal fissure

30
Q

6 month old child with intermittent colicky abd pain, vomiting, heme pos stool, mild dehydration. Dx and tx?

A

intussusception, air enema

31
Q

well appearing 3 year old with pain in joints, low grade fever, maculopapular rash?

A

juvenile RA

32
Q

finding on a plain film of child with suspected intussusception would render barium enema contraindicated?

A

free air

33
Q

next test in 2 month old with projectile vomit, wave, no mass on exam?

A

US to rule out pyloric stenosis

34
Q

3 week old infant presents with fever and otitis media. What work up?

A

septic work up, give abx

35
Q

what is the most common symptom of a VP shunt infection?

A

fever

36
Q

tx of kawasaki disease?

A

IVIG, high dose ASA

37
Q

6 month old with suprapubic mass, 3 weeks constipation, no stool in vault has what?

A

hirschsprung’s disease

38
Q

dispo for 2 week old first born male iwth non-bilious projectile vomiting

A

pyloric stenosis

surgery

39
Q

most common cong heart abnormality in 5 day old cyanotic pt

A

transposition of great vessels

40
Q

tx fo unstable child with SVT

A

synchronized cardioversion

41
Q

full term baby delivered has HR of 140, decreased respirations. First step?

A

warm and stimulate

then bag with oxygen

42
Q

3 week old with conjunctivitis. What tx?

A

IM/IV cephalosporin and oral erythromycin

43
Q

5 year old with positive sweat test has PNA. Pathogen?

A

pseudomonas

44
Q

most common cause of jaundice in first week of life

A

physiologic