Pediatric Flashcards

1
Q

Stridor

A
  • narrowed upper airway

- MC: Croup

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2
Q

Stridor XR findings

A
  • Croup= steeple sign
  • Epiglottis: thumbprint sign
  • Retroperitoneal abscess: widening of prevertebral tissues
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3
Q

Neonatal respiratory distress

A
  • MCC: Transient Tachypnea

- Causes: poor alveolar fluid clearance s/p C-section

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4
Q

Croup

A
  • MCC of stridor d/t parainfluenza virus
  • Barking cough, worse w/ irritation crying or laying down
  • Steeple sign on XR
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5
Q

Croup management

A

Racemic epi and dexamethasone

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6
Q

Epiglottis

A
  • MCC HIB (Haemophilus influenzae type b)
  • Drooling, tripoding
  • Thumbprint sign on CXR
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7
Q

Bronchiectasis

A
  • irreversible dilation and destruction of bronchi
  • MCC pseudomonas infection in cystic fibrosis
  • foul-smelling sputum
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8
Q

Bronchiectasis diagnostic findings

A
  • CT Tram-Track appearance

- Signet Sign-looks like a diamond ring (pulmonary artery coupled with dilated bronchus)

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9
Q

Bronchiolitis acute

A

MCC: RSV

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10
Q

Bronchiolitis Obliterans

A
  • CXR cuffing, CT mosaic

- tx with corticosteroids and immunosuppressants

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11
Q

COP (cryptogenic organizing pneumonia)

A
  • Fibrotic scarring
  • Mimics pneumonia, no response to antibiotics
  • tx with corticosteroids.
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12
Q

Cystic Fibrosis

A
  • Autosomal recessive disorder

- recurrent lung infections-pseudomonas, failure to thrive

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13
Q

Cystic Fibrosis diagnostic test

A

Chloride sweat test

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14
Q

Cystic Fibrosis tx

A

bronchodilators, mucolytics, aggressive abx

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15
Q

Community-acquired pneumonia

A
  • MC bug: Streptococcus pneumoniae

- Hallmark: fever cough tachypnea

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16
Q

Community-acquired pneumonia PE

A

Crackles, decreased breath sounds

17
Q

Community-acquired pneumonia diagnositc finding

A

Elevated WBC: leftward shift

18
Q

Apparent life-threatening

A

apnea, color changes, changes in muscle tone, chocking, gagging, breath-holding, retinal hemorrhages, shaken baby syndrome

19
Q

Sudden infant death syndrome

A

MCC prone sleeping position, bed sharing, smoking