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Peds rotation
rotation review
52
Medical
Graduate
01/19/2012

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Cards

Term
2 reasons to check femoral pulses on newborn
Definition
-coarctation of the aorta
-LV flow tract obstruction
Term
absence of iris (usually b/l associated w/ poor vision & nystagmus)
Definition
anirida
Term
fine hair all over the body of a newborn
Definition
lanugo
Term
very small or underdeveloped pinna
Definition
microtia
Term
absence or defect of some ocular tissue around eyelid margin (treacher cillins) or the iris/retina (CHARGE association)
Definition
coloboma
Term
what does CHARGE association stand for?
Definition
-coloboma
-heart dz
-choanal atresia
-postnatal growth retardation
-genital hypoplasia
-ear anomalies
Term
Port-wine stain is associated with what syndrome?
Definition
-sturge weber syndrome, PHACES syndrome
Term
if you see an eartag what should you order
Definition
renal U/S & hearing test
Term
if pt has multiple hemangiomas what should be ordered
Definition
abd CT (r/o hemangioma of internal organs)
Term
which maneuver refers to causing the hip to click back into the hole
Definition
ortalani
Term
what should be ordered if you see asymmetrical creases on thighs
Definition
hip U/S
Term
how do we evaluate for craniosynostosis
Definition
x-ray/CT of head
Term
if pt has lacunar skull what should be ordered and what is this associated with
Definition
MRI
-associated with Arnold chiari malformation or myelomeningocele
Term
what's the difference between caput succedaneum and cephalohematoma
Definition
-caput succedaneum--> crosses suture lines and bone reconfigure in about 1 week
-cephalohematoma-->blood collection under periosteum therefore it does NOT cross suture lines and takes several months to heal
Term
where does a subgaleal hemorrhage occur
Definition
between scalp & skull
Term
what's the differential for a white pupil?
Definition
-cataract
-opacified cornea (mucopolysaccharidosis)
-retinoblastoma
-peutz jegher syndrome
Term
what's the difference between gastroschisis & omphalocele
Definition
Gastroschisis: bowel loop protruding through abdominal wall defect; typically to the R of the umbilicus

Omphalocele: located midline near the umbilicus and is covered w/ a membrane & associated w/ chromosomal abnormality
Term
What are some seemingly abnormal but NORMAL findings in a newborn?
Definition
-prominent labia
-tag in hymen
-sacral dimple
-gluteal cleft
Term
what are some abnormal findings in a newborn
Definition
-white pupil
-enlarged region along the umbilicus
-enlarged scrotum
-sacral tuft/sinus tract
Term
What's the tx for chlamydial conjunctivitis?
Definition
erythromycin PO (2 weeks)
Term
what's the tx for gonorrheal conjunctivitis
Definition
PCN-G X 7 days, Rocephin once or Claforan once. Tx pt's mother and her sex partners
Term
management for developmental hip dysplasia
Definition
-measure leg length
-hip U/S
-peds ortho referral for closed hip reduction followed by Pavlik Harness or Spica Cast for several weeks
Term
management of NEC (necrotizing enterocolitis)
Definition
-surgery OR
-non-operative (IV hydration, parenteral abx, NG tube decompression & suspension of feedings)
Term
which suture separates the frontal bone in newborns
Definition
metopic suture
Term
which suture runs horizontal above the occipital bone
Definition
lamboid suture
Term
which suture in newborns runs vertically across the center of the top of the head
Definition
sagittal suture
Term
webbed posterior neck, cubitus valgus, low posterior hairline, underdeveloped breasts/uterus and short sature
Definition
turners syndrome
Term
elongated face, prominent jaw, macro-orchidism, low mm tone, decreased IQ
Definition
Fragile X
Term
hyperextensible joints, tall, bluish sclera, flattened cornea
Definition
marfan syndrome
Term
flat facial profile, flat occiput, upslanted palpebral fissures, inner epicanthial folds, brushfield spots
Definition
down syndrome
Term
bushy eyebrows, FTT, low IQ
Definition
cornelia de Lange
Term
recurrent URI, hirsutism, thickened skin, flat mid face, broad nose
Definition
hurler's syndrome
Term
tall slim male, hypogonadism, long extremities
Definition
klinefelter's syndrome
Term
micrognathia, beak like nose, malformed ears, projection of scalp hair into cheeks
Definition
treacher collins
Term
cryptochidism, rocker bottom feet, SGA, low set ears, overlapping fingers
Definition
trisomy 18 (edwards)
Term
blue sclera, hypermobile joints, multiple fx's, poor mm tone
Definition
osteogenesis imperfecta
Term
when do children double birth weight
Definition
4-5 months
Term
when do children triple their birthweight
Definition
12 months
Term
when do children quadruple their birth weight
Definition
2 yrs
Term
rickets/osteomalacia
Definition
vit D/Calcium deficiency
Term
night blindness
Definition
vit A deficiency
Term
scurvy, bleeding
Definition
vit C
Term
hemolytic anemia, neuropathy
Definition
vitamin E deficiency
Term
petechiae, ecchymosis
Definition
vit K deficiency
Term
beri beri, heart failure
Definition
thiamine (B1)
Term
pellagra-dermatitis
Definition
niacin deficiency
Term
angular stomatitis, cheilosis
Definition
riboflavin (B2)
Term
anemia, dermatitis, neuropathy
Definition
vit B6 deficiency
Term
macrocyctic anemia, neuropathy
Definition
vit B12 deficiency
Term
aneimia,koilonychia
Definition
iron deficiency
Term
rash, hair loss
Definition
biotin deficiency
Term
rash, growth failure, delayed sexual development
Definition
zinc deficiency
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