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| what foreign body ingestions are considered an emergency? |
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| abx for bacterial pneumonia |
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| Salter Harris fx classification |
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Definition
S = slide
A = above
L = lower
T = through
ER = compression |
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Definition
head = 9
each arm = 9
abdomen = 9
chest = 9
entire back = 18
each leg = 18
genitals = 1 |
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Definition
head = 18
each arm = 9
abdomen = 9
chest = 9
entire back = 18
each leg = 13.5
genitals = 1 |
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Term
| burn with only the epidermis involved, painful and erythematous |
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Definition
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| burn with epidermis and dermis involved, dermal appendages spared, blister and are painful |
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Definition
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Term
| what is different about a deep second degree from superficial second degree? |
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Definition
| deep = white and painless |
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| full thickness burn involving the epidermis and all of the dermis, includes dermal appendages, leathery and painless, requires grafting |
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| MCC of pneumonia: newborn-1m, 1-24m, 2-5yrs, school age/adolescence, hospitalized |
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Definition
birth-1m = GBS, E coli, Klebsiella, gram negative enteric bacilli.
1-24m = RSV, parainfluenza, influenza, adenovirus, S. pneumoniae, S. pyogenes, S. aureus, H influenzae.
2-5 |
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Term
| MCC of pneumonia: newborn-1m, 1-24m, 2-5yrs, school age/adolescence, hospitalized |
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Definition
birth-1m = GBS, E coli, Klebsiella, gram negative enteric bacilli.
1-24m = RSV, parainfluenza, influenza, adenovirus, S. pneumoniae, S. pyogenes, S. aureus, H influenzae.
2-5 yrs = RSK, influnza A & B, adenovirus, S pneumoniae, HIB.
school age/adolescent = s pneumoniae, c pneumoniae, s aureus.
hospitalized = pseudomonas |
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Term
| seizure associated with fever, without evidence of intracranial infection or defined cause |
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Definition
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| MC age of febrile seizure |
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Definition
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| presentation of febrile seizure |
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Definition
| generalized < 15m, no postictal focal neuro defecit, self limiting, usually benign |
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| tx for toxic alcohol ingestion |
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Definition
| crystalloids and bicarbonate |
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| Reye's syndrome is most harmful where? |
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Definition
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Definition
| persistent vomiting, listlessness, personality changes |
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| serious bacterial infections usually involve what areas? |
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Definition
| lung, kidney, meninges, bowel, bone, joint |
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Term
| greatest incidence of bacteremia and SBI is when? |
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Definition
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| tx of bacteremia: neonates, young infant, infant |
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Definition
all = admit if fever or ill appearing.
neonate = broad spectrum abx (amp, cefotaxime, ceftriaxone).
young infant (30-90d) = at risk of SBI = amp, cefotaxime, ceftriaxone. not at risk for SBI = manage outpt with FU.
infant (3-36m) = third generation cephalosporin |
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Term
| MCC of sepsis: first month, infancy/early childhood |
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Definition
first month = GBS, E Coli
infancy/early childhood = N meningitidis, S pneumoniae, rickettsia |
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Term
| greatest time of occurence for meningitis |
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Definition
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Term
| complications of meningitis |
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Definition
| brain edema, increased ICP, decreased cerebral blood flow, vascular thrombosis --> neuronal injury |
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Term
| sxs of bacterial meningitis |
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Definition
decreased responsiveness, poor feeding, vomiting, fever, paradoxical irritability.
less common = nuchal rigidity, seizures |
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Term
| what is aspeptic meningitis? |
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Definition
| meningeal inflammation with negative CSF cultures |
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| what should be done before an LP? why? |
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Definition
| in the absence of fever, CT of the head to exclude intracranial mass lesion before LP |
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Term
| what puts a child at increased risk of SIDS |
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Definition
infants who have had an apparent life threatening event
premature infants of low birth weight
siblings of infants who have succumed to SIDS
infants of substance abusing mothers |
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