Term
| Gold standard for assessing dehydration in children? |
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Definition
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Term
| Treatment or prevention of dehydration? |
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Definition
| Fluid replacement with ORS solution and early refeeding. |
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Term
| Why are ORS better than Gatorade or clear liquids? |
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Definition
| They have a higher sodium level and the osmotic gradiant causes water to come back into the gut. |
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Term
| Should antidiarrheal and antiemetics be used in the treatment of Acute Gastroenteritis? |
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Definition
| No. IF child getting IVF zofran IV can help take PO sooner. |
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Term
| When can a child suffering with acute gastro return back to school? |
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Definition
| No fever over 100.4, no vomiting for 24 hours, daycare washes hands. |
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Term
| Blood in the stool often indicates infection by .... |
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Definition
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Term
| The most reliable indicator (lab) for bacterial gastroenteritis? |
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Definition
| fecal smear for leucocytes |
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Term
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Definition
| A viral infection that causes gastroenteritis |
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Term
| When is rotavirus most often contracted? |
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Definition
| Winter and Spring (Dec.-June) |
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Term
| Rotavirus most often affects what age group? |
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Definition
| Infants and Young Children. |
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Term
| Does rotavirus cause full immunity? |
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Definition
|
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Term
| When does gastroenteritis occur and what ages? |
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Definition
| Winter, 3 months to 3 years |
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Term
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Definition
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Term
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Definition
| Intensely pruritic erythematous macules evolve through papular to clear fluid vesicles. They are in different stages. |
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Term
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Definition
| Ulcerative lesions of the oropharynx and vagina. |
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Term
| Chickenpox rash appearance? |
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Definition
| Lesions appear 24-48 hours after prodromal illness |
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Term
|
Definition
| 24-48 hours before rash appears and 3-7 days after onset of rash. |
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Term
|
Definition
| Symptomatic; if severe may use antivirals. |
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Term
| Chickenpox fetal teratogenicity? |
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Definition
| Mothers who had varicella between 8-20 weeks of pregnancy may demonstrate congenital varicella syndrome, characterized by interruption of organogenesis, in particular, the CNS, limbs, and eyes. A characteristic zigzag scarring, often in a dermatomal distribution, can sometimes be seen. |
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Term
| Shingles responsible organism? |
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Definition
| Reactivation of latent VZV |
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Term
|
Definition
| Varicella vaccine/Shingles vaccine |
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Term
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Definition
| Originates in single dermatome, preceded by pain within the dermatome. |
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Term
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Definition
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Term
| Molluscum causative organism? |
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Definition
large double-stranded DNA virus
large DNA poxvirus |
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Term
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Definition
| Very contagious, limit physical contact, don't share towels, razors, baths etc. |
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Term
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Definition
| ® Firm, smooth, umbilicated papules, usually 2-6 mm in diameter (range 1-15 mm), may be present in groups or may be widely disseminated on the skin and mucosal surfaces |
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Term
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Definition
| rarely found in the mouth or on the palms and soles |
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Term
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Definition
| cantharidin may be applied to the lesions and covered with Band-Aids to prevent unwanted spread of the blistering agent |
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Term
| Molluscum comfort measures? |
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Definition
| reduce atopic irritants, use fragrance free, lukewarm baths, antihistamine. |
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Term
| Molluscum prophylaxis of family members? |
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Definition
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Term
| Molluscum fetal teratogenicity? |
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Definition
| Risk of vertical transmission |
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Term
| Responsible organism of scabies? |
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Definition
| female mite Sarcoptes scabiei var. hominis |
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Term
|
Definition
| The 1st sign of the infestation often consists of 1-2 mm red papules, some of which are excoriated, crusted, or scaling. Threadlike burrows are the classic lesion of scabies |
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Term
| First line treatment of scabies? |
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Definition
| Permethrin cream 5% from neck down. |
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Term
| Prophylaxis of family members with scabies? |
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Definition
| All must be treated and home disinfected. |
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Term
|
Definition
| Permethrin 1% wash. All family members must be treated. |
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|
Term
| Wood lamp examination of lice? |
|
Definition
| yellow and/or green fluorescent. |
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Term
| Impetigo responsible organism? |
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Definition
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Term
|
Definition
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Term
| Non bullous exanthem of impetigo? |
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Definition
| accounts for more than 70% of cases. Lesions typically begin on the skin of the face or on extremities that have been traumatized. The most common lesions that precede nonbullous impetigo include insect bites, abrasions, lacerations, chickenpox, scabies pediculosis, and burns. A tiny vesicle or pustule forms initially and rapidly develops into a honey-colored crusted plaque that is generally <2 cm in diameter |
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Term
| Bullous exanthem of impetigo? |
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Definition
| ® Lesions of bullous impetigo show vesicle formation in the subcorneal or granular region; neutrophils and, occasionally, acantholytic cells within the blister; spongiosis; edema of the papillary dermis |
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Term
| How long infectious with impetigo? |
|
Definition
| Until golden crusts have gone and lesions healed. |
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Term
|
Definition
| Topical antibiotic treatment with mupirocin 2% applied TID for 10-12 days. |
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|
Term
| First line PO med for treatment of impetigo that is extensive? |
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Definition
|
|
Term
| Haempholis Influenza otitis media signs and treatment? |
|
Definition
| Ipsalateral conjunctivitis. Amoxicillin or rocephin IM one dose. |
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Term
| Age most likely to get H. Flu infections if unimmunized? |
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Definition
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Term
| Epiglottitis organism, signs, treatment? |
|
Definition
Organism: H. Flu
Signs, Drooling, stridor, sitting forward.
Treatment: Manage airway, medical emergency |
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Term
| Skeletal Fractures indicative of abuse? |
|
Definition
Femoral: 1 in 3-4 chance
Rib: 7 in 10 chance
Humeral: 1 in 2 chance under 3years
Skull: infant/toddler 1 in 3 chance |
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Term
| What does COCHRANE say shortens the length of cold and why? |
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Definition
| Chicken Soup: Blocks the chemotaxis of the neutrophils. |
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Term
| Bacterial conjunctivitis signs? |
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Definition
| Mucopurulent unilateral or bilateral discharge, normal vision, photophobia (USUALLY UNILATERAL) |
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Term
| Viral Conjunctivitis Signs? |
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Definition
| Pink Eye, usually generalized, bilateral, self limited, mucopurulent discharge. |
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|
Term
| Vernal conjunctivitis signs? |
|
Definition
| Intense itching, clear watery tearing and conjunctival edema. |
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Term
| Rash Description: Annular |
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Definition
| Lesions grouped in circle. |
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Term
|
Definition
| Large fluid filled blister |
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|
Term
| Rash Description: Excoriation |
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Definition
|
|
Term
| Rash Description: Exofoliation |
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Definition
|
|
Term
| Rash Description: Fissure? |
|
Definition
| Thin crack within epidermis |
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Term
| Rash Description: Lichnification? |
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Definition
| Palpably thickened skin with increased skin markings. |
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Term
| Rash Description: Linear Lesion? |
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Definition
|
|
Term
| Rash Description: Macule? |
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Definition
|
|
Term
| Rash Description: Papule? |
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Definition
|
|
Term
|
Definition
|
|
Term
| Rash Description: Purpura? |
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Definition
|
|
Term
| Rash Description: Pustule? |
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Definition
|
|
Term
| Rash Description: Scaling? |
|
Definition
| Increase in the dead cells on the surface of the skin. |
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|
Term
| Rash Description: Telangiectasia? |
|
Definition
| Prominent cutaneous blood vessels. |
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|
Term
|
Definition
| full thickness loss of epidermis or epithelium. |
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|
Term
| Rash Description: Vesicle? |
|
Definition
| Small fluid filled blisters. |
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Term
|
Definition
| oedematous papule or plaque caused by swelling in the dermis. Often indicates urticaria. |
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