no more a loser
Forum Guru
Topics: 140
Posts: 580
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-Surgery for cleft lip ; Rule of 10 (age10wks, weight 10 lb, Hb10)
-Tx for tet spell of TOF: Knee chest position, phenylepherine drip, oxygen
-To know if TOF pt is in trouble: check O2 oximetry (E.g., pH 7.38> ok, but if pt has metabolic acidosis> means not enough O2 to tissues)
-Normal newborn Hb is 50. Polycythemia >65. Conginetal cyanotic disease of polycythemia (twin-twin transfusion, Intrauterine hypoxia, DM infants) mostly asx but can get stroke. Dx : heel stick blood. Tx: partial exchange transfusion (taking whole blood out n putting in saline)
-Reactive Mantoux and positive CXR in 2 yr old, next step? Early morning Gastric aspiration to id acid fast bacilli swallowed at night.
-As a general rule gm-ve organisms need to be covered with 2 antibiotics. E.g, CF pt w/ pneumonia (suspected pseudomona infect) needs 2 IV drugs w/anti-pseudomonal activity like ceftazidime & tobramycin; an alternative combo is ticarcillin & tobramycin. Adjunctive tx w/chest physical therapy & bronchodilators is also used.
-Precocious puberty w/ normal ht & wt, next step? XR of head & wrist
-Tx of hypophosphatemic rickets: combined oral phosphate & 1,25-dihydroxyvitamin D3
-Short PR interval & delta waves w/ slow QRS upstroke : Wolf-Parkisnson-White syndrome. Tx: ablation of bypass tract
-Neuroblastoma: small round cell tumor w/ Homer-Wright Rosettes
-sickle cell pt w/ dilute urine & dehydration : think secondary enuresis
-Decrease C3: SLE, Membranoproliferative GN, Post strep GN
-Alport syndrome: X linked D, AD, mutations; biopsy> glomerular sclerosis, lamellation of basement membrane (onion layers w/breaks)
-Most common cause of non-anion acidosis in kids: diarrhea
-Bartter syndrome: (opposite of renal tubular acidosis type 4) hyper-renin, hyperaldosteronism, hypokalemia, normal BP, Jexta-glomerular apparatus doesn’t work, hypocholeremic metabolic acidosis
-Most common cause of ARF in kids: Hemolytic-Uremic syndrome
-No stool pass in the nursery: think CF, kid of DM (microcolon), Hirshsprung
-All kids w/ rectal prolapse should get a sweat chloride test
-Werdnig Hoffman : AR, survival motor neuron gene (SMN) 5q13
-Pes cavum: high arched foot, peroneal muscle atrophy, recurrent ankle sprains
-Allelic expansion ( I allele has too many copies) seen in Fragile X synd, myotonic dystrophy, Huntington’s chorea
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| new_img
Forum Junior
Topics: 6
Posts: 39
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YAR (yet another review) from you!
Gr8 job :!:
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| coolshot
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MOST OF THE REVIEW STUFF SEEMS TO BE ANSWERS OF THE QUESTIONS OF Q BOOK. aNYWAZ GOOD FOR REVIEW BUT NOT GOOD FOR PEOPLE WHO HAVEN'T DONE Q BOOK AND PLANNING TO DO IT NEAR FUTURE
"losergirl" wrote:
-Surgery for cleft lip ; Rule of 10 (age10wks, weight 10 lb, Hb10)
-Tx for tet spell of TOF: Knee chest position, phenylepherine drip, oxygen
-To know if TOF pt is in trouble: check O2 oximetry (E.g., pH 7.38> ok, but if pt has metabolic acidosis> means not enough O2 to tissues)
-Normal newborn Hb is 50. Polycythemia >65. Conginetal cyanotic disease of polycythemia (twin-twin transfusion, Intrauterine hypoxia, DM infants) mostly asx but can get stroke. Dx : heel stick blood. Tx: partial exchange transfusion (taking whole blood out n putting in saline)
-Reactive Mantoux and positive CXR in 2 yr old, next step? Early morning Gastric aspiration to id acid fast bacilli swallowed at night.
-As a general rule gm-ve organisms need to be covered with 2 antibiotics. E.g, CF pt w/ pneumonia (suspected pseudomona infect) needs 2 IV drugs w/anti-pseudomonal activity like ceftazidime & tobramycin; an alternative combo is ticarcillin & tobramycin. Adjunctive tx w/chest physical therapy & bronchodilators is also used.
-Precocious puberty w/ normal ht & wt, next step? XR of head & wrist
-Tx of hypophosphatemic rickets: combined oral phosphate & 1,25-dihydroxyvitamin D3
-Short PR interval & delta waves w/ slow QRS upstroke : Wolf-Parkisnson-White syndrome. Tx: ablation of bypass tract
-Neuroblastoma: small round cell tumor w/ Homer-Wright Rosettes
-sickle cell pt w/ dilute urine & dehydration : think secondary enuresis
-Decrease C3: SLE, Membranoproliferative GN, Post strep GN
-Alport syndrome: X linked D, AD, mutations; biopsy> glomerular sclerosis, lamellation of basement membrane (onion layers w/breaks)
-Most common cause of non-anion acidosis in kids: diarrhea
-Bartter syndrome: (opposite of renal tubular acidosis type 4) hyper-renin, hyperaldosteronism, hypokalemia, normal BP, Jexta-glomerular apparatus doesn’t work, hypocholeremic metabolic acidosis
-Most common cause of ARF in kids: Hemolytic-Uremic syndrome
-No stool pass in the nursery: think CF, kid of DM (microcolon), Hirshsprung
-All kids w/ rectal prolapse should get a sweat chloride test
-Werdnig Hoffman : AR, survival motor neuron gene (SMN) 5q13
-Pes cavum: high arched foot, peroneal muscle atrophy, recurrent ankle sprains
-Allelic expansion ( I allele has too many copies) seen in Fragile X synd, myotonic dystrophy, Huntington’s chorea
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| USMLE boy
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thanks. Keep em coming. I don't plan to do Q book.
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| lucky
Forum Guru
Topics: 23
Posts: 505
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thanks what else r u reviewing ?
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| DrVirgo
Forum Hero
Topics: 1008
Posts: 3,191
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Childhood Developmental Milestones -VIDEOS!
If you don't have kids of your own, check out these videos... They have a good description of month by month development.
http://www.babycenter.com/videos/view/#videoplaye...
(Scroll down the video list -next to the player on the right to DEVELOPMENT)
___________________
Our greatest glory is not in never falling, but in rising every time we fall.
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| elitoki
Forum Guru
Topics: 54
Posts: 509
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Childhood Developmental Videos also can found in Google.
They have from new born, 3, 6, 12, 16 mo. and more.
http://video.google.com/videoplay?docid=651989585...
Good Luck every one~
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