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 Peds review 2  



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Author7 Posts
  #1

Some more pointers:

-Pathophysiology of Reye syndrome : Swelling of mitochondria

-Points for DKA tx: IV insulin 0.1 U/kg/hr +/- bolus; Add dextrose when glucose<250; Replace HCO3- if pH<7.2; When ketones get clear or HCO3->20: stop IV n give SQ insulin

-Ant mediastinal mass: Thymoma, thyroid CA, Teratoma, T cell lymphoma

-Lacunar cells : Hodgkin’s lymphoma nodular sclerosis type

-Kid w/ known cardiac defect now presents w/ fever, seizure and focal neurologic deficit : brain abscess; dx by brain CT, tx is surgical drainage and IV antibiotics. If abscess <2.5cm n pt is stable: antibiotics & observe

-70-75% of kids w/ HTN have renal etiology so check BUN & creatinine

-Intussusception: dx & tx is barium enema

-Meconium ileus: dx & tx is gastrografin enema

-Contact dermatitis covering 15-20% of body surface: tx is PO steroids

-Infant w/ sinus tachycardia (QRS complexes w/ no preceding p waves) initial best step: bag of ice on face for 5 sec

-Tx of peritonsillar abscess : IV antibiotics (pnc; if allergic to pnc: clindamycin & metronidazole) & needle aspiration in ER setting

-Patau syndrome or Trisomy 13 : associated w/ holoprosencephaly

-Infant w/ abdominal difficulties & CF hint : think meconium ileus

-Alpha drugs given for nasal congestion can have SE of rebound congestion & rhinits medicamentosa

-William syndrome: overfriendly pt w/ supravulvular aortic stenosis

-DiGeorge syndrome: associated w/ truncus arteriosus & total anomalous pulmonary venous return




  #2

"losergirl" wrote:
Some more pointers:

-Pathophysiology of Reye syndrome : Swelling of mitochondria

-Points for DKA tx: IV insulin 0.1 U/kg/hr +/- bolus; Add dextrose when glucose<250; Replace HCO3- if pH<7.2; When ketones get clear or HCO3->20: stop IV n give SQ insulin

-Ant mediastinal mass: Thymoma, thyroid CA, Teratoma, T cell lymphoma

-Lacunar cells : Hodgkin’s lymphoma nodular sclerosis type

-Kid w/ known cardiac defect now presents w/ fever, seizure and focal neurologic deficit : brain abscess; dx by brain CT, tx is surgical drainage and IV antibiotics. If abscess <2.5cm n pt is stable: antibiotics & observe

-70-75% of kids w/ HTN have renal etiology so check BUN & creatinine

-Intussusception: dx & tx is barium enema

-Meconium ileus: dx & tx is gastrografin enema

-Contact dermatitis covering 15-20% of body surface: tx is PO steroids

-Infant w/ sinus tachycardia (QRS complexes w/ no preceding p waves) initial best step: bag of ice on face for 5 sec

-Tx of peritonsillar abscess : IV antibiotics (pnc; if allergic to pnc: clindamycin & metronidazole) & needle aspiration in ER setting

-Patau syndrome or Trisomy 13 : associated w/ holoprosencephaly

-Infant w/ abdominal difficulties & CF hint : think meconium ileus

-Alpha drugs given for nasal congestion can have SE of rebound congestion & rhinits medicamentosa

-William syndrome: overfriendly pt w/ supravulvular aortic stenosis

-DiGeorge syndrome: associated w/ truncus arteriosus & total anomalous pulmonary venous return


nice going gal!


  #3

great...

just that, the 'w/' can be confusing sometimes..


  #4

thanks a lot. very thoughtful


  #5

"just visiting.." wrote:
great...

just that, the 'w/' can be confusing sometimes..


it (w/)means with in my notes


  #6

Dear can any one tell me what is the best time to do qbook.


  #7

nice work





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