Peds Step Up

VSD

-Treatment

Treatment:

-follow small defects 

-diuretics or ACE-I for decreasing fluid volume and vascular resistance in patients with large shunts 

-repair large defects soon (before Eisenmenger syndrome develops) 

ASD

-ECG

-Tx

ECG:

-right axis deviation 

Treatment: 

-small defect= no repair but need abx prophylaxis before sx or dental work 

-sx closure if symptomatic infants 

-sx closure when Pulm lung flow is 2x that of systemic blood flow 

ASD patients are more susceptible to

oxygen desat at high altitides and

decompression sickness during deep sea diving

PDA

-ECG

-Treatment

ECG: possible LVH 

Treatment: 

-indomethecin closes PDA 

Persistent Truncus Arteriosis

-symptoms

-Treatment

SXS

-cyanosis after birth 

-HF sxs

-failure to thrive 

-harsh systolic murmur at lower left sternal border, S1 and S2, bounding pulses 

Tx: 

-surgical correction 

Transpositiion of the great vessels

-def

-cause is

-incompatible with

-RF

-SXS

-Radiology

-Tx

PDA needed for

what keeps PDA patent

Tricuspid atresia

-def

-sxs

-radio

-tx

Tetralogy of fallot

-def

-rf

-sxs

-ecg

-radio

-tx

Total anomalous pulmonary venous return

-def

-sxs

-radio

-tx

Endocardial cushion defect

-def

-complete defect has

-incomplete has

-sxs

-ecg

-radio

-tx

Croup

-def

-most common between ages

-sxs

-radio

-tx

-pneumonic

If child develops stridor at rest and has no significant improvement

hospitalization and respiratory monitoring are needed

Epiglottitis

-labs

-radiology

-tx

-examine only

-wide spread use of ____ has decreased

Bronchiolitis

-radiology

-tx

-complications

Pertussis

-labs

-tx

-complications

Respiratory destress syndrome in newborn

-age

-sxs

-labs

-radiology

-tx

-complication

Amniotic fluid analysis protocol used to determine fetal lung maturity

Meconium aspiration syndrome

-def

-sxs

-labs

-radiology

-tx

-complications

CF

-labs

-tx

Pyloric stenosis

-labs

-radio

-tx

Necrotizing enterocolitis

-rf

-sxs

-labs

-radio

-tx

Hirschsprung disease

-def

-sxs

-labs

-radio

-tx

intussusception

-rf

-sxs

-labs

-radio

-tx

-complications

Most common cause of bowel obstruction in the first two years of life

intussusception

Meckles

-radiology

-tx

Malrotation with volvulus

-radio

-tx

Neonatal jaundice

-labs

-tx

Failure to thrive

-def

-may be d/t

-sxs

-labs

-tx

Wilms tumor

-age

-rf

-sxs

-labs

-radio

-tx

Urethral displacement

-def

-sxs

-tx

-complications

Enuresis

-def

-seen in all

-tx

Undescended testes (cryptorchidism)

-def

-sxs

-tx

-complications

PUV

-def

-sxs

-imaging

-tx

congenital hypothyroiudism

-labs

-radio

-tx

-first sign

Glucose 6 phosphatase def (NOT G6PDehydrogenase)

-def

-aka

-sxs

-labs

-tx

Glycogen storage disorders and characteristics and enzyme affected

Hemolytic dz of the newborn

-tx

fanconi anemia

-def

-sxs

-labs

-tx

-complications

Diamond-blackfan anemia

-def

-sxs

-labs

-tx

Neuroblastoma

-def

-rf

-sxs

-labs

-radio

-tx

-complications

-prognosis

most common soft tissue sarcoma in children

rhabdomyosarcoma

Rhabdomyosarcoma

-def

-sxs

-labs

-radio

-tx

Febrile seizure

-labs

-eeg

-tx

-complications

Childhood hydrocephalus

-def

-sxs

-labs

-radio

-tx

-complications

Tay-sachs

-def

-rf

-sxs

-labs

-tx

-complications

anatomic defects assoicated with hydrocephalus in children

NTD

-types

-labs

-radio

-sx

-complications

CP

-def

-rf

-types

-sxs

-radio

-tx

Spastic vs dyskinetic CP

Retinoblastoma

-labs

-radio

-tx

-complications

infatile botulism

-from

-labs

-tx

-complications

Dev dysplasia of the hip

-def

-occus because of

-rf

-sxs

-radio

-tx

-complications

Slipped capital femoral epiphysis

-def

-rf

-sxs

-radio

-tx

-complications

Legg calve perthes

-def

-sxs

-radio

-tx

-tx

-complications

Osgood-schlatter disease

-def

-most common in

-sxs

-tx

Club foot

-def

-sxs

-tx

Clavicular Fracture

-most common in

-sxs

-tx

Nursemaid elbow

-tx

Rickets

-labs

-radio

-tx

Scoliosis

-tx

-complications

Juvenile idiopathic arthritis

-def

-classified as

-sxs

-labs

-radio

-tx

Duchenne muscular dystrophy

-genetics

-onset

-labs

-emg

-tx

-complications

Transient synovitis of the hip

-def

-preceded by

-sxs

-labs

-radio

-tx

-complications

Septic hip

-def

-seen in children age

-microbe

-sxs

-labs

-radio

-tx

-complications

Review developemetnal milestones

review

CI for rotavirus vaccination

history of SCID

prior intussuception

Review vaccine schedules

review

review immune deficiencies with MM

review

Review sex disorders MM

review

Neonatal conjunctivitis

-when

-incididence is

-types

-labs

-tx

Acute OM

-tx

-complications

Scarlet fever

-labs

-tx

-complications

Roseola infantum

-aka

-caused by

-Sxs

-tx

Measles

-affects

-sxs

-labs

-tx

-complications

Rubella

-sxs

-labs

-tx

Erythema infectiosum

-aka

-caused by

-sxs

-tx

-complications

ADHD

-tx

Tourette syndrome

-tx

Conduct disorder tx