You take my breath away
This pathogen is the most common cause of community acquired pneumonia in pediatrics.
Viruses! RSV, influenza, parainfluenza, HMPV
Strep pneumoniae
Mycoplasma pneumoniae (school aged)
These are reliable methods for collecting urine samples for culture in non-toilet trained children (name 2)
Suprapubic aspiration
Catheterization
Infants with meningitis often present with these symptoms (name 3)
Fever, poor feeding, lethargy, vomiting, irritability
These are the 2 most common pathogens in osteomyelitis
Staph aureus. Kingella kingae.
These findings on physical exam suggest diagnosis of pneumonia
Dullness to percussion
Increased tactile fremitis
Reduced normal vesicular breath sounds (more bronchial breath sounds)
Work of breathing
These symptoms can be used as criteria for requesting a urinalysis and culture in children 3 years or older (name 4)
Dysuria, urinary frequency, hematuria, abdominal pain, back pain, or new daytime incontinence
These are contraindications to lumbar puncture in suspected meningitis (name 4)
Coagulopathy, cutaneous lesions at site, signs of herniation/ increased ICP, unstable clinical status
These are the most common sites for acute osteomyelitis
Metaphysis of long tubular bones (femur, tibia, humerus)
These are the most common findings on CXR in bacterial pneumonia.
Lobar consolidation with air bronchograms
Subsegmental or nodular opacities
Atypical can give bilateral focal or interstitial infiltrates
These bacteria are the most common cause of UTI in previously well children (name 5)
Escherichia coli
Enterobacter species
Klebsiella pneumoniae
Citrobacter specials
Serratia species
These pathogens are more likely to cause community acquired meningitis in healthy immunized children > 2 months old (name 2)
Strep pneumoniae
Neisseria meningitidis
Consider E Coli and GBS in infants up to 3 months old
This (1) is the most sensitive and specific non-invasive test for diagnosing acute osteomyelitis. This (2) test can be used as an alternative.
MRI with gadolinium enhancement. Radionucleotide bone scans or CT.
This (1) antibiotic at this (2) dose can be used for this (3) duration to treat uncomplicated bacterial pneumonia.
Amoxicillin
40-90 mg/kg/day div 3 times daily
x 7-10 days
These are the minimum colony counts per L required to diagnose a UTI.
Clean catch: greater or equal to 108 CFU/L
In and out cath: greater or equal to 5 x 107 CFU/L
Suprapub asp: any growth
This medication (in addition to antibiotics) should be given within this time frame for children with meningitis caused by Haemophilis influenza or Strep pneumoniae
Dexamethasone (0.6 mg/kg/day in 4 divided doses q6h), first dose within 4 hours of first dose of antibiotics
This is the duration of IV antibiotic treatment required and this is the total duration of antibiotic treatment required.
2. 3-4 weeks; 4-6 weeks for hip septic arthritis
Those with septic shock or respiratory failure should receive emphatic ceftriaxone or cefotaxime
This (1) investigation should be done in children this (2) old with this (3) # of UTI(s) in this (4) timeframe and is looking for this (5) anomaly.
Renal bladder ultrasound, children < 2 years old, 1st febrile UTI, during or within 2 weeks of illness, looking for hydronephrosis or other renal anomalies.
This (1) is the recommended length of treatment for S. pneumoniae meningitis. (2) Neisseria meningitis (3) GBS meningitis
S pneumoniae: 10-14 days
N meningitidis: 5-7 days
GBS meningitis: 14-21 days
This (1) pathogen historically caused OM and is more common in un-imunized individuals. This (2) antibiotic should be given to children < 4 yo who are unimmunized.
(1) Haemophilis influenza3
(2) Cefuroxime IV