No Pressure
Let's Get Physical
No Guts, No Glory
The Telltale Heart
If I Only Had a Brain
100
This pressor is the first line pressor used frequently in the NICU and is thought to have different activity on different receptors depending on the dose used.
What is Dopamine?
100
This scoring system evaluates 6 neurologic and 6 physical criteria to assess gestational age.
What is the Ballard Score?
100
You are palpating this abdominal mass in a child with a large tongue and and hemihypertrophy.
What is Wilm's Tumor?
100
This murmur heard at the bilateral axilla is commonly thought to be a benign murmur of this phenomenon.
What is peripheral pulmonic stenosis (PPS)?
100
The availability of this component and oxygen influence cerebral metabolism.
What is glucose?
200
This pressor affects both B1 and B2 to produce both inotropic and vasoconstrictive effects.
What is epinephrine?
200
An IDM (infant of diabetic mother) who appears ruddy red on exam has this diagnosis.
What is polycythemia?
200
This herniation of abdominal contents through an abdominal wall defect, usually occurs to the right of the umbilicus.
What is gastroschisis?
200
Clinical features may include bounding pulses, hyperactive precordium, and a widening pulse pressure.
What is patent ductus arteriosus?
200
This part of the brain is often missing in a syndrome that has these two other features: hypoplastic optic nerve and panhypopituitarism.
What is the septum pellucidum?
300
This pressor can be considered in an infant with pulmonary hypertension when you are trying to have systemic vasoconstriction, yet have pulmonary vasodilation. HINT: This medication often leads to hyponatremia.
What is vasopressin?
300
During the resuscitation of a term infant, you notice the child is very difficult to ventilate and oxygenate. As you look for chest rise while giving PPV, you realize the child has a scaphoid abdomen. These physical exam findings are consistent with this diagnosis.
What is diaphragmatic hernia?
300
Excessive oral secretions, the inability to pass an OG tube, coughing, gagging or cyanosis with feedings, and abdominal distention may all be signs of this anomaly.
What is TE Fistula?
300
This medication keeps a conduit in the heart open so that patients with severe pulmonary hypertension with super-systemic RV pressures have a "pop-off valve" for right to left shunting and prevent severe right-sided heart failure.
What is PGE (to keep PDA open)?
300
This grade IVH is characterized by enlargement of the ventricles.
What is Grade 3 IVH?
400
This cardiac medication reduces afterload to enable better cardiac function. This medication is also frequently used when people are concerned about poor end-organ perfusion.
What is milrinone (PDE-3 inhibitor, prevents cAMP -> AMP)?
400
This syndrome has the physical exam findings of neonatal rash, a murmur, and absent red reflex.
What is congenital Rubella?
400
Bilious vomiting, abdominal distention, a history of polyhydramnios, and an x-ray showing a "double-bubble" are all consistent with this defect, and this defect is commonly found in this syndrome.
What is duodenal atresia, and what is Down Syndrome (trisomy 21)?
400
This ratio is a description of the relative hemodynamics in the systemic and pulmonary vasculature, and is very important for helping determine the target saturation of an infant with a mixing heart lesion.
Qp : Qs
400
What is a supplement one should try to give an infant who is in status epilepticus and already on several AEDs?
What is Vitamin B6?
500
This class of medication is frequently used in the NICU in the face of severe hypotension, but is technically not a pressor. HINT: People often are scared to use it while the infant is on indomethacin because of fear of SIP (spontaneous intestinal perforation).
What is steroids (hydrocortisone or dexamethasone)?
500
This nerve is often affected in infants with branchial arch defects (2/2 development ie. in diabetic embryopathy) leading to the appearance of hemifacial paralysis.
What is the facial nerve (CN VII)?
500
Although this problem has been reported in a few patients without cystic fibrosis, it is considered a condition unique to cystic fibrosis. Clinical presentation includes abdominal distention, bilious vomiting, and palpable bowel loops.
What is meconium ileus?
500
This very old cardiac medication is recently coming back into "Vogue" in infants with arrhythmias and cardiac failure, and is notorious for a very narrow therapeutic window.
What is digoxin?
500
This intracranial finding can be present in a variant of VACTERL and is associated with Fanconi anemia and thumb abnormalities.
What is hydrocephalus (VACTERL-H variant)?
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