Dr. Burger
What is Kawasaki disease
Why did the Dracula take cold medicine?
Patient is at risk for aspiration due to GDD. What test should be done by speech pathology?
MBS
A patient has bronchiolitis, what is the cut off for Spo2 % before intervening with O2 support?
What is 90%
UTI in a 4 month old male. What antibiotic to start emprically/dose and what test to perform prior to discharge?
Ceftriaxone (75mg/dose) + renal US
Toddler (1-3) Normal RR
What is 20-30
What is TMP
40mg TMP/200mg SMX per 5mL
Patient is 13 kg.
What is the rate of fluids at 1.5M?
what is 69 ml/hr
What is the dose for Amoxicillin for AOM?
What is high dose amoxicillin: 90mg/kg/day q12H
Child has atypical pneumonia and i want to give mycoplasma. What is the initial dose and then the dose for the next 4 days?
What is 10mg/kg/dose and then 5 mg/kg/dose
Patient on floor has croup, not improving with racemic epi or decadron. Next step in care and the dose of the next treament?
PICU
Heliox (70/30)
Name two antibiotics accurate to use for aspiration pneumonia?
- Unasyn
- Clindamycin
Name 3 signs of moderate dehydration
irritable, listless, postural dizziness
2-3 sec capillary refill
sunken AF
tachycardia vs. thready or weak pulse
deep vs inc RR
sunken eyes
dry mucosa
cool skin- retracts slowly
UOP markedly reduced
What is the Mentzer Index apply?
helpful in differentiating between IDA and B-thal
MCV/RBC count > 13 IDA and < 13 B thal more likely
What is the KOCHER CRITERIA?
What is for septic arthritis probability?
fever > 101.3, ESR > 40, WBC > 12,000, non-weight bearing
if 1/4: 3%
if 2/4: 40%
if 3/4: 93%
less than 21 day old patient- empiric treatment for meningitis?
Ampicillin
Ceftazidime
Acyclovir
Treatment with patient diagnosed with H. Pylori
7 days (usually 14 days) and include two appropriate antimicrobials and a proton pump inhibitor (PPI)
clarithromycin with either amoxicillin or metronidazole and a PPI.
The API applies to patients <3 years old.
Only can use if the history has > 3 wheezing episodes/year.
The probability: 80% chance of developing asthma
You need either 1 major or 2 minor factors. What are the factors?
Major Criteria:
1 parent with asthma
2 atopic derm in patient
3 patient with aeroallergen
Minor Criteria:
1. wheezing unrelated to cold
2. eosinophils > 4%
3. patient with allergy to milk/egg/or peanuts
Heme/Onc patient with hyperkalemia, hyperphostemia, hyperuricemia, and hypocalcemia
What is TLS
What defines complex febrile seizure (name 3 things)
> 15 minutes
> 4 seizures in 24 hrs
focality or Todd's paralysis
lasting > 5 min + requiring an anti epileptic
failure to return to baseline