Neonatal
Cephalohematoma
Tx:
Edema that does not cross suture lines
Reassurance
NRDS
PPV,surfactant
Meconium ileus, hemoptysis, clubbing, nasal polyps
Cystic fibrosis
Gradual onset of hip pain, trendeleburg, antalgic gait
Legg Calve Perthes disease- avascular necrosis of the femoral head
SVT after vagal maneuver
Adenosine
Left-axis deviation, decreased pulmonary markings, abnormal S1, tall peaked P waves
Dx?
Tricuspid Atresia
Fetal Alcohol Syndrome
Speech Therapist
Inspiratory stridor worse supine better prone, omega shaped epiglottitis
Laryngomalacia
Iris hamartomas, freckles under axilla, multiple growths on body, hyperpigmented macules
NF1 - von Recklinghausen
Orbital Cellulitis Tx
IV antibiotics + surgery
Irritability, diarrhea, FTT, high-pitched crying, hypertonia
Dx? Tx?
Neonatal Abstinence
Tx: Oral morphine or methadone
CAH Tx:
Hydrocortisone + fludrocortisone
HSM, cataracts, E.coli sepsis, hypoglycemia
Classic Galactosemia
High fever, sore throat, muffled hot potato voice, trismus, cervical LAD, unilat mass, worse with extension
Dx? Next step? Tx?
Retropharyngeal abscess
Xray, CT
Aspiration or incision for drainage + antibiotics
Chickenpox tx
Antihistamine
If immunosupressed - Acyclovir
Stools with blood and mucous, gains weight appropiately, regurgitation, eczema
Dx? Tx?
Food Protein-Induced Allergic Proctocolitis
Tx: Breastfeeding - Eliminate dairy and soy
Formula -Switch to hydrolyzed formula
Croup Tx with no stridor and stridor
Tx: Corticosteroids + humidified air
Corticosteroids + Racemic Epi
Biphasic Stridor worse supine better with neck extended
Vascular Ring
Inspiratory whoop post cough vomitting, lymphoctosis, gram - coccobacili
Tx?
Pertussis
Azithromycin and prophylaxis to everyone
Leg pain worse with activity, weakness, hyporeflexia, scoliosis
Tethered Cord (Spinal Dysraphism)
Bilious green vomitting,abd distention, tenderness, bloody stools
Dx? NS? Tx?
Upper GI series
Sx
AOM Tx Algorithmn
Tx: amoxicillin
No improvement 48-72 hrs or recurrence <30 days: Amox-clauvanate
Allergic - Azithro o clindamycin
Shagreen patch, ash-leaf spots, rhabdomyoma, angiomyolipoma, MR
Tuberous Sclerosis
Circumoral pallor, LAD, strawberry tongue, rash
DX? Tx?
Scarlet Fever
Amoxicillin
Fevers along with salmon colored rash, diffuse cervical LAD, HSM
Still disease - Systemic Arthritis