Peds Shelf

Neonatal

100

Cephalohematoma 

Tx:

Edema that does not cross suture lines

Reassurance

200

Left-axis deviation, decreased pulmonary markings, abnormal S1, tall peaked P waves

Dx?

Tricuspid Atresia

300

Irritability, diarrhea, FTT, high-pitched crying, hypertonia

Dx? Tx?

Neonatal Abstinence

Tx: Oral morphine or methadone

400

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

500

Bilious green vomitting,abd distention, tenderness, bloody stools

Dx? NS? Tx?

Volvulus

Upper GI series

Sx

Next Step

100

NRDS

PPV,surfactant

200

Fetal Alcohol Syndrome

Speech Therapist

300

CAH Tx:

Hydrocortisone + fludrocortisone

400

Croup Tx with no stridor and stridor

Tx: Corticosteroids + humidified air

Corticosteroids + Racemic Epi

500

AOM Tx Algorithmn

Tx: amoxicillin

No improvement 48-72 hrs or recurrence <30 days: Amox-clauvanate

Allergic - Azithro o clindamycin

Dx

100

Meconium ileus, hemoptysis, clubbing, nasal polyps

Cystic fibrosis

200

Inspiratory stridor worse supine better prone, omega shaped epiglottitis

Laryngomalacia

300

HSM, cataracts, E.coli sepsis, hypoglycemia

Classic Galactosemia

400

Biphasic Stridor worse supine better with neck extended

Vascular Ring

500

Shagreen patch, ash-leaf spots, rhabdomyoma, angiomyolipoma, MR

Tuberous Sclerosis

Random

100

Gradual onset of hip pain, trendeleburg, antalgic gait

Legg Calve Perthes disease- avascular necrosis of the femoral head

200

Iris hamartomas, freckles under axilla, multiple growths on body, hyperpigmented macules

NF1 - von Recklinghausen

300

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

400

Inspiratory whoop post cough vomitting, lymphoctosis, gram - coccobacili

Tx?

Pertussis

Azithromycin and prophylaxis to everyone

500

Circumoral pallor, LAD, strawberry tongue, rash

DX? Tx?

Scarlet Fever

Amoxicillin

Random

100

SVT after vagal maneuver

Adenosine

200

Orbital Cellulitis Tx

IV antibiotics + surgery

300

Chickenpox tx

Antihistamine

If immunosupressed - Acyclovir

400

Leg pain worse with activity, weakness, hyporeflexia, scoliosis

Tethered Cord (Spinal Dysraphism)

500

Fevers along with salmon colored rash, diffuse cervical LAD, HSM

Still disease - Systemic Arthritis