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39 Cards in this Set
- Front
- Back
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kid shoves a button battery up their nose...is this an emergency or no?
*** |
YES
GET IT OUT OF THERE!! can cause necrosis |
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kid presents with a purulent foul smelling discharge coming from one nostril. What is a possible cause?
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nasal foreign body
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pt presents with sniffing, sneezing, itchy eyes, and a nasal crease. What do they have?
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Allergic Rhinitis
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a kid comes in and has pale boggy mucosa, clear drainage, and shiners... what do they have
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Allergic Rhinitis
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most common cause of cold
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rhinovirus
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how many colds can a young child have a year?
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6-7
can have 50% increase if in daycare |
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kid has sore scratchy throat, runny nose that can change color of the course, and cough. What does he likely have?
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cold
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a kid has a cold and the mom asks if she can give him aspirin...you reply
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HECK NO..liver toxicity
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at birth, what sinuses are present, which is likely to get infected?
**** |
Ethmoidal and maxillary sinuses
so a baby can really only get a Ethmoidal infection |
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what age does the sphenoidal sinus show up
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5
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what age do the frontal sinuses begin forming
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Frontal sinuses begin forming 7-8 YO and not completely developed until adolescence
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what are the 3 most common bacterial pathogens causing sinusitis (prob not on test)
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Streptococcus pneumoniae
Nontypable Haemophilus influenzae Moraxella catarrhalis |
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facial pain and headache are ____ in children
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rare
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pt seems to have a cold but it has gone on for about 10-14 what do you think is the problem?
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sinus infection (bacterial)
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pt has severe respiratory symptoms including temp of 102 (39) and purulent nasal discharge for 3-4 days...what do they have
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sinus infection
so the key is to note that you can either have cold like symptoms that last for 10+ days, or you can have more serious symptoms for a shorter period of time |
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effects of antihistamines, decongestants, mucolytics, steroids, and nasal washes in children with sinusitis?
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doesn't really do much
try anti-biotics |
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Periorbital cellulitis, Orbital cellulitis, and meningitis are all possible complications of what?
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Sinusitis (pediatric)
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Pott puffy tumor (bone infection of frontal bone) is a possible complication of what?
*** |
sinusitis
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which ear problem is associated with acute infection?
which is noninfective accompanied by effusion |
infection--> AOM acute otitis media
noninfectinve-->otitis media with effusion (OME) |
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major bacterial causes of otitis media?
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Streptococcus pneumoniae
Nontypable Haemophilus influenzae Moraxella catarrhalis |
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is AOM viral or bacterial?
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either
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you look in someone's ear and see:
Fullness or bulging or complete retraction Erythema Abnormal whiteness what is this? |
acute otitis media
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pt has clear-fluid behind the TM and it doesn't move much... what does the kdi have?
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otitis media with effusion (OME)
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when do you consider giving a kid ear tubes when they have OME?
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6-12 months of continuous bilateral OME
9-18 months of continuous unilateral OME Evidence of hearing loss |
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Redness and/or tenderness over mastoid
Swelling behind ear May cause ear to stick out what does the pt have, what was it secondary to? |
acute mastoiditis
secondary to AOM tx: IV antibiotics and/or surgery |
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most common cause of otitis externa (swimmers ear)?
** |
Pseudomonas
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pt has Ear pain accentuated by manipulation of pinna or tragus
Itching Conductive hearing loss Serous or purulent secretions what do they have? |
otitis externa
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Pharyngitis is caused by what (general terms)
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90% Viral
10% bacterial |
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cause of Infectious Mononucleosis
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Epstein-Barr Virus
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if you see Generalized cervical adenitis
and exudative tonsilitis what does the pt have |
Infectious Mononucleosis
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kid was recently diagnosed with Infectious Mononucleosis and wants to play football..what do you say
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have to wait in case of splenomegaly
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Sudden onset fever
Dysphagia Headache Vomiting and abdominal pain and ulcers on the back side of the mouth (uvula, palate, tonsils) what does the pt have? cause? |
herpangina
enteroviral infection |
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primary difference when trying to distinguish btw herpangina and stomatitis?
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herp: back of mouth
stom: front of mouth |
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Fever
Mouth pain (refusal to eat) Salivation Ulcerative on any part of oral lining but usually in anterior portion of mouth what is this |
Stomatitis
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With/without fever
Vesicles/ulcers anywhere in mouth Maculopapular, vesicular, and/or pustular lesions on hands, fingers, feet, buttocks, and groin pt has? cause? |
hand foot mouth!
Enteroviral (Coxsackie A) infection |
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Conjunctivitis
Fever Exudative pharyngitis GI symptoms what is this..cause? |
Pharyngoconjunctival Fever
adenovirus |
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normal cause of Acute Bacterial Pharyngitis
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Group A beta-hemolytic Streptococcus
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pt has :
Yellow, blood-tinged tonsillar exudate Petechiae on soft palate Anterior cervical adenopathy Fever* Headache* Belly pain* Sore throat* what is it and most likely cause |
Acute Bacterial Pharyngitis
caused by: Group A beta-hemolytic Streptococcus (pyogenes) |
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what are 4 giveaways for strep throat?
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Fever*
Headache* Belly pain* Sore throat* |
