Peds - part 2

Question 1

Osteomyelitis in peds population almost universally with have an elevated _______ (lab finding)

Answer 1

elevated erythrocyte sedimentation rate (ESR)

An elevated ESR and C-reactive protein (CRP) have a 98% sensitivity for osteomyelitis in children. An ESR and CRP within normal limits would make the diagnosis of osteomyelitis less likely but do not completely rule it out.

Question 2

What is a major complication of infant respiratory distress syndrome?

Answer 2

Chronic pulmonary disease, namely bronchopulmonary dysplasia, may result from the oxygen and ventilation actually used in its treatment.

Question 3

This occurring primarily in healthy newborns in the early neonatal period, occurring within 24 to 48 hours after birth. There is a higher incidence in full-term infants compared to premature infants. What dx?

Answer 3

erythema toxicum neonatorum (ETN)

Question 4

What is the age cutoff for in cryptorchidism between watchful waiting and needing a surgical consultation?

Answer 4

if the testicles have not descended by 6 months you need to refer to sx

Question 5

According to the ADA’s recommendation on the diagnosis and management of type 1 diabetes, a pediatric glycemic control target of hemoglobin A1C ______ across all pediatric age groups

Answer 5

< 7.5% (58 mmol/mol)

A1C less than 7.5

Question 6

How is hand, foot and mouth disease spread?

Answer 6

fecal-oral route

think daycare

Question 7

What are the 3 risk factors for infantile hypertrophic pyloric stenosis (IHPS)?

Answer 7

firstborn male infants

premature infants

those exposed to macrolide antibiotics like erythromycin in the first 2 weeks of life

Question 8

What imaging should be performed on an infant after a first febrile UTI?

Answer 8

kidney and bladder US

Question 9

What is the age cutoff for diagnostic imaging of choice for developmental hip dysplasia? xray vs US

Answer 9

In infants < 4 months of age, hip ultrasound is the preferred diagnostic study for suspected DDH

over 4 months, xray