Latest Doctor High Yield Pediatrics |Questions and Answer|

Latest Doctor High Yield Pediatrics |Questions and Answer| neonate 0-3m old: most common bugs empiric tx GBS E coli Listeria suspect PNA or meningitis--> tx ampicillin and gentamicin >3m/o: most common bugs empiric tx strep pna h flu moraxella tx vancomycin, ceftriaxone CSF findings b/w bacterial, viral, and fungal: WBC, glucose, proteins TB CSF findings looks like fungal: WBC= lymphocytes, low glucose TB mengitis imaging findings basilar enhancement HSV meningitis imaging findingd temporal lobe involvement + seizures if bacterial sinusitis ascends, what CN are affected CN 3, 4, V1, V2, V6 diphtheria presentation and tx blue grey membrane on posterior pharynx no DTAP tx: diphtheria antitoxin more pain with ear pulling-- OE or OM? OE fluid bubbles behind TM-- tx? supportive infected LN-- bug? staph aureus u/l v b/l parotitis-- cause? b/l= mumps u/l= staph aureus impetigo tx mupirocin erysipelas and cellulitis cause and difference strep pyogenes diff: erysipelas= rapid onset in 1 day w/ very sharp borders (dermal lymphatic infection) nec fasc + crepitus-- cause clostridium perfringes PSGN v IgA nephropathy PSGN - start w/ strep - 2 weeks later: cola colored urine 2/2 glomerular bleeding w/ dysmorphic RBC IgA nephropathy - happens w/i 3-5 days after URI - hematuria Rubella vs. Measles (Rubeola) differentiation and tx Maculopapular rash (both start up top and descend down) rubella-- more joint pain - TX: supportive - fetus can get PDA, pulm stenosis measles-- cough, coryza, conjunctivitis - TX: vit A aspergillus key lab finding eosinophils!!! likes upper lobes of lung TB silicosis aspergillus malaria on histo presentation of toxoplasma for fetus chorioretinitis hydrocephalus intracranial calficications RMSF rash rash move from peripheral to center erlichia presentation decreased WBC after tick bite lyme dz presentation erythema migrans babesia presentation evidence of hemolysis latent v active TB tx active: rifampin, isoniazid, pyrazinamide, ethambuto