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PANCE
Pediatrics
11
Medical
Graduate
04/05/2008

Additional Medical Flashcards

 


 

Cards

Term
Wilm's Tumor
Definition
kidney tumor found in children. Cause: unknown/possible genetic link. Tumor will
spread to other regions. Sometimes children will be born with aniridia. Do not exert pressure over
the abdomen.

Symptoms:
Fever
Vomiting
Fatigue
Irregular urine coloration
Abdominal pain
Constipation
Abdominal mass
Increased BP

Tests:
BUN
Creatinine
Analysis of the urine
X-ray
CT Scan
Family history of cancer
CBC

Treatment:
Surgery
Chemotherapy
Radiation
Term
Neuroblastoma. Sx, tests, tx, monitoring
Definition
tumor in children that starts from nervous tissue. Capable of spreading rapidly. Cause unknown.

Symptoms:
Abdominal mass
Skin color changes
Fatigue
Tachycardia
Motor paralysis
Anxiety
Diarrhea
Random eye movements
Bone and joint pain
Labored breathing

Tests:
Bone scan
CBC
MIBG scan
Catecholamines tests
X-ray
CT scan
MRI

Treatment:
Radiation
Chemotherapy
Surgery

Monitor the patient for:
Kidney failure
Metastasis
Various Organ system failures
Liver failure
Term
Cerebral palsy. Types, sx, tests, tx
Definition
Cerebrum injury causing multiple nerve function deficits.

Types:
Spastic CP 50%
Dyskinetic CP 20%
Mixed CP
Ataxic CP

Symptoms:
Poor respiration status
Mental retardation
Spasticity
Speech and language deficits
Delayed motor and sensory development
Seizures
Joint contractions

Tests:
Sensory and Motor Skill testing
Check for spasticity
CT scan/MRI
EEG

Treatment:
PT/OT/ST
Surgery
Seizure medications
Spasticity reducin
Term
Croup: sx, tests, tx, monitoring
Definition
trouble breathing in infants and children that can be caused by bacteria, viruses, allergies
or foreign objects. Primarily, caused by viruses.

Symptoms:
Labored breathing
Symptoms increased at night.
Noisy cough
Stridor

Tests:
X-rays
Breaths sounds check

Treatment:
Acetaminophen
Steroid medications
Intubation
Nebulizers

Monitor the patient for:
Respiratory arrest
Atelectasis
Dehydration
Epiglottitis
Term
Kawasaki disease. sx, tests, tx monitoring
Definition
a disease that affects young children primarily. Unknown origin probable
autoimmune disease. Attacks the heart, blood vessels, and lymph nodes.

Symptoms:
Fever
Joint pain
Swollen lymph nodes
Peripheral edema
Rashes
Papillae on the tongue
Chapped/Red lips



Tests:
CBC
Presence of pyuria
Chest X-ray
ECGH
ESR
Urine Analysis

Treatment:
Gamma globulin
Salicylate treatment

Monitor the patient for:
Coronary aneurysm
MI
Vasculitis
Term
Pyloric stenosis. Sx, tests, tx, vaccinations
Definition
a narrowing of the opening between the intestine and stomach. Most common
in infants. May have genetic factors

Symptoms:
Diarrhea
Abdominal pain
Belching
Vomiting
Weight loss

Tests:
Abdomen distended
Barium X-ray
US
Electrolyte imbalance

Treatment:
Surgery
IV fluids


Vaccinations
Attenuated – Varicella, MMR
Inactivated – Influenza
Toxoid – Tetanus/Diptheria
Biosynthetic – Hib conjugate vaccine
Term
Tetralogy of Fallot. defects, tests, sx, tx, monitoring
Definition
4 heart defects that are congenital. Poorly oxygenated blood is pumped to
the body’s tissues.

4 factors:
Right ventricular hypertrophy
Ventricular septal defect
Aorta from both ventricles
Stenosis of the pulmonic outflow tract

Symptoms:
Poor weight gain
Cyanosis
Death
Limited infant feeding
Clubbing
SOB

Tests:
Chest X-ray
EKG
Echocardiogram
Heart Catheterization
CBC
Heart Murmur

Treatment:
Surgery
Small meals
Limit child’s anxiety

Monitor the patient for:

Seizures
Poor overall development
Cyanois
Term
Atrial septal defect. Sx, tests, tx, monitoring
Definition
congenital opening between the atria.

Symptoms:
Dyspnea
Reoccurring infections (respiratory)
SOB
Palpitations

Tests:
Catheterization
Echocardiography
ECG
MRI
Irregular heart rhythm/sounds



Treatment:
Surgery
Antibiotics

Monitor the patient for:
Heart failure
A fib.
Pulmonary Htn.
Endocarditis
Term
Ventricular septal defect. Sx, tests, monitoring
Definition
opening between the ventricles of the heart.

Symptoms:
Poor weight gain
Labored breathing
Profuse sweating
SOB
Poor color
Irregular heart beat
Respiratory infections reoccurring

Tests:
Ausculatation
Echocardiogram
ECG
Chest X-ray
Treatment:
Digoxin
Surgery
Digitalis

Monitor the patient for:
Endocarditis
Pulmonary Htn.
Aortic insufficiency
Limited growth and development
Arrhythmias
CHF
Term
Patient ductus arteriosus. Sx, tests, tx, monitoring
Definition
open blood vessel (ductus ateriosus) that does not close after birth.
Symptoms:
SOB
Limited feeding

Tests:
ECG
Echocardiogram
Heart murmur
Chest X-ray
Treatment:
Surgery
Indomethacin
Decrease fluid volumes

Monitor the patient for:
Surgical complications
Endocarditis
Heart failure
Term
Aortic coarctation
Definition
aorta becomes narrow at some point due to a birth defect

Symptoms:
Headache
Hypertension with activity
Nose bleeding
Fainting
SOB

Tests:
Check BP
Doppler US
Chest CT
MRI
ECG
Chest X-ray
Cardiac catheterization

Treatment:
Surgery

Monitor the patient for:
Stroke
Heart failure
Aortic aneurysm
Htn
CAD
Endocarditis
Aortic dissection
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