|For the lip laceration through vermillion border the first stitch|
|should be at vermillion border.|
|Child with recurrent fevers and parotid swelling could have HIV.|
|The Emergency Medical Treatment and Labor Act (EMTALA) is a|
|federal law that requires anyone coming to an emergency |
department to be stabilized and treated, regardless of their
insurance status or ability to pay. Medical Screening Exam is
required prior to patient transfer to another facility.
|Child with bilious vomit needs - UGI study with follow through.|
|Iridocyclitis or Uveitis - associated with Oligoarticular JIA. ANA|
|levels correlate with Uveitis.|
|Children with facial trauma and epistaxis should get OG instead of|
|Neuroblastoma as compared to Wilm's has more calcifications,|
|smaller children, more systemic involvement, crosses the mid line.|
|One Important cause of mediestinal mass in children is - Hodgkins.|
|Supraclavicular nodes are malignant and should be biopsied.|
|Baby presenting with failure in first few weeks require|
|If injestion is suspected in child with hypoglycemia and seizure -|
|ethanol and oral hypoglycemics.|
|Kid punched another person on the teeth causing bleeding|
|knuckles, tetanus UTD. not hep b. He will need - Hep B IG and |
|Substance not absorbed by charcoal - Alcohol, metals, mineral|
|acid or bases, hydrocorbons and cyanide.|
|Pediatric poisonings for which repetitive charcoal dosing may be|
|considered include phenobarbital, carbamazepine, phenytoin, |
digoxin, theophylline and salicylate.
|In herpangina, ulcers/vesicles are usually isolated to the soft|
|palate and anterior pillar of the mouth as compared to herpes in |
which lesion are on lips and mouth anteriorly.
|Bradycradia - commence CPR in a person with HR < 60, poor|
|perfusion despite oxygenation and ventilation, if bradycardia |
persists use epinehperine, atropine for inc vagal tone or AV block,
|An obese teenage with headache and vomiting would need -|
|IVH can cause obstructive acquired hydrocephalaus.|
|Flumazenil should not be ordered for TCA overdose, it will cause|
|Bacterial tracheitis should be considered in a child with croup|
|and toxic appearance.|
|Warm shock use Norepinepherine and Cold Shock use|
|Epinepherine. Both can be used at (0.1 - 1 mcg/kg/minute )|
|Contraindication for Heliox is severe hypoxemia, pneumothorax,|
|pneumopericardium, or pneumoperitoneum, therefore a chest |
radiograph (CXR) should be obtained prior to initiation.
|Laryngomalacia - Neonates present around 2 to 4 weeks of age|
|with noisy breathing or coarse inspiratory stridor that is |
accentuated by agitation, crying, and being in a supine position.
Improves in prone position.
|A decompensated child after house fire and failed ET attempts|
|should get Cricothyroidotomy.|
|V - Tach with pulse - adenosine could be tried first, followed by|
|Amiodarone and Procainamide.|
|One of the most common cause of rhabdomyolysis is Illicit drug|
|Cannabis effects include - There is an increased sense of well-|
|being or euphoria accompanied by feelings of relaxation or |
sleepiness, short-term memory is impaired, and the capacity to
carry out tasks that require multiple mental steps to reach a
specific goal deteriorates, ( temporal disintigration) tendency to
confuse past, present, and future, depersonalization, voracious
appetite, keener sense of hearing, frank hallucinations, delusions,
and paranoid feelings, anxiety that reaches panic proportions.
|SIADH - increased urinary sodium. |
|FTT of a child with 16 yr old mum needs admission.|
|Transvaginal US can detect intrauterine gestational sac in a|
|patient with a β-hCG level of 1,000–2,000 mIU/mL or who is at |
approximately 4–6 weeks’ gestation, whereas a transabdominal
US requires a level of at least 6,500 mIU/mL.
|C Diff. causes watery diarrhea, fever, nausea, and abdominal|
|pain, pseudomembranous colitis, toxic megacolon, perforation of |
the colon, and sepsis.