Pediatric MCQ and Nots
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Pericarditis ECG:
Stage 1 (hrs to days) -> diffuse ST-elev & PR-depression, w/ reciprocal ST-depression and PR-elev in leads V1 & aVR
Stage 2 (days to 1 wk) -> resolution of ST & PR abnormalities
Stage 3 (days to wks) -> diffuse T-wave inversion
Stage 4 ECG normalization
Reye syndrome: acute encephalopathy + fatty liver infiltration, often after acute viral infection (influenza A or B or varicella), particularly when salicylates (ASA) are used; Children < 18 yrs, late fall and winter MC
A ventriculoperitoneal (VP) shunt is a device used to relieve pressure from the brain caused by fluid accumulation. VP shunting is a surgical procedure that is primarily used to treat hydrocephalus, which occurs from a build-up cerebrospinal fluid in the brain’s ventricles.
Image Challenge follow-up: A 4-year-old boy had a 2-day history of right hip pain and limping. A radiograph showed a focal area of collapse in the right femoral head.
Legg-Calvé-Perthes the most important prognostic factor is age. This child is already in a second stage (despite the 2 day history) and is only 4, his outlook is very good! Focus on maintaining range of motion and a healthy lifestyle
A thread on Thrombotic thrombocytopenic purpura-Hemolytic Uremic Syndrome (TTP-HUS). Pathogenesis & clinical findings
Neonatal Resuscitation algorithm
Ventilation corrective steps in a newborn already started on PPV with HR < 100 and the chest is not moving
