Pediatric Infectious Disease and Dermatology Exam Questions & Answers 100% Correct!!

What are general pediatric infectious disease guidelines? - ANSWER•"Sick" children are a common source of family medicine, urgent care and ER visits for various reasons, most commonly "fever". •Your job is to determine sick vs. not sick and complete an appropriate history, exam, and A/P. *Children can compensate for a very long time before they "crump" and become extremely ill. What are important guidelines in infectious diseases in peds regarding fever? - ANSWER•Fever in the neonate (30 days age) is a medical emergency and warrants an ED visit for sepsis work up (LP, catheterization, etc). •Fever between 30 to 60 days can be seen outpatient, with significant caution/experience. •Over 60 days, can be seen in the family practice routinely, but develop a triage system to assure you do not walk into an extremely ill child. •We define fever as 100.4 F How do you treat a fever at home? - ANSWER•Children commonly have fevers for various reasons, including viral and bacterial causes. •Parents will commonly call/come in for guidance. •Ibuprofen is indicated 6 months of age. •Tylenol can be given younger (0-3 months) but child should be evaluated. •Alternating Tylenol and Ibuprofen provides continuous pain/anti-pyretic effect. *Always bring child in if something changes. What is important to know about acute otitis media in pediatrics? - ANSWER•Acute inflammation of the tympanic membrane and middle ear due to virus or bacteria. Eustachian tube inflammation results in lack of draining, fluid retention and bacterial colonization. Risk Factors: preceding URI, second hand smoke exposure, pacifier use, daycare, seasons (winter/fall), peaks age 6 to 18 months, lack of breast feeding, compromised im