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15 Cards in this Set

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Coarctation of the Aorta
Association
S/S
sequelae
Turner association & usually occurs distal to the left subclavian artery.

UE HTN, Bottom 1/2 rib notching(where the NV bundle is),Pulsus paradoxus

May die from berry aneurysm rupture later in life if COA not repaired.
Complications of DM early vs late
Early
1)blurry vision(lense swell)
2)orthostatic hypotention(get dehydrated)
3)polyuria, polydipsia, polyphagia, nocturia

LATE get neuropathy
1) Diplopia:CN
2) Gastroparesis:N-V after eating
3)Peripheral neuropathy
4)Ortho hypotention: diminished vagal response.
B-locker CI
Severe asthma
Describe hypokalemia SS
Get muscle weakness
-illeus
-poor respirations
-decreased or absent dtr's
xeroderma pigmentosa
AR disorder of defective DNA repair(can't splice out pyrimidine dimers) so get alot of skin cancers.
Cirrhosis
SS
Microscopy
Sequelae
Firm, non-enlarged nodular liver in alcoholic or long term hepatitis paient who has signs of portal hypertention (ascites,shifting dullness).

Liver has fibrotic bands on microscopy.

Increased risk of HCC
Hodgkin Lymphoma
SS
Dx
Association
15-24 w/ cervical adenopathy, night sweats and weight loss.

Biopsy the LN to find reed stromberg cells(binucleate owls eye)

Associated w/ EBV
Congenital hip dysplasia
SS
Dx
Association
Tx
Do barlow(bonin) & ortlani and will hear a click.

Dx w/ U/S

Seen more in female and breach

Will cause arthritis later in life.

Earlier the tx the better the outcome and just splint it. No surgery.
Upper motor neuron lesion
babinski and hyper-reflexia
S4
LVH or non-compliant ventricle
-Amyloidosis(speckled pattern Echo)
-Hypertrophic cardiomyopathy(with aortic stenosis like murmur & family Hx)
Staghorn calculi culprits
Ammonia secreting organisms:
Proteus
S.Saprophyticus
UTI in kid workup
Must do voiding cystourethrogram and U/S to rule out Vesiculo-ureteral reflux or posterior urethral valve.

If kid gets repeated infections give antibiotic prophylaxis and eventually surgery to prevent chronic pyelo(blunted calyces and parenchymal scarring)
Acute renal failure causes
Pre-renal(Bun/Cr>20)
-dehydration(give fluids)
-sepsis(Abx)
-Heart failure(dig & dieuretic)

Post renal
-BPH(hesitate, dribble,b/l hydro on U/S, put in catheder to relieve and do TURP)

Renal
-myoglobin/contrast
-Goodpasture/Wegener
-ATN/PSGN/SLEGN
-Methicillin/NSAID(papillary necrosis)
Conjugated hyperbilrubinemia
-Neonatal cholestasis or biliary atresia
-hemolysis
-Hepatitis
Unconjugated hyperbilrubinemia in kids
LOW UDP Glucuronyl Transferase
Gilbert(<3)
Crigler Najar(5-25)