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15 Cards in this Set
- Front
- Back
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ENDO hungry bone syndrome: |
ncreased influx of ca from bone, usually 2-4 days after parathyroidectomy, high risk in severe hyperPTH, severe bone disease and vitD def |
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GU. posterior urethral valves |
most common causes of severe obstructive uropathy in children, distended bladder and weak urine stream; dx - voiding cystourethrogram (
- prune belly syndrome: renal,ureteral, urethral abnoramlities in neonate, obstruction and urinary tract dilatation observed with underdeveloped abd. KUB (diagnostic) bowels hanging over lateral edge of abd wall |
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ID. Crypto in HIV (DX, clinical) |
meningitis (1st presentation), but skin rash prominent (multiple, discrete, flesh/red colored papules with slight central umbilication resembling molluscum contagiosum over face/trunk DX via bx of lesion; if dx - mandatory to look for systemic involvement with CXR, blood/csf cx, india ink, crypto antigens in serum and CSF |
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cutaneous TB |
"lupus vulgaris" chronic/progressive, usually solitary and involve skin of face/neck; lesions small/sharply marginated/reddish brown papulees with gelatinous consistency that slowly progress by peripheral extension and have central atrophy. |
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PEDs. Rubella |
DX: PCR, IgM/G with clinical ppx children (low grade fever, CCC/conjunctivitis,coryza,cervical LAD, forschheimer spots, cephalocaudal spread of blanching maculopap rash); congenital (SNHL, patent ductus arteriosus; cataracts, glaucoma) |
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RENAL. polycystic kidney disease, extra-renal |
1. hepatic/pancreatic/pulmonary cysts 2. cerebrala aneurysms, 3. aorticc aneurysm 4. MVP, 5. colonic diverticula, 6 inguinal/abd hernias |
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RENAL. peritoneal dialysis |
you need to have colonoscopy to r/o diverticulosis
- Catheter removal: must be done if HD instability, severe sepsis with organ dysfunction, endocarditis, suppportive thrombophlebitis, persistent bacteremia even after 72 hrs of appropriate antibx therapy |
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Neuro. NPH |
urinary urgency usually occurs last out of the known triad; dx usually occurs with imaging and via lumbar punct (Miller fisher test - which looks at improvement of symptoms with removal of 30 CSF) |
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ENT. OM myringotomy |
myringotomy and tube if pt with OM and effusion after antibx therapy and long watchful waiting |
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ID: pyelon (dx) |
pyelonephritis, dx: purely clinical, only further imaging if no response to antibx 48 hrs in. |
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PEDS. Oral lesions in children |
aphthous stomatitis (anterior, oral mucousa); herpangina (vesicles/ulcers on post with fever via coxsackie A); herpe gingivostomatitis (vesicles/ulcers on anterior oral mucosa/around mouth with fever); group A strep (tonsillar exudates/fever/ant cervical LAD); infectious mono (tonsillar exudates/fever/diffuse cervical LADH/+HSM) |
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ID. RMSF |
pathogenesis, spring/summer; symptoms start 5-7 days after tick bit (fever/lethargy/myalgias), rash 3-5 days (petechial rash in ankles/wrist -> palms/soles and then to center); DX: no reliable dx test, antibodies seen 1 week after onset of illness; TX: d/t unreliable tests, tx first before confirmation. Doxy or chloramphenicol. |
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ID. C. diff |
if recurrence can repeat same tx; 2nd recurrence, pulsed tapering oral vanc 6-7 weeks; subsequent: fidaxomicin/fecal transplant |
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Neuro. phenytoin tox (clinical and management) |
phenytoin tox: first sign, nystagmus/far lateral gaze, diplopia/ataxia/lethargy/AMS; 10-20 mcg/ml (normal range); if symptoms, decrease dose (levels may be w/n normal range), abrupt dc will cause seizure. |
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PC. DEXA scan |
central bone density measurement (-1 to -2.5, osteopenia and less than -2.5, dx of osteoporosis); TX osteoporosis when T <-2.5 or hx of hip/vertebral fx; or osteopenia with increased fx risk assessment tool (FRAX, tx if >20% or if hip >3%); TX with alendronatett
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