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86 Cards in this Set

  • Front
  • Back
Arm span that is greater than high
Marfan syndrome
GH
Acromegaly
What are the criteria for Failure to Thrive
poor wt gain
physical
Lack of emotional attention in the failure to thrive is caused by what
Lack of Growth hormone production
Infants being breast fed may be deficient in what vitamin
Vit D
Cryptorchidism can lead to infertility if not corrected by what age
age 5
What condition is most commonly seen in new born males
cryptorchidism
What is herpangina
Coxackie virus that is common in children
Child that is hyperactive with unusual body odor and difficulties learning new tasks
phenylketonuria (PKU)
What condition is HLA-B27 linked and associated with antibiotic use
juvenile RA
What are the cardinal sx/sn of mono
fever, pharyngitis, fatigue and lymphadnopathy
How does pyloric stenosis
Projectile vomiting
What is volvulus
twisting of the intestines and is shown on a double bubble on xray. Often vomit bile.
What is intussesception
telescoping of the intestines
What is Meckel's diverticulum
It is a vestigial remnant of the omphalomesenteric duct and is the most frequent malformation of the gastrointestinal tract
Branchial cleft
add
Dermoid cyst
teratoma
Most common cause of meningitis in children (> 6 mo)
Enterophirus
Nieseria
Haemophilus
Most common cause of meningitis in infants birth to 6 mo
E Coli
Beta strep
Listeria
What condition is CI in circumcision
Hypospadia
Why do children have myopia
add
What is Choanal atresia
Narrowing of the nasal air way - can result in closure in the posterior nasal opening
Phymosis puts a boy at increased risk for what
renal problems (add)
What do hemorrhoids suggest in a 6 y/o child
a severe underlying dz - like portal htn
Rectal prolapse is associated with young children frequently
Cystic Fibrosis
What is a Wilms' tumor
common congenital tumor of the kidney, abd mass, usually 2-5 y/o, painless hematuria, good prognosis with tx
What is pathpneumonic finding on xray of epiglititis
thumb print finding
What does the steeple sign suggest in an xray
croup
Most common cancer in children
ALL
What is a neuroblastoma
Tumor of the adrenal medula or other sympathetic nervous tissue found in children under 5 y/o
What is a retinoblastoma
A congenital malignant tumor of the neural layers of the retina; children < 4 y/o
Whit pupils, strabismuth, uvititis, elevated white retinal masses
Inc risk of 2nd malignancy, 90% survival if before mets
What type of infection is most common in encephalitis in children
Viral - HSV has very poor prognosis
Fever, malaise alone, altered consciousness..
What are the main bacterial infections that can cause encephalitis
TB and syphilis
What is erythema infectious and what causes it
5th dz or slapped cheek erythema.
Caused by human parvovirus B19
What are sx of 5th dz
mild fever, fatigue and pharyngitis followed by lacy symmetric maculopapular confluent rash that is not on the soles or the palms
Painful ulcer/vesicles d/t Coxascki or enteroviruses - on tongue, soles and palms
Hand-Foot-Moth Dz
What are the sequelae for Hand-Foot-Mouth
Paralysis, meningitis, encephatlits
How is herpangina different from Hand Foot Mouth dz
Herpangina is similar lesions to Hand Foot Mouth but it is only in the throat and not in the ant mouth or hands or feet
What are the sequele for mumps
MOPE
Meningitis
Orchitis
Pancreatitis
Encephalitis
What vaccine is attributed to reducing otitis media in pediatric populations
PCV (Pneumococcal)
What is pertussis commonly known as
Whooping cough
What are the 3 stages of pertusssis
Catarrhal - preparoxysmal
Contagious period
Paroxysmal - cough
What age has the greatest mortality in pertusssis cases
Children < 1 y/o
When does rheumatic fever occur
post strep infection
What is the Jone's criteria and what are the major criteria
Jones criteria used to dx rheumatic fever (2 major or 1 major + 2 minor)
Major = Chorea (Syndeham's), Arthritis, Nodules, Carditis, Erthyem marginatum) (Chance)
What test is used to dx strep A
ASO test
What is Rubeola & what are the 4
Cs of this childhood dz
Measles
Cough, Coryza, Conjunctivitis, Cutaneous spots
Koplik's spot = pathognomonic
What are the German Measles
Rubella
What is the concern with Rubella
Durring Pregnancy can be teratagenic
What are the rashes of Rubella and Rubeola like
maculopapular rashes that begin on the face and then fade and move to the trunk then the extremities. Usually more ill in Rubeola
Describe Roseola (HHV-6)
Have a fever (3 d) then get a rash that starts on trunk then moves to face.
What infection does strawberry tongue suggest
Scarlet Fever
What type of rash is seen with Scarlet fever
Pinkish or reddish rash with sandpaper texture
List three types of nonmilitary decorations.
a. Presidential Medal of Freedom
b. Gold and Silver Life Saving Medals
c. National Sciences Medal
How does bronchiectasis occur in children
1. Congenital - present at birth
2. Cystic fibrossi
What is the main cause of bronchiolitis in children
RSV
How does bronchiolitis present and how do you manage
coughinig, wheezing, tachypnea, shallow breathing, nasal flaring - refer to ER
What childhood illness is characterized by barking cough, inspiratory stridor and dyspnea
Croup
How long does croup usually last
< 5 days
In a child with dyspnea how can you differentiate btw croup and epiglottitis
Steam shower - Croup will get better epiglottitis will not
What is the main cause of epiglottitis
H. Influenza B - greatly reduced d/t HIB vaccine
What condition do you worry about in children with nasal polyps and chronic sinusitis
Cystic Fibrosis
What is merconium ilium a first sign of
Cystic Fibrosis
When is peak onset of asthma
Age 5
What is the machinery murmur indicative of
Patent Ductus Arteriosus
What is the most common heart defect
ventricular septal defect
What diamond shape murmur heard durring systole in a child that can lead to CHF
Atrial septal defect
What is suggested in an increased BP in upper extremities than in lower extremities
Coarctation of aorta - can be caused by Turner's syndrome or maternal rubella
What is present in Tetralogy of Fallot
VSD, R ventricular outlfow obstruction, overriding aorta R ventricular hypertrophy -
dyspnea and cyanosis
how doe evaluate Tetralogy of Fallot
Chest plain films
Echo
When are VSD most common
Teratogen exposure
Males
Down's syndrome
What are the sequelae or anal stenosis
rectal prolapse, rectoscele, enterocele
What age is anal stenosis most common in
< 2-3 month
What is encopresis
Fecal incontinence child older than 4 yrs ( can have hx of constipation, hypothyroisim)
What does a double bubble sign in plain film of the abdomen indicate
Vulvulous
What do current jelly stools, severe colic, abd pain, RUQ mass indicate
intussusception
What is a congenital constriction of the pylorus that leads to projectile vomiting, constipation, failure to thrive and ravenous appetite
Pyloric stenosis
What is seen on xray of a child with pyloric stenosis
string sign
What are normal vital signs of an infant (0-1 y/o)
BP 80/40
HR 120 bpm
Resp 40 bpm
What are normal vital signs of a child 1-5 y/o
BP - 100/60
HR - 100 bpm
Resp - 30 bpm
What are normal vital signs of a child 5-10 y/o
BP - 120/80
HR - 80 bpm
Resp - 20 bpm
What are the cyanotic heart dz conditions
1-2-3-4-5 Ts:

Truncus Arteriosus (1 vessel)
Transposition of the (two) great vessels
Tricuspird Atresia.
Tetralogy of Fallot
Total Anomalous Pulmonary Venous Return (has 5 words)
What virus causes roseola
HSV-6
What virus causes hand foot and mouth dz
Coxsackie virus A16
What virus causes erythema infectiosum
Parvovirus B19
What virus causes measles and mumps
Paramyxovirus