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36 Cards in this Set
- Front
- Back
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Human parechovirus
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HPeV
Seasonal cause of aseptic meningitis / febrile illness Summer / early Fall MCC sepsis-like syndrome in infants with neg. w/u More febrile days and higher fevers than enterovirus |
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Human parechovirus
Dx |
Not detected by enterovirus PCR (need HPeV specific)
Leukopenia/lymphopenia CNS - no pleocystosis (no WBC increase) |
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PCOS
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Rotterdam Criteria
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Umbilical Mass
Infant Diff Dx |
Umbilical hernia
Omphalitis Pyogenic granuloma Urachal remnants Patent omphalomesenteric duct |
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Urachal Anomalies
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Patent urachus - drainage
Urachal cyst (MC) |
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PHACES syndrome
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Neurocutaneous D/O
Post-fossa malformations Hemangiomas Arterial cerbrovascular anomalies Eye abnormalities Sternal Defects Supraumbilical raphe |
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Syncope
Diff Dx |
Orthostatic hypotension (increased HR)
Neurally mediated hypotension (decreased HR) Volume depletion Drugs (vasodilation / diuresis) Pregnancy |
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Orthostatic Blood Pressures
Measurement |
Sitting, then standing x 2 min.
HR > 120 or increased 20 from sitting SBP decrease >20 mmHg DBP decrease >10 mmHg |
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Congenital Epulis
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Benign soft tissue tumor
Primarily maxillary Asymptomatic Resolves 3-6 months Recurrence rare |
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Angular Cheilitis
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Dry scaling and fissuring of corner of mouth
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Angular Cheilitis
Diff Dx |
Local irritation - dermatitis, saliva
Mechanical trauma - licking, picking Systemic disease - DM, SLE, Ulcerative colitis Nutritional deficiencies - iron, zinc, Vit B |
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Angular Cheilitis
Tx |
Oral hygiene
Barrier creams Treat secondary infections - bacterial, fungal |
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Melatonin
Dosing |
1mg, 3mg, 5 mg
Take 1-5 mg PO q HS x 4 wks |
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Onychodystrophy
Diff Dx |
Tinea unguium
Chronic trauma Psoriasis Trauma |
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Onychomycosis (Tinea Unguium)
Medication Tx |
Terbinafine - treat x 7 days once a month x 6-12 months
> 4 y.o. and < 25 kg - 125 mg QD 25-35 kg - 187.5 mg QD >35 kg - 250 mg QD Itraconazole 2mg/kg/D (max 200 mg) |
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Onychomycosis (Tinea Unguium)
Supportive Tx |
Wash well
Dry and keep dry Scrape nail Absorbent socks Foot powder - Tinactin, Lotrimin AF, Desinex |
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Osteochondritis Dissecans
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Cresent shaped lytic lesion of lateral medial femoral condyle
Usually seen before skeletal maturity |
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Osteochondritis Dissecans
Diff Dx |
Distal femoral stress fx
Tibial tuberosity osteochondritis (Osgood-Schlatter's) Chronic osteomyelitis |
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Wiskott-Aldrich
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Thrombocytopenia with small platelets
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Howell-Jolly Bodies
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Anatomic or functional asplenia
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Hemangiomas
Classification |
Focal / segmental / in-determinant
Sub-classification: Superficial / mixed / deep |
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Hemangiomas
Tx |
Benign neglect
Laser Propranolol |
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Hemangiomas
Risk Factors |
Facial
Facial > 5 cm - think PHACE syndrome Lumbosacral/ perineal Airway or "beard area" Multifocal > 5 segments (suspect organ lesions) |
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Hemangiomas
Propranolol Dosing |
2 mg/kg/day (BID)
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Black Spot Poison Ivy
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Plant resins - urushiol or oleoresin - oxidizes and turns black when exposed to air.
Requires larger exposure to concentrated sap. |
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Helminth Infections
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Pinworms (Enterobius vermicularis)
Roundworms (Toxocara species) |
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Helminth Infections
Transmission |
Transferred via fecal-oral route
Ingestion of contaminated soil or from other infected individual |
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Pinworms
Tx |
Albendazole 400mg once
Repeat 2 wks Pyrantel Pamoate 11mg/kg once Repeat 2 wks |
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Roundworms
Tx |
Albendazole 400mg BID x 5 days
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Insect Repellants
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DEET
Picaridin Permethrin PMD (oil of lemon eucalyptus) - natural IR3535 - natural Citronella - natural |
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DEET
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Not less than 2 months
Not greater than 30% in children > 50% not any more effective |
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Picaridin
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7/15/20% concentrations
Odorless, non-sticky, non-greasy Doesn't damage clothing |
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Permethrin
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Apply to clothing / netting only
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PMD
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Not for children < 3 y.o.
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PCOS
Labs |
17-OH progesterone
DHEAS LH/FSH Progesterone Testosterone Androstenedione Insulin TSH |
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Overweight
Labs |
HgA1c
CMP CBC TSH/T4 Lipid profile 2 hr GTT if borderline glucose/ HgA1c |
