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44 Cards in this Set
- Front
- Back
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A triad of abdominal pain, vomitting and passage of blood per rectum
"sausage like mass" Jelly like stools" |
Intussusception
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What are the two usual presentations of Intussusception
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Idiopathic - starts at the ileocolic junction and affects infants and toddlers
Enteroenteral intussusception which occurs in older children. This is usually associated with Henoch Schonlein purpura, CF and blood dyscrasias |
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What is the age group that mostly have intussuception?
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younger than 1 years Usually 5 to 10 months
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In a pregnant woman with HSV culture positive and /or active lesions . What is the most causativfe agent and what is the next apporopriate action?
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75 to 85% of the time, the agent is HSV 2 and teh enxt action is C-section
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A 3 year old has ascending polyneuropathy anc recently got over a diarrheal illness. What are we thinking of and what is the organism in charge? What would CSF show you?
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- Guillain Barre syndrome
-Campylbacter Jejuni CSF shows elevated protein twice the normal limit |
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What are teh signs are early salicylate intoxication?
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It has a central stimulatory effect that leads to hyperventilation .hyperventilation causes respiratory alkalosis with signs of excessive co2 elimination.
Biocarb is below normal concentration Tetany paresthesia are among some signs |
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What is the most common malignancy of kids 5 years and younger age group?
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Acute Leukemias. 80% is ALL
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For which of the following does absorption occur in the small intestine but most actively in the jejunum
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All segments of the intestine absorbe water but the jejunum is particular
The doudeum is highly water permeable and has largefluxes in either direction. |
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what is the correct dx for a picture of a 10 year old with ocular ptosis, fluctuating weakness and enlarged thymus?
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Juvenile Mysthenia
It is an autoimmune abnormality of the nicotinic neuromuscular transmission. Depletion of acetylcholine receptors. Most patients have an enlarged thymus and all antibodies against the acetylcholic receptor. |
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QWhat is a frequent cause of indirect hyperbilirubinemia that is exacberated with fever, fasting and exercise?
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Gilbert's syndrome
Phenobarb can reduce serum bilirubin and the prognosis is excellent |
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What is the most common viral cause of gastroenteritis in OLDER children vs YOUNGER children?
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Norwalk- older children
Rotavirus in younger children |
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Bloody Diarrhea
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Shigella- bloody mucupurulent diarrhea with entertoxic and neurotoxic effects /Fluid replacement and abx
Tx- Bactrim or Ampicillin |
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Tx of choice for salmonella
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Ampicillin broad spectrum PCN
1- enteric fever -regional lymph node infection bacteremia fulminant septicemia |
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DOC for complex partial seizures of children
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Carbamazepine
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What is the most commona cute neurological complication of Congenital heart dz?
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Brain abcess.
Passage of bacteria through the Right to left shunt paradoxical septic emboli |
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s Aneroxia Nervousa, Restricting type?
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absence of binging and purging including failure to engaged in the misuse of laxatives, emetics enemas, and diuretics
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What tanner stage?
Female with elevated nipples and villous hair |
tanner stage 1
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What tanner stage?
Females with pubic hair growing towards inner thigh and integral nipple mound |
tannger stage 5
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Qhat tanner stage?
Mlae with increased testes size and hair appear at penis base? |
tanner stage 2
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wHAT TANNER STAGE
HAIR IS FULL BUT LIMITED IN AREA AND PENIS GROWS IN WIDTH |
tanner stage 4
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What tanner stage?
13 year old male Penis grows in length and hair becomes curly coarse and dark |
Tanner stage 3
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What tanner stage?
13 Y.O female with nipple and areola forming separate mound that protrudes from breast |
tanner stage 4
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What tanner stage?
The breast and areola start growing the public hair becomes coarse and darkens and starts spreading |
Stage 3
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Which drug is the m/c/c of nephrogenic Diabetes Insipidus
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Lithium
Urine osmolality is lower than plasma osmolality .Water deprivation and subsequently administered sSQ desmopressin fails to increase osmolality That is how you dx DI |
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A 2 year old is broought to the ER with a 5 day hx of fever NBNB emesis and bloody diarrhea. On PE you see dry mucous membranes and scant tears
Hb- 6.0 WBC-25,000 Platelets- 40,000 Peripheral blood smear shows helmet cells and burr cells Cr- 1.9 BUN-33 What is your causative agent and working dx |
E.coli most likely
HUS is suspected HUS is characterized by a verotoxin agent like E.Coli or Shigella that causes endothelial damage. This damage causes hemolysis and thrombocytopenia and acute renal failure. |
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A 2 year old is broought to the ER with a 5 day hx of fever NBNB emesis and bloody diarrhea. On PE you see dry mucous membranes and scant tears
Hb- 6.0 WBC-25,000 Platelets- 40,000 Peripheral blood smear shows helmet cells and burr cells Cr- 1.9 BUN-33 What is your causative agent and working dx |
E.coli most likely
HUS is suspected HUS is characterized by a verotoxin agent like E.Coli or Shigella that causes endothelial damage. This damage causes hemolysis and thrombocytopenia and acute renal failure. |
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What is the tx of HUS
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dialysis
abx and antimotility agents seem to make the situation worse. may upregulate and cause the release of large amounts of bacterial Shiga toxin. Although no therapy is universally accepted, strict control of hypertension, adequate nutrition support, and the timely use of dialysis reduce morbidity and mortality |
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Which hematologic dz calls for cryoprecipitate as a tx but NOT Factor 8?
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Won Willebrand's
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A 14 y.o boy has pain and swelling just above the left knee.
Xray of distal femur shows spiculated periosteal reaction and triangulr ossification of a piece of periosteum that has been elevated. What is your working dx? |
Osteosarcoma
"Spiculated, sunburst or hair-on-end appearance of periosteum is almost always associated with malignancy |
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What is the most common parotid gland malignancy in childhood ?
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Mucoepidermoid carcinoma
It frequentl mets to the lymph nodes of the neck but rarely disseminates tx usually is wide local exicison without neck dissectionl |
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20% of females who have menorrhagia has a coagulation d/o. What is the m/c one ?
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Von Wilebrand's Dz which is autosomal dominant
Bleeding Time or PTT may be normal or increased Factor 8 may be borderline or decreased. Sx include bruising and epistaxis as well as menorrhagia or mucosal bleeding as opposed to Hemophilia A which present as joint or muscle bleeding |
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edema
htn hypoalbuminemia proteinuria m/c in children? |
minimal change disease
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Recent URI
hemopytsis exercise intolerance (+) Anti -GBM antibodies |
Goodpasture's!
Prenisone Tx |
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A patient has coarctation of the aorta, what genetic abnormality might be present with this female?
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Turner's Syndrome
They are born with Lymphedema short stature low hair line webbed neck primary amnenorrhea horse shoe kidney short metacarpals |
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Marfan's is ....
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Autosomal dominant
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What are the common bacterial causes of conjuncitivits ?
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M. cattarhalis, H.flu S. pneumo and S.aureus
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M/C/C of viral conjuncitivitis
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adenovirus
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What is a dangerous complication of orbital cellulitis and periorbital?
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blindness, cavernous sinus thrombosis, cerebral abcess and DEATH
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M/C organisn for periorbital cellulitis
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Staph
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Tx of periorbital cellulities ( and orbital)
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surgical emergency
IV ceftriaxone |
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barking cough, hoarseness and inspiratory stridor
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croup courp
parainflunnza |
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m/c common site of foreign body obstruction in lungs?
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Right main stem bronchu
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A boy gets poked in the eye and has tearing L eye pain, what is your dx and treatment
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corneal abrasion, give erythromycin to prevent infxn and patch the eye.
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What is the sure fire way to dx acute pharyngitis>?
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throat culture
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