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49 Cards in this Set
- Front
- Back
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well checkup
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general - age, delivery. nursery - habits, wet diapers. back to sleep. pacifier at 1 month. HEART, HIPS, EYES.
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developmental dysplasia of the hip
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breech, female, first born, family history. range: teratologic disloc, disloc, subluxed, unstable, acetabular dysplasia. presents: birth, year 1, silent shildhood. tx: pavlik harness. socket angle. perkin's line. dx: assymetric skin fold, orlitani (outer) and barlow.
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HELLP syndrome
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hemolytic anemia, elevated liver enzymes, low platelets. seen in late pregnancy, associated with pre-eclampsia. tx: delivery.
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APGAR
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1 and 5 minute scores of Activity, Pulse, Grimace, Appearance, Respiratory rate.
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contraindications to LP
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increased icp (mass> shift, hydrocephalus, cerebral edema), coagulopathy, cardio-pulm instability
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cushing's triad - and tx
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increased blood pressure, increased heart rate, cheyenne-stokes breathing - tx with hyperventilation, mannitol, dec temp, acetazolamide.
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rhizomelia, melomelia. hypophosphatasia vs temia. stanford sign, russel silver syndrome, leggCB syndrome,
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look up
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becks triad
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pericardial tamponade, distended heart sounds, distant heart sounds, hypotension.... rising venous pressure, falling arterial sounds
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eclampsia
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look up.
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GBS sepsis in newborn
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early vs late: timing, meningitis.
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VODE
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in BMT
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eosinophlia
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neoplasm, allergy, adrenal, CT, parasitic (clamydia)
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heme
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MCV, MCH, MCHC
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ALTE differential
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GI (ger, volvulus), Neuro, Resp, CV, Metab, Infxn, Abuse.
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vomiting differential
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bilious - sepsis, volvulus in malrotation. non-bilious - ger, pyloric stenosis, gastroenteritis, cns, iem, CMA.
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adrenoleukodystrophy
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leronzo's oil - oleic and erucic.
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DKA
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signs symptoms
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PKU
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phenylalanin from digestion and catabolism to tyrosine via phenylalanin hydroxylase. deficiency of converting enzyme leads to accum and CNS problems. second type - biopterin deficiency resists dec prot diet. maternal pku infants: iugr, SGA, microceph, MR, dev delay, haert dx
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galatosemia
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liver disease> neonatal hepatitis, jaundice. corneal lens opacit. MR? hypotonia (frog leg), renal fanconi. lactose free (glu-gal) diet.
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biotinase def
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biotin. alopecia, dermatitis, ataxia, acidosis, dev delays
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maple syrup urine disease
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LIV catabolism. blocked, build up alloisoleucine. common in amish/menonites with glutaric aciduria
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homocystinuria
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dislocated lens iridodynesis, skeletal abnormalities... GET MORE INFO
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tyrosinemia
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I succinyl acetone - porhyyria, liver dx, fanconi. II eye and skin burning
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urea cycle
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septic shock and normal electrolytes s acidosis. huge nh3
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fanconi syndrome
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disease= sphingolipidosis from ceraminidase deficiency leading to painful and prog deformed joints, subQ nodules, granulomas. syndrome = gen dysfnxn of prox renal tube> glycosuria, hyperphosphaturia, hypophasphatemia, aminoaciduria and systemic acidosis. anemia = AR predisposed to aplastic anemia, prog bone failure age 5-7, cong abnmls (thumb, forearm, kidney, GI, skin). 20% cancer - often aml. inc sens of FA cells to bifunctional alkylating agents like mitomycin C for diagnosis.
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gilbert's
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unconj hyperbili from dec glucoronyltransferase activity, responds to phenobarbitol, 7% pop affected. 3@ behind hemolytic anemias
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crigler-najjar
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I no hepatic glucuronyltransferase activity, kernicterus, liver transplant needed. II: mod def, phenobarb induces activity.
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neonatal hsv
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mucocutaneous (SEM skin-eye-mucous), disseminated, encephalitis.... congenital
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normal ratio rbc:wbc in csf
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500:1
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bacterial gastroenteritis differential
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vecscs - vibroi, escherichia, camylobacter, shigella, clostridium, salmonella
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gh and igf-1
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cretinism, acromegaly, giantism, dwarfism.
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HEADS
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home, education, eating, activity, drugs, depression, suicide, sexuality, safety
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withdrawal symptoms
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shiver, constipation, urine retention
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orbital vs preseptal edema
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globe pain, proptosis, photophobia, pain on movememnt
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heent infection
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moraxella, h flu nt, s pneumo
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dehydration
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<1yr 5,10,15. >1yr 3,6,9.
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chilazeon vs stye
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look up eye stuff
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abo incompatability
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also rh factor in second child and dad's inheritance, etc.
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jones criteria
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inflammatory reaction post gp a strep (strep throat not as much scarlet fever). involves heart, skin, brain, joints. 2 of carditis, migratory polyarthritis, sydenhams chorea, erythema merginatum, subQ nodules (aschoff bodies) and 1 of fever, arthralgia, labs (esr, crp, leukocytosis), ekg, gas culture or aso titer, hs rheumatic fever or inactive heart disease.
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UTI differential
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seekpp: serratia, entero, ecoli, klebsiella, proteus, pseudomonas. lac ps: kleb, ecoli, entero, citro. lac neg: sal shig yers serrat citro.
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schistocytes versus helmet cells
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differential
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hus
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microangiopathic hemolytic anemia, acute renal failure, thrombocytopenia. differentiate from TTP - more neuro involvement!
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viral gastroenteritis
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rota, noro, calici, adeno!
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urine specific gravity
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1.002-1.028. inc) dehydration, diarrhea, emesis, excess sweating, renal artery stenosis, hepatorenal syndrome, heart failure> dec flow to kidney, axcess ADH< SIADH. dec) renal failure, pyelonephritis, DI, acute tubular necrosis, interstitial nephritis, psychogenic polydipsia.
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gram neg aerobic cocci
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neisseria gon and meningitis. nonmotile, diplocicci, cat and ox pos.
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gram neg facultative anaerobic bacilli. non ferm aerobic bacilli.
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enterobacteriaceae - cat pos, ox neg, ferms glu, reduce nitrate, gi flora. E coli - uti, meningitis neonates, bacteremia, toxin producers diarrhea. Kleb, Enterobacter, Proteus - UTI nosocomial infection. salmonella typhi - typhoid fever. shig - diarrhea. yersinia pestis - bubonic plague...... Vibrio - motile, cat and ox pos, brackish water. Vcholera..... Pasteruellae - nonmotile, cat and ox pos, speial growth reqs..... Hflu - resp pathogen, pneumonia and bronchitis
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gram neg microaerophilic bacilli
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campylobacter - small curved. fetus - septicemia. jejuni - enteritis. helicobacter pylori - gastric ulcers and cancer
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gram neg anaerobic bacilli
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bacteriodes fragillis. fusobacter - pleomorphic pointed ends, anbcess tooth.
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gram neg helical - spiochetes
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borrelia burgdorferi - lyme. treponema pallidum - syphilis. leptospira interrogans - leptospirosis.
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