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45 Cards in this Set

  • Front
  • Back
6 y/o irritable child with unsteady gait, mild L facial weakness, Babinski reflex and no muscular weakness.
pontine glioma:
- CN abnormalities
- long tract signs
- unsteady gait (spasticity)
- behavioral changes
headache, vomiting, poor growth and papilledema
supratentorial tumor: craniopharyngioma - could lead to bitemporal hemianopsia
50 - 60% of tumors of the nervous system in children 4 - 11 years old are ?
infratentorial
Developmentally delayed 6 mo. old child with periventricular calcific densities in the skull xray
congenital CMV infection
CMV v. toxoplasmosis intracranial calcifications
CMV - periVentricular
toXoplasmosis - corteX
achromic skin patches + infantile spasms
tuberous sclerosis (AD)
What arthropod?
severe pain and swelling; shock, excessive salivation; convulsions
scorpion
What arthropod?
painful local rxn; nausea, vomiting, sweating, HTN, cramping ab pain
black widow spider
What arthropod?
ataxia; arreflexia; ascending flaccid paralysis
Ticks
PHACE syndrome
Posterior fossa malformations
Hemangiomas
Arterial anomalies
Coarctation of the aorta
Eye abnormalities
seizure then diarrhea
shigellosis
tinea capitis: cause and tx.
ringworm of the head: Trichophyton tonsurans, griseofulvin
DD: acute scrotal swelling and pain in a sexually active adolescent (pyuria without organisms)
torsion; epididymitis (gonococcal or chlamydial)
typical age for Kawasaki
80% present <5 years
well appearing infant with sudden high fever and WBC 22,000/uL with 78% PMN leukocytes, 18% band forms
pneumococcal bacteremia: elevation and left shift of WBC ct.
rubella
LAD
rubeola
prodrome "C": cough, coryza, conjunctivitis; Koplik's spots
mumps
parotitis - possibly meningitis 10 days later
PPD test in children
no risk factors: >15mm +
with risk factors: <15mm +
high risk: 5mm +
weakness, fever, eosinophilia, S. America
Trichinella spiralis: improperly cooked pork
Lyme disease: cause, organism, tx
cause: ixodes ticks
organism: spirochete, Borrelia Burgdorferi
tx: penicillin, tetracycline
PIV years
6 months - 6 years; inspiratory stridor
cryptosporidium population
persistent, nonsuppurative diarrhea in immunocompromised pts. (AIDS)and day care epidemics
defect in T-lymphocyte function
fungi, protozoa, acid-fast bacteria, viruses
defect in B-lymphocyte function
after 3 mos age, otitis media, pneumonia, diarrhea and sinusitis (sans fungal and viral infxs)
DiGeorge anomaly
CATCH: Cardiac, Abnormal faces, Thymic hypoplasia, Cleft palate, Hypocalcemia
Wiskott-Aldrich syndrome (5)
increased IgA/IgE,
decreased IgM,
recurrent
middle ear infxs,
lymphopenia, thrombocytopenia
"ampicillin rash"
EBV - mono
injury through a tennis shoe v. bare foot
tennis shoe: pseudomonas
bare foot: Staph
petechiae + <20,000/uL platelet count
ITP
acceptable blood lead levels
<10 ug/dL
Tx. for ITP
IVIG
aniridia + horseshoe kidney
Wilms tumor
fragmented RBCs
DIC; increased levels of fibrin split products
MC nutritional deficiency in children 9-15 mos.
iron deficiency
Erlenmeyer flask appearance of long bones
glucocerebrosidase deficiency (Gauchers)
Most common cause of juvenile hypothyroidism
lymphocytic infiltration of the thyroid gland (Hashimoto's)
MC endogenous cause of Cushings
Bilateral adrenal hyperplasia (exogenous corticosteroids is #1 overall)
"male" Turners syndrome
Noonan
Is congenital adrenal hyperplasia salt-retaining or salt-losing?
salt losing
alkaptonuria
deficiency of homogentisic acid oxidase
children with nutritional rickets: serum calcium levels and phosphate levels?
normal calcium levels and low phosphate levels (PTH = phosphaturia and hypocalciuria
serum concentration of Ca & PO4:
1. vit D resistant rickets
2. pseudohypoparathyroidism
3. osteogenesis imperfecta
4. hypoparathyroidism
1. low PO4, normal Ca
2. high PO4, low Ca
3. normal
4. high PO4, low CA
5 y/o girl with brachydactyly, round facies and short neck
pseudohypoparathyroidism
Obesity, mental retardation, hypogonadism, polydactyly and retinitis pigmentosa with night blindness
Laurence-Moon-Biedl syndrome (night blindness = moon)