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