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17 Cards in this Set
- Front
- Back
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patient starts with macules and papules that progress into non-blanching papules on the legs and buttocks. What does this child likely have?
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Henoch-Schönlein Purpura (vasculitis)
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do HSP patients have petechiae? what about their platelet level?
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have petechiae or echymoses but normal platelets
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Henoch-Schönlein Purpura tends to affect what?
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Systemic involvement (80% of cases) occurs in kidneys, GI tract, and joints
vasculitis |
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a patient is peeing and pooping blood. they have edema and hemorrhage of the bowel wall. This patient has?
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Henoch-Schönlein Purpura (vasculitis)
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A 5 year old boy is brought to the ER with abdominal pain and rash. When you examine him you note palpable, non-blanching purpura and petechiae on his lower extremities and buttocks. His knees are slightly swollen and his abdomen is diffusely tender. What you might you expect to find when the lab results are ready?
Thrombocytopenia Hematuria Macrocytic anemia Microcytic anemia |
Hematuria
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you give a patient amoxicillin and later the patient develops fever, they are covered in hives (urticarial), arthritis, and periarticular swelling. What happened?
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Serum Sickness-Like Reaction
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Urticarial wheals occurred 2 weeks after exposure to cefaclor. What did this patient have?
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Serum sickness-like reaction (SSLR)
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what is Kawasaki Disease? Age? When do you diagnose it?
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Vasculitis of the coronary arteries, small and medium sized blood vessels
Generally in children less than 5yo Difficult to diagnose, and should be considered in any infant with prolonged, unexplained fever. |
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if you see 5+ days of fever, non-exudative conjuctivitis (pink eye with no pus), swollen feet, oral mucous membrane changes, polymorphous rash, and Cervical lymphadenopathy
what do they have? |
Kawasaki Disease
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Fever for 5+ days start thinking?
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Kawasaki Disease
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what is a polymorphous rash?
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hot mess rash, hard to really pick out one thing about it
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you have a patient with Lip hyperemia with crusting and fissures and Nonexudative, bulbar conjunctival injection
what do they have? |
Kawasaki Disease
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what is the most serious complication of Kawasaki Disease
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cardiac problems
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Dilitation or aneurysms of the coronary arteries can be seen in? what can we use to treat this?
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Kawasaki Disease
IVIG and asprin |
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A 10 year old girl is seen because of urticaria. The parents believe she has no exposures or allergies. On exam you note an ill appearing child with fever and diffuse hives all over her body. Her knees and ankles are swollen and warm. One week ago she completed a course of amoxicillin for group A strep pharyngitis. What is this illness?
Kawasaki disease Serum sickness-like reaction Henoch schonlein purpura Erythema multiforme |
Serum sickness-like reaction
(HSP would have turned into petichae) |
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Which symptom should be present to diagnose classic Kawasaki disease?
Non-purulent conjunctivitis Lymphadenopathy >1.5cm Oral mucous membrane involvement Fever for 5+ days |
Fever for 5+ days
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Serum sickness results in…
Formation of IgE Ab leading to release of vasoactive amines IgM or IgG Abs directed toward antigens present on the surfaces of cells Antigen-antibody complexes in the circulation which deposit in tissues Accumulation of mononuclear cells around small veins and venules which? |
Antigen-antibody complexes in the circulation which deposit in tissues
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