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10 Cards in this Set
- Front
- Back
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Key History -
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Severity
duration associated localizing Sxs appetite rash sick contacts day care immunizations past history |
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Key PE -
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VS
HEENT neck heart lung abdominal skin exams (only mom present to tell Hx) |
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20 day old M
presents with fever, decreased breast-feeding and lethargy. He was born at 36 weeks due to premature ROM. What is Differential? |
Neonatal sepsis
meningitis pneumonia UTI |
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20 day old M
presents with fever, decreased breast-feeding and lethargy. He was born at 36 weeks due to premature ROM. What is Workup? |
PE
CBC, electrolytes UA UC BC CXR LP |
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3 y/o M
presents with a 2-day h/o fever and pulling on his right ear. He is otherwise healthy and immunizations are up-to-date. His older sister recently had a cold. The child attends day care. What is Differential? |
Acute otitis media
URI meningitis UTI |
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3 y/o M
presents with a 2-day h/o fever and pulling on his right ear. He is otherwise healthy and immunizations are up-to-date. His older sister recently had a cold. The child attends day care. What is Workup? |
PE -
including pneumatic otoscopy CBC UA |
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12 month old M
presents with fever for the last 2 days accompanied by a maculopapular rash on his face and body. He has not yet received the MMR vaccine. What is Differential? |
Measles
(or other viral exanthem) rubella roseola fifth disease varicella scarlet fever meningitis |
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12 month old M
presents with fever for the last 2 days accompanied by a maculopapular rash on his face and body. He has not yet received the MMR vaccine. What is Workup? |
PE
CBC viral antibodies/titers throat swab for Cx LP |
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4 y/o M
presents with diarrhea, vomiting, lethargy, weakness and fever. The child attends a day care center where several children have had similar Sxs. What is Differential? |
Gastroenteritis
food poisoning UTI URI volvulus intussusception |
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4 y/o M
presents with diarrhea, vomiting, lethargy, weakness and fever. The child attends a day care center where several children have had similar Sxs. What is Workup? |
PE
stool exam and culture CBC electrolytes UA, UC AXR |
