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34 Cards in this Set
- Front
- Back
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when does jaundice secondary to bacterial sepsis/UTI usually appear?
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3rd-7th day of life
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when does physiologic jaundice usually appear?
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2nd-3rd day of life
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what are the (2) common signs in a pt with a pinealoma/germinoma in the rostral midbrain?
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Parinaud's syndrome: paralysis of vertical gaze
Collier's sign: eyelid retraction |
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an infant with cyanosis during feeding relieved by crying has _____
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choanal atresia
(nasal malformation) |
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how do you make the diagnosis of Rheumatic fever (group A streptococcus)?
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Jones criteria:
Joints (Migratory polyarthritis) O [imagine heart-shaped O] (carditis) Nodules (subcutaneous nodules - a form of Aschoff bodies) Erythema marginatum Sydenham's chorea |
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cyanotic infant with left axis deviation
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think tricuspid atresia
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common medical problems in Down's
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duodenal atresia
Hirschsprung's endocardial cusion defect acute leukemias |
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2 year old milestones
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6 blocks
follows 2-step commands 2-3 word phrases |
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what causes chronic granulomatous dz?
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impaired oxidation of pathogens by phagocytes
(mc pneumonia/suppurative adenitis) |
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common signs in children with a leukocyte adhesion defect (3)
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delayed separation of umbilical cord
necrotic periodontal infections leukocytosis |
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what does a child with CF typically present with?
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FTT
hx of steatorrhea vitamin ADEK def - A: dry skin - K: epistaxis |
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3 p's of McCune-Albright syndrome
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precocious puberty
pigmentation (cafe au lait spots) polyostotic fibrous dysplasia |
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what disease in a neonate with respiratry distress and ground glass appearance on CXR?
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hyaline membrane disease
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what are the TORCH infections?
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toxoplasmosis
rubella CMV HSV syphilis |
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the syndrome of a TORCH infections is characterized by (5)
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microcephaly
hepatosplenomegaly deafness chorioretinitis thrombocytopenia |
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mcc of amblyopia "lazy eye" and txt?
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strabismus
(eyes are not properly aligned) txt: occlude the normal eye |
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mcc of communicating hydrocephalus?
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SAH
- accumulation of blood in subarachnoid space - destruction of arachnoid villi/cisterns - block of CSF absorption |
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a hx of respiratory syncytial virus infection increases the risk of _______ later in life
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asthma
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child with back pain, neurologic dysfunction (urinary incontinence) and palpable "step-off" at lumbosacral area
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spondylolisthesis
(usually L5-S1) |
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child with port wine nevus on face, seizures and exophthalmos
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Sturge-Weber syndrome
(cerebral lesions histologically similar to facial lesions) |
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what is slipped capital femoral epiphysis (SCFE)
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failure of the growth plate between femoral neck and femoral head -> displacement
mild: 30% -> (crutches) moderate: 30-60% -> (sugery) severe: >60% (sugery) |
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nodular swellings in the irises of patients with neurofibromatosis are _____
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hamartomas
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pathological murmur qualities (7)
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SOB/CP/syncope
grade 3+ abnl S2 pansystolic murmur murmur loudest at L sternal border absent/diminished femoral pulse murmur unchanged w/ position |
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benign murmur qualities (6)
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asymptomatic pt
grade 2 or less nl S2 no clicks nl pulses no other abnormalities |
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characteristics of a child with fetal alcohol syndrome (6)
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irritability
mental retardation hypoplastic maxilla long philtrum thin upper lip microcephaly |
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what do you give to keep the ductus arteriosus patency?
in what abnormalities? |
prostaglandin E1 infusion
pulmonary atresia tricuspid atresia tetrology of Fallot |
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what is the pathology and characteristics (4) of homocystinuria?
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auto recessive dz caused by cystathionine synthase deficiency
marfan features mental retardation thromboembolic events downward dislocation of the lens |
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what does APGAR stand for?
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appearance (color)
pulse (HR) grimace (to nasal stimulation) activity (tone) respirations (each scored 0-2 at 0 and 5 minutes of life) |
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APGAR scoring for appearance (color)
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0 - blue/pale everywhere
1 - pink body, blue extremities 2 - pink everywhere |
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APGAR scoring for pulse (HR)
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0 - no HR
1 - <100bpm 2 - >100bpm |
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APGAR scoring for grimace (to nasal stimulation)
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0 - no response to stimulation
1 - grimace 2 - active cough |
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APGAR scoring for activity (tone)
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0 - limp
1 - some flexion 2 - active flexion |
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APGAR scoring for respirations
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0 - absent
1 - slow and irregular 2 - good effort |
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how old is an infant?
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<12 months
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