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12 Cards in this Set
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10 months old hyphema + esotropia white reflex dx |
retinoblastoma |
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2yo has 2week history of irritability, poor appetite, occasional cough, and reluctance to walk. Has had 2kg weight loss since her last exam 6mo ago. No history of reuccrent respiratory illness, constipation, vomiting, or diarrhea. Appears uncomfortable and quiet. 7th%ile for height and 25%ile for weight. Temp = 100.2, Pulse: 140, RR: 24, and BP: 145/100. Bluish discoloration under both eyelids. Cardiac and abdominal exam normal. Labs:Hgb: 10.5Leukocyte: 8300 (Neu: 40%, Lymph: 55%)Plate: 240,000Lateral x-ray of chest shows mass in posterior mediastnum. Diagnosis? |
neuroblastoma |
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9 yr old with bowing of her right leg - right knee bowed outwad on walking. X ray of pt standing shows collapse of the medial aspect of the metaphysis of the proximal tibia |
tibia vara "blount dx" - clues for pathologic bowed legs: 1) > 3 yrs age 2) asymmetric unilateral 3) lateral knee thrust 4) progressive |
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Previously healthy 2yo boy presents with acute fever and inspiratory stridor. Has had rhinorrhea for the last day. Symptoms improve "when mom took him outside to come to the emergency department" [no idea what that is supposed to mean]. Immunizations UTD, exam significant for retractions and stridor, nothing else. A) Alveolar atelectasis B) Edema of the epiglottis C) Narrowing of moderate-sized airways D) Pulmonary parenchymal inflammation E) Subglottic edema |
E) Subglottic edema (this is croup)- barking cough hoarsness too |
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Absent cremasteric reflex is very specific to |
torsion of testicle even torsion of testicular appendix "blue dot" , will not cause loss of cremasteric reflex |
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1. 11-year old girl brought in for well-child. Mom worried about daughter's early puberty. Says daughter began breast development at 9, and first pubic hair at 9.5 years, and menarche 2 days ago. She is Tanner stage 4. Exam shows no abnormalities. Most likely diagnosis?a) Adrenocortical tumorb) Idiopathic precocious puberty (chose this, was wrong)c) Pituitary tumord) True precocious pubertye) Normal development. |
yup, normal development. Puberty onset <8 in girls is abnormal. Started with thelarche --> adrenarche--> menarche is normal too. |
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caustic material ingestion BNS |
1. Airways 2. decontaminate 3. CXR if respiratory sx "stridor" 4. endoscopy within 24 hrs |
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child with still disease,, BNS is starting naproxen AND ... |
Slit lamp test |
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4 mo female brought for exam. spent few months in hospital, where she was treated for sepsis and respiratory distress syndrome. currently receiving oxygen and diuretic therapy. 5th percentile for length and wight, fever, pulse 104, respirations 32/min, BP of 115/67 in right arm and 105/67 in left arm. breath sounds decreased bilaterally, wheezing heard occasionally. pronounced s2 and precordial heave. hepatomegaly on abdominal exam. ecg shows right axis deviation and right ventricular hypertrophy. normal sized kidneys on ultrasound. cause of increased BP? bronchopulmonary dysplasia coartation of aorta essential HTN Pheochromocytoma Renal artery thrombosis |
bronchopulmonary dysplasia |
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15 month old girl has a 1 day history of rash and fever for the last 3 days. She got the MMR 10 days ago. No acute distress, temp is 101.2 F. She has an erythematous maculopapular rash over the face, trunk, and extremities. Which of the following is the most likely explanation for these findings? A) arthus reaction from preexisting antibody to rubella virus B) delayed type hypersensitivity reaction to rubella antigen C) immune complex disease from vaccine preservatives D) replication of a live vaccine virus strain E) viral dissemination in an immunocompromised host |
D |
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7 month old brought to ER 35 min after seizure onset. Jerking mvts began in left arm the to right arm and both legs. Cyanotic. Temp 39.7, pulse 160, resp 30, BP 90/60. upward deviation of eyes. generalized rigidity and hyperextension of neck, back, all extremities. Clonic jerking mvts. oxygen administered. next step? A. acetaminophen B. diazepam C. Glucose D. Naloxone E. Thiamine |
diazepam Treatment for prolonged seizures usually involves giving an anti-seizure medication and monitoring the child's heart rate, blood pressure, and breathing. If the seizure stops on its own, anti-seizure medication is not required. After a simple febrile seizure, most children do not need to stay in the hospital unless the seizure was caused by a serious infection requiring treatment in the hospital.After the seizure has stopped, treatment for the fever is started, usually by giving oral or rectal acetaminophen or ibuprofen and sometimes by sponging with room temperature (not cold) water. |
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18 mo old with fever, painful swelling of left knee. anemia, leukopenia, thrombocytopenia, combs test +, protein in urine |
SLE |
