12.15.2018

Question 1

Baby with red mark like Gordon?

What about little red moles in old folks?

Answer 1

Superficial hemangioma, or strawberry hemangioma

Cherry hemangioma

Question 2

What is the most common cardiac defect in Down syndrome?

What are some PE findings of this defect?

Answer 2

Atrioventricular septal defect
(An atrial and a ventricular septal defect together!)

Fixed S2, systolic murmur

Question 3

Malnourished boy with rash, cheilosis, seborrheic dermatitis, pale conjunctiva and brittle nails?

Answer 3

Riboflavin deficiency

Question 4

Riboflavin
Source?
Deficiency?

Answer 4

Dairy, eggs, meat, green vegetables.

Cheilosis, stomatitis, glossitis, anemia, seb dermatitis.

Question 5

When do you need to evaluate a pyelonephritis with US?

Answer 5

• <24 months old
• recurrent
• fmhx of Gu dz, Htn, poor growth
• no abx response

Question 6

Why would a young female have irregular heavy periods?

Answer 6

Immature hypo-pit-ovarian axis- leads to anovulation- then heavy irregular bleeding. Estrogen is not there to stabilize endometrium thus…if heavy bleeding- tx is oxygen!

Question 7

Most common cause of congenital hypothyroidism-

Answer 7

Thyroid dysgenesis

Question 8

Elements of Reactive arthritis

Answer 8

1-4 weeks after chlamydial/enteric infxn

Chronic, asymmetric inflammatory arthritis, urethritis
Conjunctivitis
Uveitis

Question 9

Inflammatory, monoarticular, asymmetric, oligoarticular arthritis most commonly involving the knee.

Answer 9

Lyme arthritis