261 p.210 Flashcards
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Becker muscular dystrophy (BMD), is a mild form of (autosomal recessive) / (X-linked) muscle dystrophy with late onset.
X-linked
Which one can leave you on a wheel chair: Becker muscular dystrophy or Duchenne muscular dystrophy?
Duchenne muscular dystrophy.
by the age of 7
Becker es Bueno. Duchenne, un Diablo!
in a cyanotic infant, The X-ray shows cardiomegaly at expense of the right heart and the classic finding of “snowman in a storm,”
which guides you to the Dx of
Total Anomalous Pulmonary Venous Return
A total snow disaster
What do Tricuspid Atresia and Tetralogy of Fallot have in common?
boot-shaped heart with normal size for ToF
and normal or slightly
enlarged size for TA
What is the clinical difference between Tricuspid Atresia and Tetralogy of Fallot ?
and in ECG
Tricuspid Atresia (choice B) will show a single S2 with a systolic regurgitation murmur
Right axis deviation
Tetralogy of Fallot (choice A) will have a loud systolic ejection murmur at the left midsternal
border and left upper sternal border, and a loud, single S2.
a superior axis deviation
The high spontaneous recovery rate (80-90%) of acute otitis media may warrant watchful
waiting for ___ ____before starting antibiotic therapy
48-72 hours
What antibiotic would you use to treat an acute otitis media ? and dose
1 & 2nd line.
Treat with amoxicillin 80 mg/kg/d for 7 days.
Amoxicillin-clavulanate (choice B) is often reserved as second-line treatment or in cases where there has been recent antibiotic use in the last three months.
This disease is a stress reaction of the insertion of the patella tendon into the tibia tubercle. How is it called?
Osgood-Schlatter disease
Osgood-Schlatter disease cxfx
a young teenager who is quite active in sports will
complain of pain and swelling over the tibial tubercle. The condition may be unilateral or bilateral.
Osgood-Schlatter Tx
limiting the offending sports activity is usually sufficient to relieve the symptoms. Kneeling and squatting should be limited.
Physical therapy is occasionally used if there is unusual hamstring tightness.
Osgood-Schlatter age of onset
10 and 15 years of age.
and most importantly: almost never seen in adults!
This two viruses infections cause seasonal
lower respiratory tract disease, particularly in infants and young children.
Respiratory syncytial virus (RSV) and human metapneumovirus
the most common cause of pneumonia in children age 4 months to 4 years is :
Respiratory syncytial
virus
The most common cause of pneumonia in children ages 5 - 15 is
Mycoplasma pneumoniae
