4/19

Question 1

Langerhans cell hisiocytosis clinical findings, dx, tx

Answer 1

lytic bone lesions skull, jaw, femur
skin lesions or eczematous rash
lymphadenopathy
hepatosplenomegaly
pulmonary cysts
central DI
DX: Langerhans cells on bone/skin
polyuria 
HypernatremiaRube
TX: prednisone and vinblastine
desmopressin for central DI

Question 2

Rubella presentation kid/teens

Answer 2

Fever, cephalocaudal maculopapular rash

Question 3

what is cradle cap

Answer 3

seborrheic dermatitis

Question 4

hot 🥔 voice in kid with all vaccines

Answer 4

retropharyngeal abbess

Question 5

what ekg finding is specific for pericardial effusion

Answer 5

electrical alternanes

Question 6

What can commonly be heard acute phase MI

Answer 6

4th heard sound (gallop)-stiffening and dysfunction from ischemia

Question 7

primary ovarian insufficiency findings

Answer 7

amenorrhea <40
hypo estrogen sx
increased fish
decreased estrogen

Question 8

tx for asymmetric bartholin duct cyst

Answer 8

nothing

Question 9

♥️ condition baby has if mom has lupus

Answer 9

av block will show bradycardia with minimal variability can become hydros fetalis

Question 10

what causes elevated afp besides neural tube defects

Answer 10

omphalocele, gastroschisis

multiple gestations

Question 11

pre prom risk factor

Answer 11

polyhydramnios, like from a TE fistula

Question 12

tuberous sclerosis inheritance

Answer 12

AD

Question 13

what Benz for alcoholics with liver failure

Answer 13

lorazepam

chlordiazepoxide has a longer half life and builds up in the liver

Question 14

Qutiapine receptors

Answer 14

D2 5-HT2