Combank 2 Flashcards
3 things that are helpful to treat osgood Schlage disease?
PT, ice and NSAIDS.
What two cranial nerves have a problem when infants have problems feeding and suckling?
9 and 12
What are 2 ways to treat spondylolithesis?
Immobilization and orthotic bracing
At what age does duchenne muscular dystrophy present? 3 presenting signs at that time?
3-5
Waddling gait, inability to run or climb stairs, and increased incidence of falls
2 clinical signs with clavicle fracture due to birth trauma due to macrosomia and shoulder dystocia?
Absent motor flex on the affected side and spasm of the ipsilateral SCM
How does neonatal hypoglycemia present and how do we treat it?
Hypotonic, jittery, lethargy, poor feeding and seizures.
Dextrose
How will a child be holding his arm with a subluxation of the radial head?
Slightly flexed position at the elbow and pressed up against his body.
Serum sickness like reaction may develop following what 3 things?
Infections, vaccinations, and medications.
3 medications commonly causing serum sickness?
Penicillin, amoxicillin, and TMP-SMX.
What type of hypersensitivity is serum sickness?
Type 3 vasculitis
3 clinical symptoms of serum sickness?
When does it usually present?
Fever, rash, joint pain or inflammation
6-12 days after exposure
How does slipped capital femoral epiphysis commonly present?
Painful limp and inability to bear weight in an overweight 11-13 year old boy
What is the final position of the kids arm when reducing a dislocated radial head?
Fully flex with supination
What is the enzyme not working in maple syrup urine disorder and what is built up because of it?
Alpha ketoacid dehydrogenase
Branched chain amino acids and ketoacids
3 clinical signs of Maple Syrup Urine Disorder?
Neuro problems, acidosis, and sweet smelling urine
What medicine treats enterobius vermicularis?
Albendazole
What med to treat onchocerco volvulus?
Ivermectin
Penicillamine chelates what?
EDTA chelates what?
Dimercaprol chelates what?
Deferoxamine chelates what?
Copper
Lead
Arsenic, mercury, and lead
Iron
What is the most common cause of bladder outlet obstruction in males And what is the mechanism of the problem?
Posterior urethral valves
Wolffian ducts fail to integrate into the posterior urethra
How are posterior urethral valves diagnosed prenatally and what are three findings?
US
Bilateral hydronephrosis
Thickened bladder wall
Dilated posterior urethra
If not diagnosed prenatally, what are 4 presenting signs of baby and how is it diagnosed?
Respiratory problems, renal failure, abdominal distension, problems voiding.
What is a spermatocele?
Cyst in teenage boys with sperm that is smooth, mobile and superior and posterior to the testis
Musty or mouser urine smell, what are we thinking?
PKU
What is the major clinical manifestation in the symptomatic patient with Hartnup and why?
Cutaneous photosensitivity because of a lack of tryptophan to make niacin
