COMQUEST 6 Flashcards
most common childhood abdominal malignancy
Wilm’s tumor
how does Wilm’s tumor present?
asymptomatic, unilateral abdominal mass incidentally found by a caregiver. child may also present with HTN, aniridia, and hemihypertrophy.
name complications that may be seen in SGA babies at birth
hypoglycemia, polycythemia, and perinatal asphyxia (placental insufficiency)
picture of a young kid with undiagnosed CF
recurrent PNA, chronic sinusitis, GI malabsorption, failure to thrive, infertility (no vas deferens)
signs and sx of ASA sensitivity
nasal polyposis, asthma, and ASA sensitivity
kid with immunizations, presenting like epiglottiitis, with full posterior pharynx
retropharyngeal abscess
two vessel cord/single umbilical artery is _______ in absence of concerning history or US
benign, reassure parents
describe a “Still’s murmur”
benign murmur in healthy child. soft systolic murmur, less than 3/6, louder when supine, disappears when upright. “vibratory” or “musical”.
5-10 yr child with a recent URI who has developed a limp
toxic/transient synovitis. normal labs.
which type of local anesthetic can cause methemoglobinemia?
topical benzocaine
signs of methemoglobinemia
cyanosis unresponsive to oxygen with chocolate brown blood
treatment for baby born to mom whose TB skin test was + (active disease), but is not contagious at birth
begin prophylactic isoniazid therapy for baby
pt in 1st year of life develops sudden, rapid clusters of tonic contractions of trunk and limb musculature, most often before bed or after waking up
infantil spasms
what are infantile spams associated with, and what test is used to identify it?
tuberous sclerosis, Wood’s lamp
treatment of choice for baby born with low apgar scores
positive pressure ventilation
recurrent, painless, unilateral nodule found in the middle of the upper eyelid
chalazion
mom is given narcotic for pain control (meperidine) close to delivery. what sx will baby have?
infant respiratory depression
therapy for neonates with narcotic respiratory depression?
maintained on non-invasive oxygenation/ventilation
what do you give a neonate whose mother is Hep B surface Ag positive (same with hep B e antigen)?
Hep B vaccine and Hep B Ig
single patch/rash that resembles tinea on trunk that 10 days later spreads to spots across trunk and limbs. looks like a christmas tree.
pityriasis rosea
pityriasis rosea presents similarly to which STD?
syphillis; in sexually active person get RPR before providing reassurance
atopic dermatitis turned to really weepy skin infection with signs of sepsis
atopic dermatitis with secondary bacterial/staph/herpes superinfection tx: parenteral abx
first step in dx ankylosing spondylitis?
plain x-ray/radiographs of the spine
kid develops high fever, but seems to be fine otherwise (maybe a febrile seizure). 2-3 days into illness, fever goes away, and sudden on set of widespread morbilliform rash occurs.
roseola/roseola infantum
children with acquired/congenital/functional asplenia (sickle cell) need which vaccine starting when?
pneumococcal 23 starting at 2 years of age
children with acquired/congenital/functional asplenia (sickle cell) are at risk for what organisms?
encapsulated: strep pneumo, H flu, n meningiditis, e coli, staph a
what is Rett syndrome?
x-linked dominant; girls by 6 months of age have hypotonia, developmental delays, wringing of hands, worsening hypotonia as they get older
developmental delay in a girl with characteristic hand wringing
Rett syndrome
what is the most common cause of nephrotic syndrome in kids?
- minimal change disease
- heavy proteinuria (>3+)
- edema (first periorbital–>then legs)
- hypo-albuminemia
- elevated urine protein:creatinine ratio
- may be preceded by a URI, bee sting, or drug reaction
how do you diagnose Minimal Change Disease?
renal biopsy and electron microscopy (loss of foot processes not seen on light microscopy)
treatment for minimal change disease
steroids
what is Blount disease?
a condition of leg-bowing caused by overgrowth of the medial proximal tibial epiphysis with characteristic “beaking” on examination and readiographic evaluation
- look for:
- african american
- obese female
- age 1-3 years
adolescent kid who is not sexually active has bleeding between glans and foreskin. what happened?
trauma from masturbation, parental reassurance
medical term for sleep walking
sonambulism