Day 3 Flashcards
what abx for UTI in kids?
cefixime
what is rx of acute stress disorder?
CBT
what is duration of acute stress disorder?
3 days to 1 month
what is rx for pseudoe gout?
intraarticular steroids, colchicine and NSAIDs
what type of gout comes on with overuse?
psueodgout
two treatments for OCD?
SSRI and CBT
young girl with ovarian mass and precocious puberty likely has what tumor?
granulosa cell tumor
granulosa cell tumors produce what?
estradiol and inhibin
what is histology of granulosa cell tumor?
call exner body
what are clinical features of granulosa cell tumor?
precocious puberty, AUB, breast tenderness and post meno bleeding
what is genotype of androgen insensitivity syndrome?
46 XY
what sex organs does androgen insensitivity syndrome have/
phenotypically female but without female internal organs, will have cryptorchid testis
paravertebral mass in a kid
neuroblastoma
what is treatment of anti cholinergic toxicity?
physostigmine
what are signs of anti cholinergic toxicity?
confusion, hallucination, tachycardia, tachypnea, dilated pupils, dry mucus membranes
what should ED do for patient with chemical burn to eye?
wash with saline profusely
what is rx of minimal change disease/
steroids
what is pathophys of minimal change disease?
t cell mediated cytokine release that leads to podocyte effacement
postdural puncture headache is treated how?
will resolve on own, but if not can give dural blood patch
describe character of syphillis bump?
single ulcer with indurated borders and non purulent base
what is characteristic finding of lymphogranuloma venerum?
small shallow ulcers that turn into painful buboes
what are four cardinal findings of strep throat?
fever sore throat anterior cervical lymphadenopathy and tonsillar exudated
gray vesicles/ulcers in childs oropharynx, should make you think of what? what causes this?
herpangina…coxsackievirus
what is herpetic gingivostomatitis?
herpes in the mouth…which causes vesicles and pain and fever