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EOR PEDS > Derm MSK Heme > Flashcards

Derm MSK Heme Flashcards

1
Q

lateral curvature of the spine

A

scoliosis

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2
Q

When is scoliois treated

A

Cobb angle >20 degrees

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3
Q

annular ligament dislocated

A

nursemaid’s elbow

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4
Q

4 y/o F holding wrist with elbow pronated, no swelling or ecchymosis with hx of playing on monkey bars on playground

A

nursemaids elbow

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5
Q

tx nursemaids elbow

A

fully supinate then flex forearm vs hand shaking technique

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6
Q

14 y/o M with chronic intermittent pain over anterior aspect of knee. Participates in track during the fall and basketball in the winter. On exam there is soft tissue swelling over tubercle
dx
tx

A

Osgood-Schlatter’s disease

tx- rest, temporary activity avoidance, NSAIDS, ICE, PT , flexibility

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7
Q

14 y/o obese AAM with hip pain and associated limp

xray shows widineing of physis

A

SCFE

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8
Q

tx SCFE

A

immediate non-wt bearing

urgent ortho referral- ORIF

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9
Q

what is Legg- Calve Perthes Dis

A

idiopathic ischemia leads to avascular necrosis of the femoral head

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10
Q

Insidious onset of hip pain in limp in 7 y/o M. On exam hip has decreased internal rotation.
Xray shows small size ossific nucleus of the femoral head
dx
tx

A

Legg-Calve-Perthes Disease

Nonwt bearing, ortho consult

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11
Q

Oligoarticular JIA

A

<= 4 joints
often med to large joints
`uveitis

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12
Q

Polyarticular JIA

A

> =5 joints
large and small joints
~low grade fever, fatigue, rheumatoid nodules
more chronic and destructive

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13
Q

Systemic JIA

A

classically high fever 39-40C 1-2 times per day
90% rash when fever present
any # of joints affected

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14
Q

Enthesitis JIA

A

Males >10 MC LE joints

hallmark: inflamm of tendon insertions (tibial or heel)

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15
Q

TX JIA

A

1st line NSAIDs- naproxen, ibruprofen, meloxicam

2nd line- methotrexate low dose

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16
Q

RF for congenital hip dysplasia

A

Fhx, Breech presentation, F>M
W>AA Csection LGA
1st born status ligamentous laxity

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17
Q

What test detects a dislocated hip?

A

Ortolani- hips abducted- feel reducing back into acetabulum

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18
Q

What test detects unstable hips?

A

Barlow- adduction, “pistoning”

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19
Q

Tx congenital hip dysplasia

A

<6m- Pavlik harness
6-12m- manipulation and spica cast
1-2yrs- Open reduction

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20
Q

MC joint injury

A

inversion sprain of ankle
laterla ligament— primarily ATF
-anterior talofibular band

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21
Q

M with hx of gastroenteritis now with stomatitis and conjunctivitis. Right knee sore and swollen
dx
tx

A

aspiration sterile
Reactive Arthritis
TOC: NSAIDs

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22
Q

13y/o M with mass and pain in forearm. Xray shows a “sun ray” and triangle

A

Osteosarcoma

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23
Q

12 M with bone pain. xray demonstrating “onion peel”

A

Ewing sarcoma

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24
Q

a burn without pain is atleast what degree?

A

3rd

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25
Q

partial thickness burns are what degree?

A

2nd

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26
Q

Drugs commonly associated with TEN/SJS

A 
Sulfa
Alloprunol
Tetracyclines
Anticonvulsants
NSAIDs

+PCN, cephalosporins, quinolones

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27
Q

Difference between SJS and TEN

A

SJS 30 BSA

28
Q

cause of erysipelas

29
Q

Golden honey crusted lesions around nose and mouth
dx
tx

A

Impetigo
Bacitracin ointment
most require PO abs- Cephalexin, Doxy

30
Q

Sudden onset fever, HA, and myalgia with sore throat with petechia and papules on soft palate that ulcerate

A

Herpangina

-coxsackie virus

31
Q

stomatitis with a vesicular rash on hands and feet

A

Hand, Foot, & Mouth

-coxsackie virus

32
Q

3y/o F with fever, rhinitis, and malaise that presents with irreg “table salt crystals” on her mucous membranes and a brick red maculopapular rash that began on her face and proceeded downward and outward. Affects palms and soles

A

Measles

aka- Rubeola

33
Q

“slapped cheek”

A

Erythema Infectiosum

parvo virus B19

34
Q

1-5 days prodrome fever, malaise, HA, sore throat

now with irreg pink papules on face that spread in a centrifugal distribution to trunk and arms

A

Rubella virus

aka German measles, Third Disease

35
Q

roseola caused by

36
Q

4 days of abrupt onset fever in otherwise mildly ill child. Fever ceases and rash abruptly appears. Morbiliform rose lesions most prominent on neck and truck

A

Roseola Infantum

37
Q

dome shaped waxy papules that are umbilicated

A

molluscum contagiosum

-poxvirus

38
Q

herald patch and Christmas tree distribution

A

pityriasis rosea

39
Q

17yo F with purple polygonal papules on lumbar region and scalp. Mildly pruritic.
dx
tx

A

Lichen Planus

topical or intralesional steroids- triamocinolone ointment

40
Q

Pruritic erythematous papules that coalesce into plaques with scaling

A

atopic dermatitis= eczema

41
Q

atopic dermatitis MC where on PEDs?

A

cheeks, forehead, extensor surfaces

42
Q

TOC eczema

A

topical steroids- bethamethasone

43
Q

scaly greasy looking non-pruritic rash along scalp and beard

A

seborrheic dermatitis

tx antidandruff shampoo and hydrocortisone cream

44
Q

tx cradle cap

A

1% ketoconazole shampoo and emollients

45
Q

tapioca vesicles on thenar eminences and sides of fingers

A

dyshidrotic eczema/ vesiculobullous hand eczema

tx keep dry, white cotton gloves, topical glucocorticoid

46
Q

male tx for androgenetic alopecia

A

finasteride or topical mioxidil

47
Q

female tx for androgenetic alopecia

A

spironolactone

48
Q

yellowing and thickening of nail bed

A

onychomycosis- tinea unguium

PO friseofulvin or terbinatine

49
Q

lice tx

A

OTC 1% permethrin

Rx malathion

50
Q

Tx scabies

A 
Permethrin cream 5%
PO ivermectin (not FDA approved)
51
Q

tx RMSF

A

doxycycline

52
Q

what labs point to hemolytic anemia

A

HCT >3% decrease per week
reticulocytosis
~ Increased serum LD

53
Q

reddish brown urine in a.m

sxs thrombosis

A

Paroxysmal nocturnal hemoglobinuria

54
Q

Heinz bodies

55
Q

hyperchromic microcytic anemia

with reticulocytosis and spherocytes on peripheral

A

hereditary spherocytosis

56
Q

pruritius following warm shower

A

polycythemia vera

57
Q

how to confirm polycythemia vera

A

JAK2 mutation screening

58
Q

TTP dx

59
Q

TMA pentad

A 
microangiopathic hemolytic anemia
thrombocytopenia
fever
renal insuff
neuro abnl
60
Q

Philadelphia chromosome

61
Q

isolated lymphocytosis and smudge cells

62
Q

auer rods

hypercellular with blasts

63
Q

cells expressing terminal deoxynuceleotidly transferase

64
Q

painless LAN with Bsymptoms

A

MC non-Hodgkin

65
Q

painless LAN following EtOH

Reed Sternberg cells

A

Hodgkin Lymphoma

66
Q

Bence jones proteins in urine

A

multiple myeloma

67
Q

pathologic fx with punched out lytic lesions

A

multiple myeloma

EOR PEDS (4 decks)

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