Diseases Flashcards
What antigen is associated with dermatomyositis
HLA Ag DQA1 *0501
Organisms implicated in dermatomyositis
Enterovirus (coxsackievirus b)
GABHS
Periorbital violaceous (heliotropic) erythema crossing the nose bridge
Dermatomyositis
Severe prognostic sign of dermatomyositis
Dysphagia
+ ANA with speckled pattern
Dermatomyositis
Localizes the active site of disease in dermatomyositis
MRI
Indicates immunologic activation in dermatomyositis
Cd19+ B cells
Indicators of inflammation: vWf Ag, neopterin, Cd19+ B cells
A chronic disease characterized by fibrosis affecting the dermis and arteries of the lungs, kidney and GIT
Scleroderma
Earliest manifestation of scleroderma
Raynaud phenomenon
CREST Syndrome
Calcinosis, raynaud phenomenon, esophageal involvement, sclerosis of skin, telangiectasia
Laboratory finding strongly suggestive of scleroderma
+ anti scl 70
Fever of kawasaki disease
Fever lasting for at least 5 days
Lymphadenopathy of Kawasaki dse
Cervical lymphadenopathy > 1.5 cm usually unilateral
Rash of kawasaki dse
Primarily truncal, polymorphous but nonvesical
Cause of kawasaki disease
Unknown
IgA mediated vasculitis of small vessels
HSP
Organs primarily affected in HSP
Skin, GIT, kidneys
Mcc of nonthrombocytopenic purpura in children
HSP
Hallmark rash of HSP
Palpable petechiae or purpura, evolve from red to brown, last from 3-10 days
Skin biopsy: leukocytoclastic angiitis
HSP
Renal biospy finding in HSP
IgA mesangial deposition
Most common of the pediatric inflammatory myopathies
Dermatomyositis
Diagnosis for TEF
Inability to pass an NGT or OGT in the nb
Most common type of EA
Type A
Most common esophageal disorder of all ages
GERD
Foreign body in the esophagus 6mos-3yrs
Coins
In asymptomatic px, blunt objects may be observed up to how many hours
Up to 24 hours
Liquid alkali
Liquefactive necrosis
Acidic agents
Coagulation necrosis
Bilious vomiting
High intestinal obstruction
Feculent emesis
Low intestinal obstruction
Ground glass appearance in the RLQ with trapped air bubbles seen in meconium ileus
Intestinal obstruction (meconium ileus)
Mcc of nonbilious vomiting
Pyloric stenosis (whites>asians, m>f)
Metabolic derangement in pyloric stenosis
Hypochloremic metabolic alkalosis
Pyloric stenosis (pe findings/dx)
Firm, movable, olive shaped mass; visible peristaltic wave after feeding
Surgical procedure fir pyloric stenosis
Ramstedt pyloromyotomy
Barium: elongated pyloric channel, a bulge of the pyloric muscle into the antrum
Shoulder sign (pyloric stenosis)
Streaks of barium in the narrowed channel
Double tract sign (pyloric stenosis)