Medstudy wrong answer Flashcards
What is a heinz body?
It is precipitated hemoglobin damaged by oxidative stress
think of G6PD
What to treat dystonic reactions with?
Diphenhydramine or Benzotropine
What is BECTS
benign epilepsy with central temporal spikes
onset between 3 and 13 years old
simple partial seizure with facial numbness or twitching and guttural vocalizations, drooling and dysphasia
often occur during sleep or soon after awakening
congenital fused vertebrae with a short neck syndrome
Kippel Feil
familial mediterranean fever symptoms
at least 3 recurrent episodes of fever, abdominal pain, chest pain , arthritis and a family history of the disorder.
Symptoms last 24-96 hours
cyclic neutropenia
ANC <500 every 21 days, with episodes of 3 -10 days involving fever, malaise, lymphadenopathy and aphthous ulcers
What clotting factor will still be produced if the problem is from liver failure?
factor 8
factors effect by vit K deficiency
2,7,9, 10 protein C and protein S
when does the moro reflex disappear
4 to 6 months
Osteochondritis dissecans
focal area of subcondral bone undergoes necrosis. As the necrotic bone is reabsorbed the cartilage loses its supporting structure and often allows a bony fragment to be displaced into the joint space.
lead to knee pain worse with activity, and can become stiff after periods of disuse. Common complaints include a sensation of the knee giving way and INABILITY TO FULLY EXTEND THE EXTREMITY. On exam internally rotating the tibia with the knee flexed to 90 followed by careful extension produces pain (Wilson sign)
premature thelarche labs for a female
Bone age, estradiol, FSH/LM
FSH should be predominant in a pre-pubertal female
botulism vs SMA symptoms
In botulism, infants lose their pupillary light response (SMA doesn’t)
both have hypotonia, and decreased reflexes
friedreich’s ataxia
presents between 5 and 15 years old
starts with muscle weakness and clumsiness
cardiomyopathy, high arched feet, scoliosis, DM, stiff ankles, absent tendon reflexes
Ataxia teleangeiectasia
usually presents BEFORE 5 years old
telangiectasias can be later
ataxia, immune systems problems, chorea, myoclonus
Finding suggestive of anomalous left coronary from the pulmonary artery
3 month old, with CHF symptoms and deep Q waves in leads in the inferior leads (ii, iii, and AVF)
