Missed topics Flashcards
Risk factors for Kawasaki disease?
children < 5
Male
Asian
S/S of Kawasaki disease?
WARM CREAM
fever > 5 days + 4/5
conjunctivitis
rash
extremity changes
adenopathy
mucosititis - strawberry tongue
Kawasaki labs show what?
increased WBC, platelet count, anemia, ESR/CRP
EKG/ECHO
Kawasaki treatment?
IV immunoglobulins + aspirin
Complications of Kawasaki disease?
coronary artery aneurysm
Pityriasis Rosea is what?
HSV 6 + 7
Pityriasis Rosea S/S?
Christmas tree pattern rash
heralds patch
pruritic
Pityriasis Rosea Dx? Tx?
Dx: clinical
Tx: self limiting, steroids
Tinea capiti s/s?
patches of alopecia w/ black dots
scaly patches w/ alopecia
Tinea capitis tx?
oral guiseofolvin
MC dermatitis bacteria?
Staph A
What is the atopic triad?
Dermatitis + asthma + allergic rhinitis
Dermatitis tx?
topical corticosteroids
untreated congenital hypothyroidism and autoimmune thyroid cell destruction?
hashimotos thyroiditis
hashimotos thyroiditis S/S?
fatigue, cold, weight gain, myxedema, hoarseness, dyspnea, constipation, large thyroid gland
hashimotos thyroiditis Labs?
high TSH and low T3/T4
high antithyroid peroxidase + anti-thyroglobulin
high radioactive uptake
hashimotos thyroiditis tx?
levothyroxine
Labs for hyperthyroidism?
low TSH and high T3/T4
S/S of hyperthyroidism?
heat intolerance, weight loss, hyperactive, skin warm and soft
S/S of Graves disease?
a fib, pre-tibial myxedema, proptosis, exophthalmos, lid lag
Labs for Graves disease?
+ thyroid stimulating immunoglobulin
Tx for Graves disease?
Propythriouracil + radioactive iodine
Protruding auricle?
mastoiditis
Mastoiditis dx? tx?
Dx: CT w/ contrast
Tx: IV Vance + cef
Hot potato voice and uvular deviation
Peritonsillar abscess
Bacteria for Peritonsillar abscess
Group A strep
Peritonsillar abscess tx?
drainage
white plaque that can be scraped off?
oral candida
What does the KOH for oral candida show?
budding yeast and pseudohypheae
Tx for oral candida?
nystatin
MC type, age, and location for foreign body aspiration?
peanuts, 2 y/o, right side
What are the s/s of foreign body aspiration?
wheezing + asymmetric breathe sounds
What are the dx for foreign body aspiration?
chest x-ray and rigid bronchoscopy
inability to digest lactose?
lactose intolerance
S/S of lactose intolerance?
loose stools, abdominal pain, flatulence, borborygmic
Dx for lactose intolerance?
clinical and hydrogen breathe test
lead poisoning mc age and what is it?
children <6 and inhalation or indigestion environmental lead paint chips or lead dust
Lead poisoning s/s?
ataxia, fatigue, learning disabilities, difficulty concentration, lead colic
lead level > 10 get what?
venous level
TX for diff lead levels?
44 -> lifestyle mod
45-69 -> succiner
70 -> succiner + EDTA
TX for absence, tonic-clonic, febrile?
absence -> Ethuximab
tonic-clonic -> lorazepam
Febrile -> Benzo IV
females w/ an absent or non-functioning x sex chromosome?
Turner syndrome
brush field spots, flat facial profile, protruding tongue, low-set small ears, short neck, and transverse palmer crease
Down syndrome/ trisomy 21
torticolis tx?
physical therapy and clonazepam
maintain normal weight and binge eating w/ compensatory behaviors to prevent weight gain
bulimia nervosa
s/s of bulimia nervosa?
teeth pitting, enamel erosions, Russells sign
labs for bulimia nervosa?Tx?
increased amylase/ fluoxetine + CBT
mcc of acute bronchiolitis
RSV
Tx for acute bronchiolitis?
O2 + IV fluids
Legionella pnemo tx?
azithro or levofloxacin
Health maintenance for RSV?
FLU, covid, and RSV vac
Pylo tx?
sulfa/ tri or ceftriaxone
Imaging results tetralogy of fallot?
echo, CXR-bootshaped heart, EKG - RVH/Right atrial enlargement
Weight percentile?
5-84 -> healthy weight
85-94 -> overweight
>95 -> obese
Sweat chloride level for CF?
> 60