One Liners part 3 Flashcards
Why is bacterial sinusitis major cause of orbital cellulitis?
Proximity + valveless orbital venous system
Why would a SCD kid have 1 year long left leg pain that got worse?
Octeonecrosis or avascular necrosis of left hip is common in Sickle Cell Disease
Alport’s has hearing and kidney problems. What happens to glomerular BM?
Splitting of BM + alternating areas of thinned and thickened capillary loops.
Often family hx of renal failure
Breastfeeding has reduced risk of what cancer(s) in mother?
Breast and ovarian
- also fewer OM and respirator illness in newborn
What biomarkers see in Juvenile Idiopathic Arthritis?
Anemia Thrombocytosis Hypergammaglobulinemia Hyperferritinemia Elevated ESR and CRP
Causes of meningitis in infants < 3 months
Lysteria
GBS
E. coli
HSV
Causes of meningitis in infants > 3 months?
Strep pneumo
Neisseria m.
What do if suspect Strep Throat in 7yo?
Rapid Streptococcal Antigen Testing
If negative, f/u w/ throat culture due to limited sensitivity of RSAT
How treat prolonged QT?
Propranolol and pacemaker
What is Henoch-Schonlein Purpura?
IgA-mediated vasculitis
- see arthritis/arthralgia
- rash on legs
How treat HSP for most pt’s?
- for severe symptoms?
NSAIDs + hydration
Systemic glucocorticoids + hospitalization
First line treatment for SCD?
Hydroxyurea: increases fetal Hb
- main SE: myelosuppression
(neutropenia, anemia, thrombocytopenia)
Why pain in SCD?
Sickling - polymerization of RBC’s - vaso-occlusion
Wiskott-Aldrich Syndrome
W = X-linked O = hypogammaglobulinemia TT = thrombocytopenia C = eczema
Fanconi’s Anemia
F = P = Pancytopenia + macrocytosis
Fanconi’s Anemia average age?
8yo = around the #6 for F
Diamond-Blackfan anemia average age?
3 months (w/in first year of life)
Why honeymoon cystitis?
Bacteria is introduced into the introitus (urethral opening) during intercourse.
Then get ascending infection often UTI = E. coli
Each on neonate w/ vesicular clusters. Treatment?
Acyclovir
What and when does S. aureus cause in potato salad?
Vomiting
- 1-6 hours later
If seizure due to brain tumor, what kind of tumor esp if arm/leg weakness?
Think Astrocytoma
- very common, benign
Most common vaginal foreign body in young child? like 3-4 years old
Toilet paper, small toys
Damage in shaken baby syndrome?
Shearing of dural veins = coup-contrecoup injury w/ brain impact on skull
Bilateral regional hemorrhages
How prove innocent murmur?
Murmur decreases w/ decreased preload (decreased venous blood return)
- standing, Valsalva
