One Liners part deuce Flashcards
Aplastic crisis: worsening SOB, weakness, fatigue in kid w/ SCD
Parvovirus B19
- sudden halt in RBC production (so low retics)
- no splenomegaly
(if splenomegaly would be splenic sequestration crisis and high retics)
Fibroadenoma:
- mobile or not?
- painful or not?
- unilateral or not?
- single or not?
Single, unilateral, mobile, painful
- increases in pain/size prior to menses
Edwards Scissorhands
Overlapping fingers - Trisomy 18 Micrognathia Prominent occiput Low-set ears Heart defects: VSD
Recurrent skin + mucosal infections
- periodontitis
Leukocyte adhesion deficiency
- inflammation w/ lack of purulence
What does smear show in LAD?
Neutrophilia
Classic first presenting sign of LAD?
Delayed umbilical cord separation
Which seizure is provokable by hyperventilation?
Absence
If looks like absence but NOT provokable by hyperventilation?
Focal seizure
How treat absence seizures?
Ethosuximide
When use atomoxetine?
Treat ADHD - a non-stimulant
could also use methylphenidate which is a stimulant
Pubertal gynecomastia boys
2/3 of adolescent boys - mid/late puberty
- unilateral, bilateral, or painful
- no workup or tx
- resolves w/in months-2yrs
Opacities in stomach on abd Xray after kid ingests pills?
Iron pills are radiopaque
- also see hematemesis 30min-6hrs later
Tinnitis, fever, hyperpnea (respiratory alkalosis) after ingestion?
Aspirin
Acetaminophen overdose timing?
Nausea/vomiting
- many pt’s remain asymptomatic w/in 24 hours of ingestion
How chelate iron overdose?
Deferoxamine
- de that fer
What is bolus for kid dehydrated?
20mL/kg of NS through IV
Keep dextrose out until maintenance
6yo w/ single lytic lesion in right humeral head
- hypercalcemia (mild)
Langerhans cell histiocytosis (aka Langerhans cell granulomatosis)
- solitary, lytic long bone lesions
(in kids can be called eosinophilic granuloma)
Kartagener syndrome
Primary ciliary dyskinesia
- displaced point of maximal impulse (dextrocardia)
- recurrent sinopulmonary infections
7yo M think he has peripheral precocious puberty, what are electrolytes and why if CAH?
LH levels low at baseline and after GnRH test
Electrolytes normal in non-classical CAH which presents later than classical.
Leydig cell tumors do what?
Gonadotropin-independent Peripheral precocious puberty but also unilateral testicular enlargement
- may secrete testosterone
15yo w/ no puberty changes (F)
- what order and why?
Don’t need to order Estrogen b/c we know it’s low or else she would have breast changes
Order FSH
- if increased means peripheral cause – then to karyotyping
- if low means central cause – then to MRI for lesion in sella turcica
Conjunctival injection both eyes
Age 13 day old - healthy
Scant amount mucopurulent d/c
Tx?
G before C so this is later so it’s
Chlamydial
- give oral erythromycin
You can treat Gonococcal (G before C) conjunctivitis with IV or IM ceftriaxone and this other one?
Cefotaxime
- our taxes should pay for infants being treated for gonococcal
Recurrent sinopulmonary and gastrointestinal infections. Why?
X-linked agammaglobulinemia
- boy
- defective tyrosine kinase prevents maturation of B-cells
- small/absent lymphoid tissue (tonsils, LN)
- lack of IgA = GI infections
- lack of humoral immunity = encapsulated organisms attack (H-flu, Strep pneumonia)
- after 6 pos b/c waning mother immunity
