Path 3 Child Flashcards

1
Q

Cystic fibrosis inheritance

A

Autosomal recessive

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2
Q

Cystic fibrosis mutation

A

CFTR chloride channel

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3
Q

Cystic fibrosis effect

A

Sweat duct - Na/Cl can’t go in -> hypertonic sweat

Airway - Cl can’t leave, Na/H2O floods in -> dehydrated mucus

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4
Q

Cystic fibrosis lung infections (3)

A

S. Aureus
Pseudomonas
H. influenza

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5
Q

Cystic fibrosis non-lung

A

Sinusitis, nasal polyps, meconium ileus, pancreatitis, cholelithiasis

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6
Q

Cystic fibrosis male complication

A

CBAVD - congenital bilateral atrophy of vas deferens - infertility

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7
Q

Cystic fibrosis Dx

A

Sweat chloride test

-false negative with hyponatremia

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8
Q

Hemartoma

A

Normal cells, native location

-Common in lungs

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9
Q

Choristoma

A

Normal cells, abnormal location

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10
Q

Congenital capillary hemangioma

A

Benign, spontaneous regression

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11
Q

Sturge Weber syndrome

A

Facial nevi
Venous angioma in leptomeninges
Mental retardation

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12
Q

Pyogenic granuloma

A

Hemangioma on gums of pregnant women

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13
Q

Most common germ cell tumor of childhood

A

Sacrococcygeal teratoma

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14
Q

Neuroblastoma, retinoblastoma, Wilms tumor, Ewing sarcoma, medulloblastoma, rhabdomyosarcoma

A

Small blue cell tumor

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15
Q

Neuroblastoma

-3 locations

A

Neural crest cell blue tumor

  • Adrenal medulla
  • Sympathetic ganglia
  • Mediastinum, retroperitoneum
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16
Q

Neuroblastoma Dx

A

Urine epinephrine metabolites - same as pheochromocytoma

  • VMA (Vanillylmandelic acid)
  • HVA (Homovanilic acid)
17
Q

Neuroblastoma histo

A

Homer wright pseudorosettes

-Neurosecretory granules (EM)

18
Q

Ganglioneuroma

A

Neuroblasts -> ganglion cells

-Schwannian stroma

19
Q

Neuroblastoma bad prognosis

A

Nmyc amplification

-Telemorase

20
Q

Retinoblastoma histo

A

Flexner-Wintersteiner rosettes (true, empty)

21
Q

Retinoblastoma clinical

A

Leukocoria

22
Q

Retinoblastoma association

A

Osteosarcoma

23
Q

Wilm’s tumor clinical

A

Asymptomatic abdominal mass

24
Q

Wilm’s tumor syndromes (3)

A

Denys-Drash
WAGR
Beckwith Wiedermann

25
Q

Denys-Drash syndrome

A
  • Male pseudohermaphroditism
  • Early renal failure
  • WT1 missense mutation
26
Q

WAGR syndrome

A

Wilms tumor
Aniridia
Genitourinary abnormalities
Retardation (WT1)

27
Q

Beckwith-Wiedemann syndrome

A

Organomegaly, macroglossia, omphalocele

  • IGF overexpression
  • Disorder in Ch 11 band 15.5 imprinting (WT2)
28
Q

Genetic imprinting

A

Silencing

29
Q

Wilm’s tumor micro

A

Nephrogenic rest precursor

  • Blastema (small blue cells)
  • Stroma
  • Epithelium (tubules)