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PLE SEPTEMBER 2018 > Pedia: Common Presentations > Flashcards

Pedia: Common Presentations Flashcards

1
Q

Bilious vomiting WITHOUT abdominal distention on the 1st day of life

A

Duodenal Atresia

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2
Q

Disorder of pulmonary vasculature that commonly affects term or post term infants. MCC is perinatal asphyxia or hypoxia like meconium aspiration

A

Persistent Pulmonary Hypertension ofthe Newborn

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3
Q

Hydrocephalus with generalized calcifications and chorioretinits

A

Toxoplasmosis

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4
Q

Cataract
Deafness
Heart defect (PDA)

A

Rubella

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5
Q

Microcephaly with periventricular calcifications, petechiae with thrombocytopenia

A

CMV

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6
Q

Skin vesicles
Keratoconjunctivitis
Acute meningoencephalitis

A

Herpes

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7
Q

Osteochondritis and periostitis, skin rash involvinf palms and sokes and is desquamating

snuffles

A

Syphilis

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8
Q

Triad of late manifestation of syphilis

A

Interstitial keratitis
Hutchinson teeth
Eight nerve deafness

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9
Q

Cyanosis relieved by crying. Inability to pass NGT through nostril.

A

Choanal Atresia

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10
Q

Barking cough

A

Croup

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11
Q

Drooling and hyperextended neck

A

Acute epiglottitis

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12
Q

Brassy cough

A

Bacterial tracheitis

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13
Q

Tripod position. Cherry red, swollen epiglottis

A

Acute epiglottitis

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14
Q

Sudden onset respiratory distress, cough, hoarseness, cyanosis, localized wheezing, localized absence of breath sounds

A

Foreign body aspiration

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15
Q

Sore throat and fever. No URTI symptoms. Sandpaper rash on inguinal and antecubital areas

A

GAHBS Pharyngitis

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16
Q

Stacatto cough

A

Chlamydial pneumonia

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17
Q

Brassy cough

A

S. Aureus

Bacterial tracheitis

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18
Q

Barking cough

A

Parainfluenza

Croup

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19
Q

Whooping cough

A

Bordetella

Pertussis

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20
Q

Frothing and bubbling at the mouth and nose. respi distress. Cannot pass NGT. Symptoms exacerbated by feeding.

A

Esophageal atresia and TEF

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21
Q

NON bilious vomiting (initial symptom).

Hypochloremic metabolic alkalosis

A

Pyloric stenosis

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22
Q

Firm, movable, olive-shaped mass

A

Pyloric stenosis

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23
Q

Intermittent painless rectal bleedinh and brick-colored or currant-jelly colored stool

A

Meckel Diverticulum

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24
Q

Full term infant with delay in passage of meconium (>24 hrs). Distended abdomen, failure to pass meconium and/or bilious emesis.

A

Hirschprung disease

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25
Q

Orange sand in diapers

A

Lesch-Nyhan Syndrome

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26
Q

Asymptomatic hematuria and intermittent gross hematuria 1-2 days after upper respiratory infection. Usually associated with anterior lenticonus and hearing deficits.

A

Alport syndrome

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27
Q

ARF in children that usually appears within 3 weeks after onset of bloody diarrhea

A

HUS

28
Q

Infants with pallor with history of large consumption of cow milk and foods NOT enriched with Iron.

A

Iron deficiency anemia

29
Q

Basophilic stippling of RBC

A

Lead poisoning

30
Q

Triphalangeal thumb

Pure RBC deficiency

A

Blackfan-Diamond

Congenital Pure Red Cell Deficiency

31
Q

Absent/Hypoplastic thumbs

Pantocytopenia

A

Fanconi syndrome

32
Q

Red eye in neonates: causative agent and treatment

Purulent discharge, tense edema of the eyelids with marked chemosis

Increased period 2-5 days

A

N. Gonorrhea

Ceftriaxone

33
Q

Red eye in neonates: causative agent and treatment

Mild to severe swelling of the eyelids with copious purulent discharge

A

T. Trachomatis

Erythromycin

34
Q

Red eye in neonates: causative agent and treatment

Edema and erythma of eyelids, pannus formation, endophthalmitis

A

Pseudomonas
Systemic antibiotics
Gentimicin eye ointment

35
Q

Red eye in neonates: causative agent and treatment

First 6-12 hrs of life

A

Chemical

Self-limiting

36
Q

Eye infections: conjunctivitis

Red itchy eyes
Thin exudate
Pain, photophobia
+/- cough and colds

A

Adenovirus

37
Q

Eye infections: conjunctivitis

Red eye+pus

A

S. Aureus

38
Q

Eye infections: conjunctivitis

Red eye+pus
Inclusion bodies in scrapings

A

Chlamydia

39
Q

Eye infections: conjunctivitis

Inturned eye lashes
Corneal scarring
Blindness

A

Chlamydia

40
Q

Eyelid infections

Stye

A

S. Aureus

41
Q

Eyelid infections

Bilateral eyelid swelling
Eosinophils
Muscle paib
History of infection

A

Trichenella

42
Q

Eyelid infections

Unilateral inflammation at the bit site around eye ir mouth
History if recent travel to mexico or south america

A

T. Cruzi

43
Q

Furuncle, Carbuncle

Neck, face, axilla, buttocks

A

S. Aureus

44
Q

Furuncle, Carbuncle

Neckdown
Bath tub

A

Pseudomonas

45
Q

Inflammation of sebaceous glands and follicles in teenagers

A

Propionibacterium

46
Q

Mother brings her child with multiple infected wounds on the lower extremities. Mother states that the lesions started as a koaquito bite and the child kept on scratching them. On PE, you see multiple, dry, heaped up tightly adherent crusts

A

Ecthyma (ulcerative impetigo)

47
Q

Mother brings her child with multiple infected wounds on the lower extremities. Mother states that the lesions started as a mosquito bite and the child kept on scratching them. On PE, you see vesicular honey crusted lesions. Catalase negative. No pain. No systemic symptoms.

A

Impetigo

GAHBS

48
Q

Mother brings her child with multiple infected wounds on the lower extremities. Mother states that the lesions started as a koaquito bite and the child kept on scratching them. On PE, you see initially vesicular. Longer lasting and bigger bullae formation. Catalase positive

A

S. Aureus

49
Q

Vesicular lesion with neurological pain

A

HZV

50
Q

Vesicular lesion with very large bullous lesions progressing rapidly. Preceded by fever, fatigue, malaise. Toxic looking patient. Denuded areas.

A

S. Aureus

51
Q

Multiple vesicular lesions, some papules, some crusted all at different times

A

Varicella

52
Q

Inflamed, erythematous skin, tender and warm.

Red, raised, butterfly rash in appearance with derma pain and rapid speed

A

Erysipelas

53
Q

Inflamed, erythematous skin, tender and warm.

Following contacr with saltwaters and oysters

A

Vibrio

54
Q

Inflamed, erythematous skin, tender and warm. Burn pt, blue green pus, grape like odor

A

Pseudomonas

55
Q

Solitary lymphocutaneous lesions
Rose gardeners
Likes lying in gardens

A

Sporotrichosis

56
Q

With history of painless genital ulcer

A

LGV: Chlamydia

57
Q

Fever, Headache, elephantiasis of limb or genitalia

A

Filariasis

58
Q

Granulomatous lesions, draining sinus tracts

Jaw area swelling
Yellow exudate
Carious teeth
Dental procedure

A

Actinomyces

59
Q

Granulomatous lesions, draining sinus tracts

Tropical fish enthusiasts

A

Mycobacterium marinum

60
Q

Granulomatous lesions, draining sinus tracts

Subcutaneous swelling of shoulder

A

Nocardia

61
Q

Sulfur granules

A

Actinomyces

62
Q

Malignant pustule, dark red fluid filled, black eschar

A

Anthrax

63
Q

Target lesion, bull’s eye lesion

A

Borrelia

64
Q

Non tender abdominal mass associated with increased vanillylmandelic acid and homovanillic acid

A

Neuroblastoma

65
Q

Most common type of TEF

A

Esophageal atresia with distal TEF

PLE SEPTEMBER 2018 (26 decks)

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