Pedia: Common Presentations

Question 1

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

Answer 1

Duodenal Atresia

Question 2

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

Answer 2

Persistent Pulmonary Hypertension ofthe Newborn

Question 3

Hydrocephalus with generalized calcifications and chorioretinits

Answer 3

Toxoplasmosis

Question 4

Cataract
Deafness
Heart defect (PDA)

Answer 4

Rubella

Question 5

Microcephaly with periventricular calcifications, petechiae with thrombocytopenia

Answer 5

CMV

Question 6

Skin vesicles
Keratoconjunctivitis
Acute meningoencephalitis

Answer 6

Herpes

Question 7

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

snuffles

Answer 7

Syphilis

Question 8

Triad of late manifestation of syphilis

Answer 8

Interstitial keratitis
Hutchinson teeth
Eight nerve deafness

Question 9

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

Answer 9

Choanal Atresia

Question 10

Barking cough

Answer 10

Croup

Question 11

Drooling and hyperextended neck

Answer 11

Acute epiglottitis

Question 12

Brassy cough

Answer 12

Bacterial tracheitis

Question 13

Tripod position. Cherry red, swollen epiglottis

Answer 13

Acute epiglottitis

Question 14

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

Answer 14

Foreign body aspiration

Question 15

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

Answer 15

GAHBS Pharyngitis

Question 16

Stacatto cough

Answer 16

Chlamydial pneumonia

Question 17

Brassy cough

Answer 17

S. Aureus

Bacterial tracheitis

Question 18

Barking cough

Answer 18

Parainfluenza

Croup

Question 19

Whooping cough

Answer 19

Bordetella

Pertussis

Question 20

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

Answer 20

Esophageal atresia and TEF

Question 21

NON bilious vomiting (initial symptom).

Hypochloremic metabolic alkalosis

Answer 21

Pyloric stenosis

Question 22

Firm, movable, olive-shaped mass

Answer 22

Pyloric stenosis

Question 23

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

Answer 23

Meckel Diverticulum

Question 24

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

Answer 24

Hirschprung disease

Question 25

Orange sand in diapers

Answer 25

Lesch-Nyhan Syndrome

Question 26

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

Answer 26

Alport syndrome

Question 27

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

Answer 27

HUS

Question 28

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

Answer 28

Iron deficiency anemia

Question 29

Basophilic stippling of RBC

Answer 29

Lead poisoning

Question 30

Triphalangeal thumb | Pure RBC deficiency

Answer 30

Blackfan-Diamond | Congenital Pure Red Cell Deficiency

Question 31

Absent/Hypoplastic thumbs | Pantocytopenia

Answer 31

Fanconi syndrome

Question 32

Red eye in neonates: causative agent and treatment Purulent discharge, tense edema of the eyelids with marked chemosis Increased period 2-5 days

Answer 32

N. Gonorrhea | Ceftriaxone

Question 33

Red eye in neonates: causative agent and treatment Mild to severe swelling of the eyelids with copious purulent discharge

Answer 33

T. Trachomatis | Erythromycin

Question 34

Red eye in neonates: causative agent and treatment Edema and erythma of eyelids, pannus formation, endophthalmitis

Answer 34

Pseudomonas Systemic antibiotics Gentimicin eye ointment

Question 35

Red eye in neonates: causative agent and treatment First 6-12 hrs of life

Answer 35

Chemical | Self-limiting

Question 36

Eye infections: conjunctivitis Red itchy eyes Thin exudate Pain, photophobia +/- cough and colds

Answer 36

Adenovirus

Question 37

Eye infections: conjunctivitis Red eye+pus

Answer 37

S. Aureus

Question 38

Eye infections: conjunctivitis Red eye+pus Inclusion bodies in scrapings

Answer 38

Chlamydia

Question 39

Eye infections: conjunctivitis Inturned eye lashes Corneal scarring Blindness

Answer 39

Chlamydia

Question 40

Eyelid infections Stye

Answer 40

S. Aureus

Question 41

Eyelid infections Bilateral eyelid swelling Eosinophils Muscle paib History of infection

Answer 41

Trichenella

Question 42

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

Answer 42

T. Cruzi

Question 43

Furuncle, Carbuncle Neck, face, axilla, buttocks

Answer 43

S. Aureus

Question 44

Furuncle, Carbuncle Neckdown Bath tub

Answer 44

Pseudomonas

Question 45

Inflammation of sebaceous glands and follicles in teenagers

Answer 45

Propionibacterium

Question 46

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

Answer 46

Ecthyma (ulcerative impetigo)

Question 47

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.

Answer 47

Impetigo | GAHBS

Question 48

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

Answer 48

S. Aureus

Question 49

Vesicular lesion with neurological pain

Answer 49

HZV

Question 50

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

Answer 50

S. Aureus

Question 51

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

Answer 51

Varicella

Question 52

Inflamed, erythematous skin, tender and warm. Red, raised, butterfly rash in appearance with derma pain and rapid speed

Answer 52

Erysipelas

Question 53

Inflamed, erythematous skin, tender and warm. Following contacr with saltwaters and oysters

Answer 53

Vibrio

Question 54

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

Answer 54

Pseudomonas

Question 55

Solitary lymphocutaneous lesions Rose gardeners Likes lying in gardens

Answer 55

Sporotrichosis

Question 56

With history of painless genital ulcer

Answer 56

LGV: Chlamydia

Question 57

Fever, Headache, elephantiasis of limb or genitalia

Answer 57

Filariasis

Question 58

Granulomatous lesions, draining sinus tracts Jaw area swelling Yellow exudate Carious teeth Dental procedure

Answer 58

Actinomyces

Question 59

Granulomatous lesions, draining sinus tracts Tropical fish enthusiasts

Answer 59

Mycobacterium marinum

Question 60

Granulomatous lesions, draining sinus tracts Subcutaneous swelling of shoulder

Answer 60

Nocardia

Question 61

Sulfur granules

Answer 61

Actinomyces

Question 62

Malignant pustule, dark red fluid filled, black eschar

Answer 62

Anthrax

Question 63

Target lesion, bull's eye lesion

Answer 63

Borrelia

Question 64

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

Answer 64

Neuroblastoma

Question 65

Most common type of TEF

Answer 65

Esophageal atresia with distal TEF