Pediatrics

Question 1

follicular conjunctivitis and pannus formation in the cornea

Answer 1

trachoma from chlamydia trachomatis seotype A-C pannus means neovascularization; concurrentt infection occurs in the nasopharynx leads to nasal discharge; diagnose with Giemsa stain and repeated infections can cause cornea scarring

Question 2

pain, photophobia, and decreased vision with dendritic ulcer

Answer 2

herpes simplex keratitis

Question 3

infection in the posterior orbital septum and what are the symptoms

Answer 3

orbital cellulits; abrupt onset of fever proptosis, restricted EOMI and swollen, red eyelids

Question 4

viral conjundctivitis presentation, transmission, and microorganism

Answer 4

conjunctiva is red with copious watery discharge; children are infected through contaminated swimming pools and most likely caused by adenovirus type 3

Question 5

Fe poisoning timeline, diagnosis, and tx

Answer 5

30min - 4days: abd pain, vomiting, diarrhea, hypotensive shock, metabolic acidosis

2 days: hepatic necrosis

2-8 weeks: pyloric stenosis

diagnosis: anion gap metabolic alk, radiopaque pills

Tx: whole bowel irrigation, deferoxamin, supportive care

Question 6

gynecomastia in young males may be pathologic if it persists greater than ___

Answer 6

2 years; it can be unilateral, bilateral, or painful

Question 7

mutation in marfan’s

Answer 7

fibrillin 1 gene

Question 8

mutation in ehlers danlos

Answer 8

collagen

Question 9

mutation in arachnodactyly

Answer 9

fibrillin 2 gene

Question 10

SGA infants are at risk for these complications

Answer 10

hypoxia, perinatal asphyxia, meconium aspiration, hypothermia, hypoglycemia, hypocalcemia, polycythema (increased epo in response to fetal hypoxia)

Question 11

interventricular hemorrhage is associated with what kind of infant

Answer 11

low birth weight