Pediatrics Flashcards
_______________ presents with upper respiratory symptoms (eg, rhinorrhea, congestion, cough) and facial pain/pressure, with or without fever.
Acute rhinosinusitis
__________ is a congenital obstruction of the posterior nasopharynx
choanal atresia
CHARGE syndrome
Coloboma Heart defects Atresia choanae Growth retardation Genital abnormalities Ear abnormalities
___________is the most common gastroenteritis in the United States and is often implicated in outbreaks on cruise ships and in schools.
Norovirus
_________ is the most common cause of death from child abuse
Abusive head trauma
Repetitive acceleration-deceleration forces cause shearing of the subdural bridging veins and vitreoretinal traction resulting in ______ and ______ hemorrhages
Subdural and retinal hemorrhages
__________ causes an absent uterus, cervix and upper third of the vagina (ie blind vaginal pouch)
Mullerian agenesis
Pt( 46XX) have primary amenorrhea with associated female external genitalia and secondary sexual characteristics. Diagnosis?
Mullerian agenesis
unilateral cryptorchidism can be monitored until age ______ after which spontaneous descent is unlikely
6 months
WAGR syndrome/11p deletion syndrome is characterized by a predisposition to ________, ________, _______ and __________
Wilms tumor
Presence of aniridia
Genitourinary abnormalities eg, cryptorchidism, hypospadias
Intellectual disability
Non tender, non fluctuant scalp swelling of a newborn that does not cross suture lines
Management ?
Reassurance and observation
Cephalohematoma
Low-grade fever, maculopapular rash with cephalocaudal spreads and posterior auricular and suboccipital lymphadenopathy +/- arthralgias and/or arthritis
Rubella
Recurrent episodes of edema (eg, face, limbs, genitalia, bowel, larynx) without associated pruritus or urticaria
Diagnosis? Deficiency?
Hereditary angioedema
C1 inhibitor
Benign intraventricular mass that causes increased production of CSF, leading to ventriculomegaly and hydrocephalus
Diagnosis?
Choroid plexus papilloma
Abnormal social development and extreme behavioral rigidity with onset in early development
Diagnosis?
Autism spectrum disorder
Constipation is a common problem in toddlers due to transition to solid food and cow’s milk, toilet training and school entry. Management?
Dietary modification (increase dietary fiber and water intake)
Laxative therapy
+/- suppositories, edema
Most common heart defect in Down syndrome?
Complete atrioventricular septal defects
Bone pain and pancytopenia in a child are concerning for ________
Acute lymphoblastic leukemia
Hyperthermia (=40C [104F]) associated with weakness, dizziness, profuse sweating, headache, and/or nausea.
Diagnosis?
Heat exhaustion
4 years with anemia, thrombocytopenia, and a normal or elevated white blood cell count in the presence of blasts on peripheral smear and bone marrow biopsy
Diagnosis?
Acute lymphoblastic leukemia
Myelomeningocele is often associated with __ and ____
Obstructive hydrocephalus
A limp that is worse in the morning in a toddler girl (age<5) is a typical presentation of _______
Oligoarticular JIA
____ should be suspected in children with acute onset fever, joint pain and swelling
Septic arthritis
Bilious emesis and abdominal distension in a preterm neonate are highly suggestive of _______________
Necrotizing enterocolitis
2-8 weeks infants presents with hepatomegaly, jaundice, acholic stool, dark urine
Cause?
Biliary atresia (fibrosis of extrahepatic duct
2-8 weeks infants presents with hepatomegaly, jaundice, acholic stool, dark urine
Diagnostic test?
Cholangiography
2-8 weeks infants presents with hepatomegaly, jaundice, acholic stool, dark urine
Treatment?
Hepatoportoenterostomy with or without liver transplant
What hormone causes the potentially fatal complication in nutritional rehabilitation in a patient with anorexia nervosa?
Insulin
What electrolytes are often affected in refeeding Syndrome?
Potassium, phosphorus, magnesium
Mammillary glands enlargement, leukorrhea, mild uterine bleeding in a newborn
Cause?
Physiological response to transplacental maternal estrogen exposure
Isolated hyperpigmented patch with an increased density of hair follicle
Most likely diagnosis?
Congenital melanocytic nevus