Pediatrics Flash Cards - Case 22 - PID

Question 1

Which bacteria that cause food poisoning give bloody diarrhea?

Answer 1

Crampy-Campylobacter jejuni and E. coli O157:H7

Question 2

Which bacteria that cause food poisoning have delayed onset (couple of days)?

Answer 2

1-5 days: Crampy-Campy jejuni, E. coli (incl) O157:H7; 2-7 days: Shigella

Question 3

Which bacteria that cause food poisoning cause sx w/in 1-6 hours?

Answer 3

Staphylococcus aureus (also has intense vomiting)

Question 4

Fried rice gastroenteritis?

Answer 4

Bacillus cereus

Question 5

Food poisoning caused by Improperly refrigerated meats, potato and egg salads, cream pastries is usually from?

Answer 5

S. aureus

Question 6

Which food poisoning bugs usually have fever?

Answer 6

Shigella, Salmonella and Campylobacter

Question 7

Typical presentation of testicular torsion?

Answer 7

HPI: early adolescent w/ acute onset, severe hemi-scrotal pain, n & v; PE: enlarged tender testis, scrotal edema, and absent cremasteric reflex.

Question 8

In testicular torsion, irreversible damage starts after what amount of time?

Answer 8

4 hrs

Question 9

Illness script for ovarian torsion?

Answer 9

can happen in any age group but more common in post-menarche. Abd pain is common sx, often say “stabbing” in lower abdomen/pelvic region. N&V in majority of pts.

Question 10

Appendicitis is rare in children under what age?

Answer 10

2 y/o

Question 11

Pain localized to the RUQ in the setting of PID should make you think?

Answer 11

Fitz-Hugh-Curtis syndrome

Question 12

What is the most sensitive and specific lab test to diagnose pancreatitis.?

Answer 12

lipase

Question 13

cat’s eye sign??

Answer 13

pain w/. movt or coughing described by kids old enough to describe appendicitis pain