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Peds Clerkship > Peds GI/GU > Flashcards

Peds GI/GU Flashcards

1
Q

Cholestasis in newborn

A

alpha-1 antitrypsin

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2
Q

Galactosemia caused by what infx

A

E. Coli septicemia

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3
Q

Fitz-Hugh-Curtis

A

Pain in liver capsule from ascending infx.

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4
Q

What factor causes pain during mestrual cramps

A

Prostaglandin

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5
Q

UTI in kids tx

A

Bactrim

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6
Q

Resistant UTI in kids

A

Cipro

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7
Q

Orthostatic Protenuria

A

2-5% of normal adolesents

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8
Q

what is cryptorchidism

A

failure of testes to descend.

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9
Q

when to surgically correct cryptorchidism

A

1 year old

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10
Q

Breast mild jaundice

A

Hyperbili for 4-7 days … tx: supplement with formula

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11
Q

Decreased urine,
HTN,
facial and pretibial swelling

A

Nephritic Syndrome (coca-cola urine)

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12
Q

why measure complement in kidney dz

A

low C3 means postinfectious AGN or MPGN

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13
Q

best tx for bed wetting like monosymptomatic enuresis

A
  1. alarm
  2. desmopressin
  3. TCAs
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14
Q

large flank masses
pulmonary hypoplasia
Potter faces

A

Auto Recessive PKD

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15
Q

What is Potters faces

A

flattened ears/nose, micrognathia from oligohydramnios

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16
Q

Monosymptomatic Enuresis

A

twice a week after age 5

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17
Q

mcc renal insufficiency/obstruction

A

posterior urethral valves

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18
Q

Wilms Tumor age and presentation

A

nephroblastoma

age 2-5 with large flank mass and no symptoms

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19
Q

cyclical vomiting syndrome

A

recurrent predictable vomiting in kid

associated with abdominal migraines

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20
Q

Mesenteric Adenitis

A

mistaken for appendicitis

21
Q

delayed passage of meconium

A

Meconium Ileus or

Hirschsprungs

22
Q

Meconuim ileus cause

A

CF

23
Q

Orchitis from?

A

Mumps (think foreign non-vaccinated kid)

24
Q

wilms tumor associate with what syndromes

A

WAGR (wilms, aniridia, genitoruinary, retardation)

Beckwith Wiedemann

Denys-Drash

25
Q

wilms tumor metastasizes where

A

lungs

26
Q

triple bubble with gasless colon

A

Jejunum atresia

27
Q

bloody stools,

abdominal distention

A

pneumotosis intestinalis from NEC

28
Q

Top 4 causes of Intussuscpetion

A
  1. viral gastroenteritis
  2. Meckels
  3. polyps
  4. Hematoma from Henoch-Schonlein
29
Q

Meckels scan

A

technicium 99

30
Q

what enzyme conjugates bilirubin

A

UGT

31
Q

what de-conjugates bilirubin

A

intestinal B-glucuronidase

32
Q

physiologic jaundice of newborn

A

high hematocrit
sterile gut

resolves day 4

33
Q

Red urate crystals in stool

A

signs of infant dehydration. Check for more than 7% wt. loss

34
Q

breast feeding failure jaundice tx

A

promote breast feeding to promote fecal urobilinogen

35
Q

threshold for phototherapy

A

12-20mg/dL?

36
Q

Common associations with Celiac

A 
DM1
Dermatitis Herpetiformis (itchy skin rash)
37
Q

anyone with UTI wearing diapers needs

A

straight catheterization and culture instead of clean-catch

38
Q

Hepatomegally
Jaundice
Pale Stools

A

Biliary Atresia

39
Q

how do you dx biliary atresia

A

U/S

40
Q

biliary atresia tx

A

Kasai procedure (Hepatoenterostomy)

41
Q

what level is conjugated hyperbilirubinemia

A

> 20% of total bili

42
Q

breast milk jaundice when

A

week 2

43
Q

Crigler-Najjar/ Gilberts enzyme?

A

UDP-GT deficiency

44
Q

Alloimmune Hemolytic Disease may result in

conjugated or un-conjugated

A

Erythroblastosis fetalis

unconjugated hyperbili and Coombs +

45
Q

physiologic jaundice

conjugated or un-conjugated

A

resolves in 1st week of life

unconjugated

46
Q

bloody stools

A 
milk enterocolitis
intussuception
meckels
e. coli
shigella
campylobacter?
47
Q

Beckwith Weidman

A

Macroglossia
Omphalocele
dysregulation 11p15

Wilms Tumor!

48
Q

Fitz Hugh Curtis

A

Liver capsule inflamm from ascending pelvic infx

Peds Clerkship (17 decks)

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