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Peds Clerkship > Peds MSK/ Skin > Flashcards

Peds MSK/ Skin Flashcards

1
Q

crossed adduction sign

A

tapping one patella adducts contralateral leg “upper motor neuron”

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2
Q

adrenoleukodystrophy

A

emotional lability after normall motor and cognitive development around 7 years old X-linked

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3
Q

adrenoleukodystrophy mutation?

A

mutation in ABCD1 gene that results in defective oxidation of long-chain fatty acids in peroxisomes. Very long-chain fatty acids accumulate in myelin, adrenal glands, and elsewhere. Phenotypes can be milder, with adrenal insufficiency in adrenomyeloneuropathy and spastic paraplegia.

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4
Q

digital amputations strands of tissue attached to hands

A

amniotic band sequence occurs randomly Tissue strands may also transect head and body

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5
Q

Giant Congenital nevi

A

greatest risk of malignancy

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6
Q

osgood schlatter name

A

traction apophysitis

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7
Q

Patellar Tendonitis

A

repetitive kicking

anterior knee pain at inferior pole of patella

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8
Q

Prepatellar Bursitis

A

Chronic irritation of anterior knee

pain with direct pressure and superficial swelling

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9
Q

tibial osteomyelitis

A

bone infection

refusal to bear weight .

Pain does not remit with rest (ddx. Osgood Schlatter)

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10
Q

Patellofemoral syndrome

A

overuse in runners

knee pain worsens with descending steps or hills

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11
Q

Onset of Duchennes, Beckers, Myotonic

A
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12
Q

Genetic Inheritence of Duchennes, Beckers, Myotonic

A
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13
Q

which MD has testicular atrophy

A

Myotonic

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14
Q

which MD has scoliosis

A

Duchennes

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15
Q

what is cause of death in Myotonic MD

A

respiratory or heart failure

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16
Q

unable to release hand after hand shake

A

think myotonic MD

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17
Q

describe Erysipelas

A

red, indurated, tender plaque with overlying bullae/vesicles… lympatic streaking

Fever Chills Malaise

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18
Q

Erythema Toxicum Neonatorum

A

Benign neonatal rash with blanching papules. Numerous eosinophils present

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19
Q

treatment for HSV or Varicella

A

immediate acyclovir

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20
Q

sandpaper rash following strep

A

Scarlet Fever

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21
Q

erythema marginatum following strep

A

rheumatic fever

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22
Q

high fever,

bullous lesions,

painful oral erosions

A

Stevens-Johnson

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23
Q

Strawberry Hemangioma

A

Superficial Hemangioma

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24
Q

Strawberry hemangioma tx

A

B-blockers

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25
Q

purpura fulminans

A

black hemorrhagic purpuric lesions

fever,

hypotension,

evidence of DIC

26
Q

purpura fulminans from what

A

Neisseria or Strep Pneumo

27
Q

Conjuctivitis

lips

toungue

rash

desquamation of hands and feet

cervical lymphadenopathy

  • CRP, Neutrophilia, sterile pyuria, reactive thrombocytosis
28
Q

Kawasaki

A

Conjuctivitis

lips

toungue

rash

desquamation of hands and feet

cervical lymphadenopathy

CRP, Neutrophilia, sterile pyuria, reactive thrombocytosis

29
Q

hand, foot, mouth

30
Q

fever,

buccal blisters,

cutaneous lesions on palms and soles

Name and treatment

A

Coxsackie (hand, foot, mouth)

self-resolves 2-3 days

31
Q

sandpaper rash

A

scarlet fever

32
Q

Ewing Sarcoma

A

onion skin appearance

osteolytic lesion

33
Q

osteoid osteoma

A

central nidus of lucency

pain that is worse at night and releived by NSAIDS

34
Q

aseptic necrosis of femoral head

A

complication of Sickle Cell Disease. occlusion of end arteries supplying femoral head, bone necrosis, collapse of periarticular bone and cartilage

35
Q

Match:

Cafe au lait

Ash leaf

port wine

A

NF

Tuberous Sclerosis

Sturge Weber

37
Q

soft palate damage… damage to what vessel

A

think internal carotid

38
Q

supracondylar fracture of humerus… worry about what

A

Brachial artery injury

39
Q

complication of supracondylar humerous fractures other than artery injury

A

compartment syndrome

40
Q

Torticollis dx

41
Q

equinus positin of foot

42
Q

talipes equinovarus

what is tx?

when do tx?

A

Club foot (talipes equinovarus) is a deformity of the foot and ankle that a baby can be born with

Tx. stretching and casting

START TREATMENT IMMEDIATELY

43
Q

how to tell if rash is fungal

A

it will have satellite lesions

44
Q

urticaria

A

comes and goes

45
Q

erythema multiforme

what bugs

A

HSV or

mycoplasma

46
Q

TEN vs. Steven Johnson

A

<10% = Steven Johnson

>30% = TEN

47
Q

image

A

pustular melanosis

48
Q
49
Q

hemangioma over eye

A

think Sturge Weber

port wine stain

(if on mandible .. could be infiltrating the subglottic area)

50
Q

parvo rash

A

spares area around nose and mouth

51
Q

eczema herpeticum tx

52
Q

which acne causes scarring

A

inflammatory

53
Q

charcots joint

A

Loss proprioception

Loss pain temp

arthritis

(not really sure about this)

54
Q

what causes charcots joint

A

syringomyelia

dec B12

Tabes Dorsalis

55
Q

Boy with repeat fractures

A

Osteogenesis imperfecta… type one collagen

high yeild!!

56
Q

Osteogenesis Imperfecta

A

Blue Sclera

blue-gray teeth from discolored dentin

hearing loss

recurrent fractures

autosomal dominant

57
Q

Pectus Excavatum

A

Marfans or Ehler’s Danlos

58
Q

Blueberry muffin rash

A

CMV or Rubella

or… metastatic neuroblastoma maybe

59
Q

Ospits Sign

A

pull scab back and it bleeds in Psoriasis

60
Q

Impetigo tx

Peds Clerkship (17 decks)

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