peds81 Flashcards
1
Q
clinical features in young kid with mono
A
may be asymptomatic
2
Q
clinical features of older kid with mono
A
fever, malaise and fatigeu, pharyngitis, posterior cervical lymphadnopathy, hepatosplenomegaly, macular or scarlatiniform rash (few patients), symptoms resolve in weeks to months
3
Q
diagnosis of mono on CBC
A
atypical lymphocytes, neutropenia, thrombocytopenia, and elevated transaminases
4
Q
first line test to diagnose EBV infection
A
monospot
5
Q
why is a monospot less sens in kids less than 4?
A
monospot measures the presence of heterophile antibody, which do not reliably form in kids that young
