Random Flashcards
New drug started 2-6 weeks ago, now with fever, rash, edema, lymphadenopathy, transminitis, eosinophilia
DRESS (Drug Reaction with Eosinophilia and Systemic Symptoms) associated with deactivation of HHV-6
Incidence of neural tube defects
0.1%, but in subsequent siblings is 2-3% if 1 sibling, and 10% if 2 siblings
Aniridia (name 3 disorders)
Lack of iris; associated with WAGR (Wilm’s tumor, Aniridia, GU malformation, Reduced IQ), albanism, ectopic lentis
Fever, weight loss, arthralgia, proximal muscle weakness, rash, elevated CK and ANA. Diagnosis?
Dermatomyositis (Rash: Hypertrophic, erythematous, pinkish lesions on dorsal IP joints = Gottron papules)
Reporting after drug adverse event/effect
No federal law requiring providers to report adverse drug reactions
Reporting after drug adverse event/effect
No federal law requiring providers to report adverse drug reactions
Sequence of primary teeth eruption
Mandibular central incisors => maxillary central incisors => maxillary lateral incisors
Familial Mediterranean fever
A.k.a. familial paroxysmal polyserositis or familial recurrent polyserositis => Mediterranean descent (Ashkenazi and Sephardic Jews, Armenians, Turks, Arabs, Greeks, Italians), Clx => fever, abdominal pain, chest pain, arthritis, FHx. Complication => amyloidosis, nephrotic syndrome/CKD. Tx => colchicine
Bloody otorrhea without hx head trauma (tx?)
Reassurance and supportive care (if trauma, must examine)
Factors for poor outcome in drowning
Asystole, submersion T > 10 min, onset of resuscitation > 10 minutes, resuscitation duration > 25 minutes (hypothermia is protective)
Stress dose steroids for adrenal crisis/insufficiency
Hydrocortisone 50 to 100 mg/m2 (do NOT need fludrocortisone because hydrocortisone will have mineralcorticoid effect)
Bronchogenic cyst (Path, Clx, diagnosis, Tx)
Caused by abnormal budding of tracheal diverticulum of foregut => bronchogenic cyst => recurrent infection, pneumothorax, malignant transformation. Get CT or MRI. Tx excision
Elevated alpha fetoprotein (AFPs) in which cancers
Liver (hepatoblastoma) and testes/scrotum (non-seminomatous germ cell tumors)
Chronic fatigue syndrome (Clx)
Overwhelming fatigue, nonrestorative sleep, sore throat, myalgia, headache, and tender points (~fibromyalgia)
Kallman syndrome (Clx and path)
Red-green color blindness, mirroring movements (involuntary movements mirroring contralateral voluntary hand movement), small dick, anosmia, midline defect, GU anomalies, senosineural hearing loss. Path => failure of GnRH producing neurons to migrate to brain with normal hypothalamic-pituitary function (normal MRI)
IgA deficiency (risks with medications?)
Anaphylaxis with IVIG
Baby with firm, nontender, palpable mass within left SCM muscle adjacent to clavicular attachment site, with torticollis (dz and tx)
Pseudotumor from birth trauma, treat with passive ROM exercises (NOT branchial cleft cyst which is anterior to SCM)
Delayed umbilical cord separation, chronic gingivitis, and FTT (dz and test)
Leukocyte adhesion deficiency; flow cytometry for beta 2 (β2) integrins CD11 and CD18
Normal newborn head circumference
35 cm
504 Plan vs IEP
504 Plan = has to do with access to RESOURCES for kids with emotional or physical disabilities (eg. ramps, visual or hearing accommodation, additional test time, nursing to give meds)
AEP =
Cross sectional study
Study used to compare a new diagnostic test to the gold standard in a given population
At what age is a minor considered developmentally mature to understand and be included in medical decision making?
12-13 years old (mature minor doctrine)
