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Pedia > Rheuma > Flashcards

Rheuma Flashcards

1
Q

Scarlatiniform rash

A

Kawasaki

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2
Q

Fever for at least 5 days plus 4 of the ff:
CRASH

Conjunctivitis- no exudate
Rash- scarlatiniform
Adenopathy >1.5cm
Strawberry tongue
Hand changes- brawny induration, peeling
A

Kawasaki

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3
Q

Which phase of Kawasaki diseases poses the highest risk of sudden death

A

Subacute

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4
Q

Treatment for Kawasaki in the acute stage

A

IV Ig

Aspirin

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5
Q

IVIG resistant kawasaki disease has increased risk for

A

Coronary artery aneurysm

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6
Q

Most common pediatric inflammatory myopathy

A

Dermatomyositis

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7
Q

Seen in dermatomyositis

Alligator like skin appearance
Skin over metacarpal and proximal IPJ hypertrophic and reddish pink

A

Gottron papules

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8
Q

Seen in dermatomyositis

Periorbital violaceous erythema that may cross over the bridge of the nose

A

Heliotrope rash

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9
Q

Severe prognostic sign of dermatomyositis

A

Dysphagia

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10
Q

Most commonly elevated diagnostic test on initial presentation

A

ALT

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11
Q

Treatment for dermatomyositis

A

Methylprednisolone
Methotrexate
Folic acid

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12
Q

Deposition of IgA and immune complex is the pathophysiology behind what disease

A

Henoch schonlein purpura

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13
Q

What vessels are most commonly involved in HSP

A

Small arteries

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14
Q

Treatment for HSP

A

Supportive

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15
Q

Most common cause of non thrombocytopenic purpura in children

A

Henoch schonlein purpura

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16
Q

HSP criteria
Palpable purpura
Onset less than 20 year old
Bowel angina

How many criteria should be met?

A

2/3

17
Q

Criteria for diagnosis of SLE

SOAP BRAIN MD

A 
Serositis (pleuritis, pericarditis)
Oral ulcer
Arthritis (2 or more joints)
Photosensitivity
Blood changes (anemia, leukopenia, plt)
Renal
ANA abnormal
Immunologic (anti-DNA, anti-Sm)
Neurologic signs
Malar rash
Discoid rash
18
Q

How many of the criteria should be met for the diagnosis of

SLE?

A

4/11

19
Q

More specific antibody for lupus and reflects the degree of disease activity

A

Anti double stranded DNA

20
Q

Antibody specific only for SLE

A

Anti smith

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