UWORLD Flashcards
Clubfoot Managment
- Stretching and manipulations
- Can lead to abnormal gait and ulcerations
Management for foreign body swallowing
- FLEXIBLE endoscopy
- symptomatic requires removal from body emergently, otherwise may be able to observe 24 hours
Presentation for Acute lymphoblastic leukemia
- most common childhood cancer
- nonspecific symptoms
- bone pain, lymphadenompathy, hepatosplenomgaly
- DX: bone marrow biopsy
Down Syndrome gives you an increase risk of….
ALL
Step-off of lumbrosacral area on low back
Spondylolisthesis
-urinary incontinence may be seen as well
- gradual-onset hemoplegia
- aphasia
- neck pain
- thunderclap headache
carotid injury
- Fall with object in mouth
- neck manipulation
Recurrent skin and soft tissue abscesses with catalase positive organisms
Chronic Granulomatous Disease
-pulmonary infections as well
What are the catalase positive organisms?
- Staph aureus
- serratia
- Burkholderia
- Aspergillus
Severe periodontitis
LAD
Wiskott-Aldrich Syndrome
-eczema, recurrent infections, and thrombocytopenia
McCune-Albright Syndrome
Precocious puberty, cafe au lait spots and multiple bone deformities(polyostotic fibrous dysplasia)
central lytic lesion, onion skinning, and a moth eaten appearance
ewings sarcoma
- Tense and bulging fontonelle
- Bulging scalp veins
- poor feeding and fussiness
-hydrocephalus
Most common cause of vaginal bleeding and discharge in the neonatal period. “white, thin discharge with some blood streak”
Maternal withdrawal of estrogen
No treatment needed
“Grape-like nodule protruding from the vagina”
Rhabdomyosarcoma
- Failure to thrive
- Hypogammaglobulinemia
- Markedly low T cell counts
- Recurrent infections
Severe combined immunodeficiency (SCID)
—Burton’s have normal T cells
What is cradle cap?
Seborrheic dermatitis
-adherent greasy scales with mildly erythemtous base seen on scalp
What is the most common pathogen in young children with CF?
Staphylococcus aureus, especially if they have influenza
Cefepime
Vancomycin if recurrent infection(methicillin resistance)
Anti-tissue transglutaminase antibody assay IgA
Celiac disease
- DERMATITIS HERPETIFORMIS
- Iron def. Anemia
Nuclei acid amplification test
Chlamydia trachomatis
Neisseria gonorrhoeae
Asymmetrical inguinal skin folds
Dysplasia of the hip - Galeazzi test (leg-length discrepancy ) - Barlow risk factors: breech, tight swaddling Treatment: pavlik harness
Blue-grey macula on patients sacrum
Mongolian spot; benign skin lesion
1 month refusal to talk in situation in which she is expected
Selective mutism
Stranger anxiety
Begins in children 6-9 months, subsides by age 3
Treatment for OCD in children ?
CBT
High dose SSRI: flouxetine
Clomoprhamine for treatment nonresponse
Deep brain stimulation for refractory (nucleus accumbens)
What are people that have absence seizures usually diagnosed with?
ADHD ; inattentive subtype
Upper Extremity HTN
Lower extremity hypotension and hypoxia
Diminished femoral pulses
Coarctation of the aorta: thickening of the tunica media
Heart failure with tachypnea, poor feeding, fussiness and lethargy
Cystic Fibrosis!!!
infertility (congenital bilateral absences of vas deferens)
Pancreas (exocrine pancreatic insufficiency)
Binary cirrhosis
Obstruction
Medulloblastoma
- second most common posterior fossa tumor
- MOST in cerebellar vermis; gait, coordination
- b/c so close to meduloblastoma, obstructive hydrocephalus
- treated aggressively
Parinaud Syndrome
- eyelid retraction occurs
- pretectal region of midbrain
- Limitation of upward gaze with a downward gaze preferences, light-near dissociation
- Associated with pineal tumors
More than 25% lymphoblastic is diagnostic for what?
ALL; most common in children
PAS staining positive
TDT
Erythematous macule, paperless & pustules throughout the body , asymptomatic.
-changing in appearance
Erythema toxicum
Steeple sign
Croup
Small palpebral fissures
Smooth phitrum (vertical groove on upper lip)
Thin vermillion border
(Microcephalic often present)
Delays in motor and language milestones, social withdrawal
Fetal Alcohol Syndrome
Triad for congenital rubella sydrome
Patent ductus arteriosus
Sensorineural hearing loss
Leukorcia (white pupillary reflex) from cataracts
—infant IgM confirms
Large priorities lesion son the flanks
Vasomotor collapse
Waterhouse -Friderichsen syndrome
-adrenal hemorrhage
Apgar scores
Less than 7 requires further evaluation and resuscitation
Contraindications to pertussis vaccine
- progressive neurological disorder
- Encephalopathy within a week of previous vaccine dose
Treatment for Osteoid osteoma
NSAID; especially with night pain not related to physical activity
X-rays every 4-5 weeks to monitor lesion
Treatment of infantile botulism
Human-derived botulism immune globulin
Soil & Honey!
