uworld wrong 2 Flashcards
what is the most comon complication for a sickle trait person
painless hematuria is the most common complication
presentaion of acute lymphoblastic leukemia
bone pain lymphadenopaht hepatosplenomalgly pallor petechia (greter than 25% blast ina bone maoor means leukemia)
how to differentiate between infectious and non infectious etiolgy ?
tender lymphadenopahty for infectious causes
what re the oercentages of HbF insomeone taking hydroxyurea compared to someone not taking hydroxyurea
on hydroxy urea hbF is >15%
ottherwise its around 5-15 in sickled pateint not taing hydroxyurea
lyme disease can cause bell palsy –>explain symtpoms
dropping of the face but puppilary and sympathetics are not effected
What component of cows milk interfere with iron absorption
Caseinphosphopeptide and calcium
How does a plastic crises present (what does rbc look like)
Normocytic anemia that lasts less than 2 weeks
beta thellesemia more common in?
medditerrenean descent
alpha thalesemiam more common in?
asian and african descent
beta thelessemia is mostly due to what dysfunction ?
point mutation in beta promoter gene
hb bart
all alpha chains are deleted
describe symptoms of juvenile idiopathic arthritis
chronic joint pain and inflammation and rarely effects the hips
differentiate between septic arthirits and transient tensinovitis
septi arthritis presents with - high fever, elevted makers , non weigh berain on efefcted side ultrasound shows effusin
transient tensinovitis - low grade fever and able to bear weight
what complicationa re you worried about in a patient with juvenile idiopathic arthiritis
uveitis
describe feature of idiopathic juvenile arthritis
arthritis greater than 1 djoint for >6weeks
fever that spikes int he morning followed by a rsh
organomegaly and anemia
malaria fevr pattern ?rash ?
malaria has intermittent fever and fatigue and joint pain but no rash associated with it
how to treat nursemaids elbow
hyperpronation of forearm or
supination of forearm and flexion of elbow
does greensstickfracure lead to avascular necrosis
NO
Symptoms of toxoplasmosis
Macrocephaky and diffuse calcifications
Symptoms of hsv congentiak
Microcephaly, periventricular calcification
Most common pneumonia causing organism in adults ? children?
Adults = staph aureus
Children pseudomonas
Ludwig angina
Fatal cellulitis that spreads via dental abscess, submandibular
Majority or rabies cases in the US is caused by ?
Bats
Hypothermia, lethargy, low WBC and left shift is concerning for ?
Neonatal sepsis
Two disease caused by cocksackie
Heperngina but gets bones
Handd foot and mouth disease
Common causes of osteomyelitis in patients with sickle cell diseas
Salmonella and Staph aurues
y does cystic fibrosis patient have loose stools or constipation? Why?
Loose stools since cystic fibrosis pancreatic insufficiency causes loose stool
Also nasal shiny polyps
Seizures, gastroenteritis, fever, mucus stools, young child
Shigella
how doyou tret orbitsl cellulitis
give intravenous antibiotics
how do you treat nonbullous impetigo? wha tis a complication associated with it
mupirocin
glomerulonephritis
what sinuses are present at birth
maxillary and ethmoid
paransl develops after
causes of cute bacterial rhinosinucitis
Hib, streptococcus pneumonia and mraxella catarrhalis
most common cause of osteomylitis inchildren
staphlococcus aureus
causes of menengitis in children less than one month
group b strep
e coli
listeria monocytogenes
herpes simplex
causes of meningitis in children greater than one month
streptococcus pneumonia
nessira
children with cyanotic congenital cyanotic heart disease are at increased risk for ?
brain abscess
