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Peds EORE
Pediatric End of Rotation Exam
136
Medical
Post-Graduate
02/01/2018

Additional Medical Flashcards

 


 

Cards

Term
80% of diaper rashes > 4 weeks are caused by _A_ which presents as _B_ papules with pustules and _C_.
Definition
A. Candida albicans
B. fiery
C. scales
Term
2 first line treatments for diaper rash
Definition
barrier creams, topical antifungal (nystatn)
Term
Perioral dermatitis should not treated with _A_, topical options are _B_ and _C_. Systemic abx are _D_
Definition
A. topical steriods!
B. flagyl
C. dapsone gell
D. minocycline/doxycycline
Term
Atopic dermatitis MC cause is _A_, it presents as _B_, scaling and _C_.
Found on _D_ surfaces, wrist, _E_ and face.
Definition
A. s aureus
B. pruritic
C. lichenified
D. extensor
E. scalp
Term
Contact dermatitis is treated with what 2 things?
Definition
topical corticosteroids and oral steriods
Term
What is the atopic triad?
Definition
atopic dermatitis, asthma, allergic rhinitis
Term
_A_ is the mainstay tx for atopic dermatitis followed by topical _B_.
Definition
A. emmolients (moisturizers)
B. corticosteroids
Term
Molluscom contagiosum is _A_ in childhood. Small, _B_ colored, _C_ lesions found in _D_ areas.
Definition
A. very common
B. flesh
C. umbilicated
D. moist
Term
Molluscum contagiosum is _A_ limiting but can be txt with curettage, _B_, oral _C_.
Definition
A. self-limiting
B. cryotherapy
C. cimetidine
Term
Drug eruptions begin _A_ weeks after start of new drug. Can cause _B_ of the skin.
Definition
A. 1-2 weeks
B. desquamation
Term
6 Ps of Lichen Plauns
Definition
- Pruritic, polygonal, planar, purple, papules, plaques
(polygonal- not circular, planar-flat top)
Term
Biggest complaint with lichen planus is _A_, presents with _B_ striae and _C_ phenomenon which look like _D_.
Definition
A. itching
B. wickhams
C. Koebner
D. scratches
Term
Lichen planus MC on _A_ and _B_. Palms, soles and _C_ are also common. Sometimes it can present with only _D_ involvement!
Definition
a. wrist
B. ankles
C. genitalia
D. mucus membranes
Term
Lichen Planus is a sign of _A_ and _B_ virus. Tx is high potenct _C_ and intralesional _D_.
Definition
A. HBV
B. HCV
C. steroids
D. Kenalog
Term
Pityriasis rosea begins with a _A_ and spreads in a _B_ pattern. It is _C_ but can also be treated with topical and oral _D_.
Definition
A. Herald patch
B. christmas tree
C. self-limiting
D. antihistamines
Term
Erythema multiforme MC cause is _A_ with the 3 most common being _B_, _C_ and _D_.
How does the rash present?
Definition
A. viral
B-D. herpes, adeno, EBV
- red every possible lesion!
macule, papule, plaque, vesicle, target lesion
Term
Erythema multiforme appears in what 3 locations?
Definition
PALMS AND SOLES
dorsum of hands and feet
extensor surfaces
Term
SJS is a _A_ reaction with a prodrome of _B_, myalgia, _C_, V/D.
Definition
A. hypersensitivity
B. athralgia
C. fever
Term
SJS prodrome is followed by high _A_ and red/purple _B_ and _C_ centers
Inflammatory _D_ with 2+ _E_
Definition
A. fever
B. macules
C. dusty
D. bullae
E. mucus membranes (oral, conjunct, anogenital, lips, nasal)
Term
SJS- untreated has _A_% mortality, MC cause is _B_. What are three common ones?
Definition
A. 10%
B. drugs
- allopurinol, anti-convulsants, pain meds
Term
TEN is classified by _A_% BSA. Mortality rate of _B_% in children and should be treated like _C_ burns. Presents with full _D_ of the epidermis and a (+) _E_ sign
Definition
A. >30% BSA
B. 30% mortality
C. full body 2nd degree burns
D. desuqmation
E. nikolsky
Term
Tx for EM is oral _A_, _B_ compresses and _C_ baths. SJS requires _D_ with _E_ protection. _F_ support
Definition
A. antihistamines
B. moist
C. oatmeal
D. Hospitalization
E. barrier
F. fluid and lyte
Term
Tx for mild/moderate acne- topical _A_ and can combine with _B_ or topical _C_.
Tx for severe or refractory is oral _D_.
Definition
A. retinoids (tertinoin, adapalene)
B. benzoyl peroxide
C. abx (clinda, erythro)
D. oral cyclines (mino, doxy, tetra)
Term
Scabies is common in close _A_ and _B_ pts.
Often has _C_ predoniance. They favor _D_ and you may see a _E_ at the end of a burrow. Tx with _F_ cream. Can do topical steroids
Definition
A. living quarters
B. immunosup
C. nocturnal
D. web spaces
E. black dot
F. permethrin
Term
Tx for androgenic alopecia is _A_
Tx for verruca is _B_
Definition
A. topical minoxidil (presenting sx of PCOS)
B. topical calicylic acid, cryo, imiquimod cream
Term
Burns are the _A_ leading cause of death in children. _B_% due to abuse (most of these are _C_ injuries)
Definition
A. 3rd
B. 15-25%
C. scald
Term
Superficial 2nd degree cover _A_ dermis. _B_ blisters and weeping. Deep 2nd MAY be _C_ and extend _D_ the dermis with _E_ and _F_ intact.
Definition
A. 1/2 dermis
B. painful
C. painful (may or may not!)
D. most
E. follicles
F. glands
Term
What 4 reasons do burns need special care? (airway, fluid therapy, grafting, infection prevention)
Definition
- severe
- circumfrential
- >15% BSA
- involve face/hands/perineum/feet
Term
Tinea capitis- MC cause _A_. Presents with patches of _B_ and _C_.
Kerions are _D_ and _E_ masses
Definition
A. trichophyton tonsuras
B. scaling
C. hair loss
D. boggy
E. pustular
Term
Tx for tinea infections is systemic _A_. Capitis is oral _B_ and _C_ shampoo- does NOT eradicate _D_!
Definition
A. antifungals
B. griseofulvin
C. selenium sulfide
D. infection!
Term
Bullous impetigo MC cause _A_. _B_ eruptions on a _C_ base. After rupture has a _D_ coating
Definition
A. S. Aureus
B. bullous
C. red
D. clear, thin
Term
Non-bullous impetig MC causes _A_ and _B_. Start as _C_ and form _D_. After rupture has _E_ coating.
Definition
A. GBS
B. S. Aureus
C. papules
D. pustules
E. honey colored crusts
Term
Tx for limited impetigo is _A_. If numerous must us an oral _B_
Definition
A. topical mupriocin
B. 1st gen ceph (cephalexin
Term
3 MC causes conjunctivitis-
Others: 0-5 doa is _A_. 5 doa to 5 weeks is _B_.
Definition
-> S Pneumo, H flu, M. Cat
A. N Gono
B. Chlamydia
Term
Bacterial conjuctivitis tx is abx drops for _A_ days. 3 types _B_, _C_, _D_.
Gonorrhea needs parenteral _E_.
Definition
A. 5-7 days
B-D. bacitracin, erythromycin, ofloxacin
E. ceftriaxone
Term
Orbital cellulitis is an _A_ and extends past the _B_. Severe pain with _C_, decreased _D_ and _E_ changes
Definition
A. emergency
B. orbital septum
C. EOM
D. movement
E. vision
Term
Orbital cellulitis is confirmed with _A_. Tx must be _B_ abx. Ex- _C_ + clindamycin or _D_.
Definition
A. CT scan
B. empirical
C. cefuroxime +clinda or
D. amp/sulbactam
Term
How does the cover test dx strabismus
Definition
cover one eye and observe uncovered eye mvmt.
If uncovered eye moves at the same time as covering, it is +
Mvmt of the eye is the opposite direction of the problem (if it moves inward... exoptropia)
Term
Strabismus has high incidence in what 4 conditions?
Eliminate consequence of _A_ by _B_ the eyes. Can use _C_ lenses, occlusion of _D_ penalization. Most need surgery too.
Definition
- downs, CP, hydrocephalus, brain tumors
A. amblyopia
B. reallignment
C. corrective
D. Atropine
Term
Acute otits media- 3 MC causes
Fqly preceded by _A_. TM is _B_, opaque/red, and _C_ mobile.
MC complication is _D_
Definition
- S pneumo, H flu, M Cat
A. URI
B. bulging
C. poorly or not
D. OM effusion
Term
Who gets abx? (4)
What ABX?
Definition
< 2 yoa, risk for poor f/u, chronic illness, recurrent/severe/perfed
- high dose amox first
- second: augmentin or 3rd Ceph
Term
T-tubes are indicate in what 3 situations?
Definition
moderate hearing loss, 3 AOM/6 mo, 4 AOM/1 yr
Term
Allergic rhinitis is _A_ mediated and is the MC cause of _B_ in peds. Nasal mucosa is _C_ and _D_.
Definition
A. IgE
B. clear rhinorrhea
C. boggy
D. bluish
Term
Allergic rhinitis can present with allergic _A_ and allergic _B_. Most effective tx is _C_. Mainstay of med tx is _D_.
Definition
A. shiners
B. salute
C. avoidance of allergen
D. H1 blocker (diphenhydramine, ceterizine, loratadine)
Term
4 causes of congenital hearing loss
Definition
-premature birth
- maternal DM
- inf or ototoxic meds
- drug/alcohol abuse
Term
Sensorineural- sensory part is caused by _A_ of the cochlea and LO _B_. Can be from excessive _C_, _D_ trauma, _E_ diseases
Definition
A. deterioration
B. hair cells
C. noise
D. head
E. systemic
Term
sensorineural- nerual par is lesions of _A_, _B_ nuclei, _C_ tracts. Causes are acoustic _D_, _E_ or auditory _F_.
Definition
A. CN VIII
B. auidtory nculei
C. ascending tracts
D. neuroma
E. MS
F. neuropathy
Term
If weber pateralizes to affect ear it is _A_ hearing loss. If it lateralizes to good ear it is _B_.
Definition
A. conductive
B. sensorineural
Term
Rinne- if BC>AC in affected ear _A_ hearing loss.
Definition
conductive
Term
Otitis externa- chronic is _A_ weeks, MC cause is _B_. Treatment is topical anx _C_, _D_ or _E_. The oral abx is _F_
Definition
A. >6 weeks
B. P aeruginosa
C-E. fluoros, neomycin, gentamycin
F. cipro
Term
Malignant OE is most common in _A_ pts, especially _B_ and _C_. Causes _D_ pain. Tx= _E_
Definition
A. immunosuppresed
B. DM
C. AIDS
D. severe and deep pain
E. surgical debridement
Term
Mc causes of otomycosis are _A_ and _B_. Treatment is otic _C_ or _D_.
Definition
A. candida
B. aspergillus
C. otic clotrimazole
D. nystatin
Term
TM perf- MC cause is _A_. Perf is only painful with _B_ and _C_.
Three common abx for txt
What 4 abx CANNOT BE USED??
Definition
A. infection
B. cholesteatoma
C. infection
- sulfa, ciprodex, ofloxacin
CANNOT USE: gentamycin, neomicin, tobramycin, cortisporin!
Term
MC artery for posterior nose bleed is _A_, packing should be left in _B_ days and pt must be _C_.
Definition
A. sphenopalatine artery
B. 2-7 days
C. admitted for observation
Term
MC causes of strep are _A_ and _B_.
Centor criteria for strep-
Tx with 10 days of _C_. If allergic use _D_.
Definition
A. GAS
B. S. Pyogens
- Fever, absence of cough, exudate, tender cervical LAN
C. PCN
D. erythro/azithro/clinda
Term
Acute post-strep glomerulonephritis _A_ (is/is not) prevented by abx txt.
- 4 presenting sx
__B_ urine and txt with _C_ and _D_.
Definition
A. is NOT
- hematuria, proteinuria, HTN, edema
B. Tea
C. PCN (ONLY strep glom)
D. diuretixs (furosemide)
Term
Epiglottitis incidence has decreased since _A_. Can be caused by _B_ and _C_. Xray will show _D_ sign
Definition
A. HiB vaccination
B. S aureus
C. S pneumo
D. thumbprint
Term
Epiglottitis presents with fever, _B_ progressive_C_. Pt has _D_ appearance and may _E_ and lean _F_.
Definition
A. fever
B. sore throat
C. stridor
D. toxic
E. drool
F. lean forward
Term
Number 1 epiglottitis treatment is _A_. IV abx are _B_ or _C_.
Definition
A. protecting the airway!!
B. amp-sulbactam
C. third gen cef
Term
Thrush is pseudo_A_ and red with _B_ bumps on the _C_ or _D_. It _E_ off!
Definition
A. pseudomembranous
B. white, creamy
C. oral mucosa (cheeks, gums, tonsils)
D. tongue
E. IT SCRAPES OFF!
Term
4 RFs for thrush
Tx for thrush is oral _A_ or _B_ as well as _C_ lozenges and _D_ mouthwash
Definition
- ICS, weakened IS, smokers, denture wearers
A. fluconazole
B. itraconazole
C. clotrimazole lozenge
D. nystatin mouthwash
Term
Peritonsilar abscess presents with _A_ deviation, _B_ voice, and _C_.
Tx is _D_ and IV _E_
Definition
A. Uvula deviation
B. hoarse voice
C. drooling
D. Drain it
E. IV CLindamycin
Term
Acute bronchitis is MC caused by _A_. Bacterial causes are _B_ and _C_
Tx is _D_
Definition
A. viruses (flu, ehino, adeno, RSV, paraflu)
B. S pneumo
C. H flu
D. supportive (fluid, acetominophen, bronchodilators)
Term
ACute bronchitis sx (4)
Definition
wheezing, SOB, chest tightness
MUCUS!!!!
Term
Another name for croup is _A_ and is MC caused by _B_ virus. Presents with _C_ cough and inspiratory _D_.
Definition
A. acute laryngotracheobronchitis
B. parainfluenza
C. barky (seal like)
D. stridor
Term
Mild croup has stridor at _A_ and moderate has stridor at _B_.
CXR will show _C_ sign.
Definition
A. activity
B. rest
C, steeple sign
Term
Croup is a _A_ diseae. _B_ is used for rescue and _C_ is the mainstay. A single dose of _C_ decreases _D_.
Definition
A. self-limiting
B. Racemic Epi
C. dexamethasone (corticosteroids)
D. hospitalization and return ED visits
Term
What are the three main differences between croup and epiglottitis?
Definition
- Croup doesn't have drooling or tripod position. Epiglottitis has NO COUGH!
Term
Pneumonia causes: _A_ are the most common causes. Bacterial causes are _B_, M. pneumo (_C_ years).
Definition
A. viruses
B. s pneumo
C. <5 years
Term
Chlamydia pneumonia presents with associated _A_ at _B_ months to an untx mother
Definition
A. conjunctivitis
B. 2-3 months
Term
Bronchiolitis MC cause is _A_. Present with _B_, _C_ x2, _D_ and expiratory _E_.
Definition
A. RSV
B. fever
C. tachy x2
D. RETRACTIONS
E. rales/wheezes
Term
Infants will have nasal _A_ and difficulty _B_ and possibly _C_.
Definition
A. congestion
B. feeding
C. apnea
Term
Bronchiolitis MC cause _A_ under _B_ yoa. Sx are nasal _C_, tachy_D_, _E_, wheezing (rales) and _F_.
Definition
A. RSV
B. <2 yoa
C. congestion
D. pnea/cardia
E. lethargy
F. retractions
Term
Bronchioloits tx is _A_ with the most important aspects being _B_ and _C_. racemic epi and _D_ if underlying disease worsens it.
Definition
A. supportive
B. oxygenation
C. hydration
D. corticosteroids
Term
Mild asthma has sx and SABA use _A_ but not _B_! Nocturnal attacks _C_. Tx with low dose _D_.
Definition
A. >2 days/wk
B. NOT DAILY
C. 2-4 nights
D. Low dose ICS
Term
Moderate asthma has sx and SABA use _A_. Tx is _B_ plus _C_/_D_
Definition
A. DAILY
B. Leukotriene receptor agonist (montelukast)
C-D. LABA or LTRA
Term
Hyaline Mem disease (RDS) is deficiency of _A_ and is considered a disease of _B_. tachy_C_, nasal _D_, chest wall _E_ and _F_ in first few hours of life
Definition
A. surfactant
B. prematurity
C-F. Tachycardia, nasal flaring, retractions, cyanosis
Term
Hyaline mem disease (RDS) CXR shows _A_. Tx is _B_ support, but the best treatment is _C_ (_D_ given to mom 48 hrs before preterm delivery)
Definition
A. ground glass (reticulonodular)
B. respiratory
C. prevention
D. corticosteroids
Term
CF infections by what 3 bacteria?
Finding of _A_ is pathognomonic. _B_ in a kid should prompt further testing. Classical findings are _C_ insufficiency and chronic _D_ disease.
Definition
- S aureus, H flu, P aeruginosa
A. meconium ileus
B. nasal polyps
C. pancreatic
D. pulmonary
Term
Pinworms or _A_ , _B_ test is not recommended b/c _C_ rarely found in stool. Tx is _D_ or _E_
Definition
A. enterobius
B. O&P test
C. ova
D. mebebdazole/albendazole
E. pyrantel pamoate
Term
EBV causes severe _A_, _B_ pain, and _C_algia. LAN in _D_. _E_ common, so need to avoid minor trauma.
Definition
A. severe sore throat
B. LUQ pain
C. myalgia
D. posterior cervical
E. hepatosplenomgealy
Term
Fifth's disease, or _A_, cuase by _B_ has a _C_ appearance. _D_ rash is pathognomonic. Tx is _E_.
Definition
A. erythema infectiosum
B. parvovirus
C. slapped cheek
D. lacy/reticular on extremities and trunk
E. supportive
Term
Highest risk for HSV to newborn is _A_. Tx is _B_. Complication is acute herpetic _C_.
Definition
A. 3rd trimester
B. acyclovir (eye exam and brain imaging)
C. Acute Herpetic Gingivostomatitis
Term
Mumps is a swollen _A_. Older kids have an assoc _B_ in mouth. tx is _C_.
What 3 complications can it have?
Definition
A. parotid gland
B. sour taste
C. supportive (ibuprofen)
- orchitis, pancreatitis, thyroiditis
Term
Roseola has abrupt onset of a HIGH _A_ that subsides prior to development of a _B_. Rash is red _C_ and _D_.
Definition
A. FEVER!!
B. rash
C. macules
D. papules
Term
Rubella has _A_ sign that is _B_ on the soft palate. tx is _C_.
3 main sx
Definition
A. forcheimer
B. petechiae
C. supportive
- lateral eye pain, body aches, petechiae
Term
Congenital rubella has _A_ and glaucoma, _B_, _C_ rash.
Definition
A. cataracts
B. IUGR
C. blueberry muffin
Term
Measles- _A_ spots, fever of at least _B_ and a rash that begins _C_. Tx is _D_.
What are the 3 Cs
Definition
A. koplik
B. 101
C. on the head
D. supportive
- cough, coryza, conjunctivitis
Term
Varicella- _A_ rash appears first on _B_ and is discribed as _C_. Dx is clinical but _D_ can be seen on a _E_ smear. Tx is _F_.
Definition
A. pruritic
B. trunk
C. "dew drops on a rose petal"
D. multinucleated giant cells
E. tzanck smear
F. supportive
Term
H-F-M disease- caused by _A_. _B_ form on _C_ and oral mucosa. Vesicular rash on _D_ and _E_. Tx is _F_.
Definition
A. coxsackie
B. Ulcers
C. tongue
D. hands
E. feet
F. supportive
Term
Pertussis- _A_ is absent in infants. The 3 phases. _B_ is the most infectious. _C_ can occur d/t intense coughing. Tx with _D_ can shorten course if early.
Definition
A. whoop
- catarrhal, paroxysmal, convalescent
B. Catarrhal
C. Retinal hemm
D. Erythro/Azithro/clarithro
Term
ASV presents with a _A_ split _B_. Can go _C_ into adulthood. The shunt is _D_.
Definition
A. wide
B. S2
C. unnoticed
D. Shunt L-> R
Term
VSD is the MC _A_. MC type is _B_. _C_% of small defects close by _D_ yoa and E% of large
Definition
A. congenital heart defect
B. membranous
C. 80%
D. 10 yoa
E. 15%
Term
VSD Shunt is _A_ creating a _B_ murmur. VSD often associated with _C_ and _D_ syndrome.
Definition
A. L->R
B. holosystolic (woosh)
C. endocarditis
D. Eisenmenger
Term
VSD _A_ in a small defect, but large presents with _B_ HTN, _C_ thrill and _D_.
Tx is _E_
Definition
A. asx
B. pulmonary
C. palpable
D. DOE
E. surgical closure
Term
Coarc results in _A_ of BF out of the LV _B_ the pressure. Infants will have lower _C_ cyanosis and failure _D_ or be _E_.
Definition
A. obstruction
B. increasing
C. lower extremity
D. FTT
E. asx
Term
Coarc has _A_ murmur heard at _B_. Coarc fq associated with _C_. _D_ is the med prior to surgery (balloon and stenting)
Definition
A. ejection
B. apex
C. Turners
D. PGE1
Term
PDA is MC cause of CHD _A_. Maternal _B_ is a RF. Presents with wide _C_. _D_-like murmur. Tx to close with _E_ then surgery
Definition
A. death
B. rubella (low O2 and high PGE1)
C. pulse pressure
D. machinery-like
E. NSAIDS (indomethicin)
Term
TOF 4 features
Definition
- RV outflow obstruction (pulmonary stenosis)
- RVH
- VSD
- Aortic overide of ventricular system
Term
TOF- _A_ shaped heart, cyanotic _B_ shunt, _C_ and clubbing. Prominent _D_ murmur at _E_
Definition
A. boot
B. R-> L
C. polycythemia
D. ejection
E. LU sternal border
Term
Tet spells have _A_ x2, loss of _B_, _C_ and death.
Infant put in _D_ position. Child must _E_.
Definition
A. Tachy
B. LOC
C. dyspnea
D. knees to chest
E. squat
Term
Acute rheumatic fever- carditis in _A_%. MC valve issue is _B_. Acute episodes tx with anti-_C_ and _D_ mgmt
Definition
A. 50-80%
B. MR
C. inflam
D. cardiac
Term
ARF may recur- give prophylactic _A_.
5 Major jones criteria
Definition
A. PCN
- Athralgia, carditis, subQ nodules, erythema marginatum, syndenham chorea
Term
Kawasaki fever _A_ days and 4/5 of CREAM
Definition
A. >5 days
Conjunctivitis
Rash
Edema (hands and feet)
Adenopathy (unilat cervical)
Mucosal Involvement (fissures/crusting)
Term
kawasaki has risk of _A_, risk decreased by early _B_ and high dose _C_.
Definition
A. coronary artery aneurysm
B. IVIG
C. high dose aspirin
Term
Hypertrophic CMP- _A_ is thickened. Murmur at _B_ and an _C_ gallop. _D_ is diagnostic. Tx with _E_ and _F_
Definition
A. ventricular septum
B. LL sternal border
C. s3
D. Echo
E. CCB
F. B-adrenergic blockers
Term
gastroenteritis- avoid _A_ in kids
shigella tx is _B_ or _C_.
C diff and giardiasas tx with _D_
Definition
A. antidiarrheals
B. bactrim
C. azithro
D. flagyl
Term
Maintenance fluid per day
<2.5 kg= _A_
2.5-10 kg= _B_
11-20 kg= _C_
>20 kg= _D_
Definition
A. 120/kg
B. 100/kg
C. 1000 + 50 for every kg over 10
D. 1500 + 20 for every kg over 20
Term
Pyloric stenosis RF is _A_. _B_ is the test of choice. Can cause _C_ and poor _D_
Definition
A. erythromycin
B. U/S
C. dehydration
D. weight loss
Term
Hirshprungs is missing _A_ cells, _B_ passage of stool. _C_ vomiting, adominal _D_ and poor _E_.
Definition
A. ganglion
B. no
C. bilious
D. distention
E. feeding
Term
Hirschprungs dx is _A_ and a _B_ bx. Tx is _C_ surgery
Definition
A. contrast enema
B. mucosal
C. anastamosis
Term
RF's of pathologic jaundice on NBs (2)

2 examples of pathologic jaundice
Definition
Jaundice before 24 hoa or >8 days (>14 days in premies)
- ABO incompatability, rh incompatibility
Term
duodenal atresia, or _A_, is failure of lumen to _B_. _C_ emesis begins within a few hours of _D_. Xray shows _E_ sign.
Definition
A. midgut volvulus
B. recanalize
C. bilious
D. first feeding
E. double bubble
Term
Niacin is _A_ and deficiency causes _B_. _C_ tongue, rigid _D_, and _E_ at corners of mouth. Can have _F_ SX!
Definition
A. B3
B. pallegra
c. red
d. nails
e. kelitis
f. NEURO!!
Term
Vitamin A deficiency affects _A_. Can cause _B_ spots and _C_ blindness. Become _D_ to infection
Definition
A. eyes
B. bitot
C. night
D. susceptible
Term
2 weeks-> (2)
1 month-> (2)
2 months-> (3)
Definition
2 wks- alert to sound, head side to side
1 mo- lift head, track with eyes
2 mo- lift shoulders, track past midline, response smile
Term
4 mo-> (4)
6 mo-> (4)
Definition
4 mo- raking grasp, roll over, regards hand, real food

6 mo- sit up, stranger anxiety, feeds self, supplement (flouride)
Term
9 mo-> (2)
1 yr-> (3)
Definition
9 mo- pincer grasp, Pulls to stand

1 yr- 1 word, 1 finger point, walk
Term
15 mo-> (3)
18 mo-> (3)
Definition
15 mo- 3-6 words, scribbles, follows commands

18 mo- 6 words, runs, kicks ball
Term
2 years-> (3)
3 years-> (4)
Definition
2 yr- 2 feet for 2 steps, 2 word phrases, 10+ words

3 yrs- tricycle, draws circle, potty trained, knows name/sex
Term
Immunizations
Birth
2 months
Definition
Birth- Hep B

2 mo- Hep B, DTaP, Roto, HiB, I.polio, pneumo
Term
4 months
6 months
Definition
4 mo- DTaP, Roto, HiB, Polio, Pneumo

6 mo- Hep B, DT, Roto, HiB, Polio, Pneumo, Influenza
Term
1-1.5 years
4-6 years
11-12 years
16 years
Definition
1 yr- (one MAD HPV) MMR, HAV, DTaP, HiB, Pneumo, Varicella

4-6: Very DIM b/w 4-6 PM- Varicella, DTap, Polio, MMR

11-12 yrs- TADa Human Men!- TDap, HPV, Meningitis

16 yrs- Meningitis
Term
Mc cause for meningitis are _A_ (MC is _B_). Viral is _C_, bacterial is _D_ (MC is _E_ and _F_)
Definition
A. viruses
B. enterovirus
C. self-limiting
D. life threatening
E-F. S pneumo and N. Men
Term
MC causes of meningitis by age
<1 mo- _A_ (2)
1-2 mo- _B_ (4)
2 mo- school- _C_ (4)
Definition
A. GBS, listeria ONLY
B. GBS, entero, E coli, S pneumo
C. entero, N men, S pneumo, b burgdorfi
Term
Bacterial men- _A_ neutrophils, _B_ glucose
Viral men- _A_ neutrophils, _B_ glucose
Definition
- High neutrophils, low glucose
- low neutrophils, normal glucose
Term
Turners is assoc with _A_. _B_ neck, _C_edema. Don't do _D_ without help and most are _E_.
Definition
A. Coarc
B. webbed
C. lymphedema
D. puberty
E. infertile
Term
Downs is MC _A_ syndrome. _B_ 20x more likely and _C_ more common
Definition
A. genetic
B. leukemia
C, dementia
Term
Osgood-Schlatter is pain and tenderness of _A_. Usually occurs during _B_.
Definition
A. tibial tuberosity
B. growth spurt
Term
Congenital hip dysplasia RFs are _A_ and _B_ children. Associated with _C_ and _D_
Definition
A. female
B. first born child
C. MT adductus
D. muscular torticollis
Term
Leggs-Calve-Perthes disease: AVN of _A_. MC in _B_ and _C_ children. Pain often referred to _D_ or _E_.
Definition
A. Femoral head
B. males
C. young
D-E. thigh or knee
Term
L-C-P disease has limitation of _A_ and _B_. Long term disability caused by _C_ head.
Definition
A. internal rotation
B. adduction
C. misshapen
Term
Ewing sarcoma- _A_ and _B_ bones (MC _C_ and _D_). Looks like _E_ skin. Dx with _F_.
Definition
A. flat and long bones
C-D. pelvis, femur
E. onion skin
F. bone bx
Term
Osteosarcoma is MC _A_. 3 most common locations
Dx is lytic lesion with _B_ appearance
Definition
A. MC malignant bone tumor
- Distal femur, proximal tibia/humerus
B. sunburst
Term
leukemia is MC _A_. _B_ pain and _C_. Presents with _D_ blasts. Dx gold standard is _E_.
Definition
A. childhood malignancy
B. bone pain
C. lethargy
D. 20%
E. BM aspiration
Term
Hodgkin's presents with painless LAN of _A_, _B_ and _C_. Dx is _D_ with _E_ cells.
Definition
A. cervical
B. supraclavicular
C. mediastinal
D. LN bx
E. reed sternberg cells
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