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Cat Bite versus Cat Scratch
Cat Bite = Pasteurella Multcodia Tx: Augmentin
Cat Scratch = Bartonella Cat Scratch Fever.
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6 week old normal except SOB, listless
Think SVT.
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14 y/o with long history of rash that remitts
Think JRA
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3 things that the drooling kid could have
- Retropharyngeal abscess
- Peritonsallar abscess
- Epiglottitis
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Most common cause of deafness s/p meningitis?
Strep pneumo
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How many episodes of tonsillitis/yr before you do tonsillectomy?
6
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How to differentiate kidney stones from UTI?
Kidney stones has no FEVER!
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Hashimoto's Thyroditis
- Most commonc ause of hypothyroidism, autoimmune disorder
- Assoc. with HLA-DR5.
- May he hyperthyorid early in course
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Neonatal Gonorrhea vs. Chlamydia in terms of timing
- Gonorrhea days 2-5
- Chlamydia a few weeks post-partum
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Foul smelling/greasy stools w/o respiratory symptoms
Think Celiac's Disease.
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Aspirin Overdose
- Respiratory Alkalosis Early on
- Then Metabolic Acidosis (Anion Gap)
- pH = 7.2 BiCarb = 10
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5 y/o M w/ hx of leg pain, hepatosplenomegaly, bruising
Leukuemia
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6 week old w/ parotid swelling
HIV
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S/p 60 min. post-trauma clear fluid out of the ear
Basilar Skull Fracture
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Differentiate btwn Kawasaki and Scarlet Fever
- Both may have strawberry tongue, rash, desquamation of hands and feet, erythema.
- Scarlet Fever = Normal Conjunctiva and lips!!
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Mnemonic for Kawasaki
- CRASH and BURN
- Conjunctivits
- Rash
- Adenopathy (unilateral)
- Strawberry Tongue
- Hands and Feet (Red, swollen, flaky skin)
- Fever (>40C/104F for > 5 d)
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2 week old w/ a weak suck
Hypothyroidism
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13 y/o F w/elevated scapula
Scoliosis
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Blue at Birth
think Transposition of the Great Vessels
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Side effect of Bactrim
- Trimethoprim-Sulfamethoxazole TMP-SMX
- Treats Marrow Poorly TMP
- Causes neutropenia
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Which boys get gynecomastia
- Klinefelter's
- Obese
- Pot smokers
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3 mo w/ constipation and exhaustion
Hypothyroidism
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Fluids for kids
- Maintenance
- 4 ml/kg/hr for kilograms 0-10
- 2 ml/kg/hr for 10-20kg
- 1 ml/kg/hr for each addt. kg
- Bolus
- 20 ml/kg NS up to three times
No Pee? No K!
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Testicular Torsion
- Inner thigh stroking -->
- No Cremaster Reflex (movement up of testicle)
- Suggests Testicular Torsion
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8 mo w/o gag reflex?
botulism
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Kerion
Inflammatory reaction to tinea capitis
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Maxillary Hypoplasia?
Fetal EtOH
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Teenage girl rash can't come her hair
Dermatomyositis
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Coomb's Positive & Hemolytic Anemia
- Mycoplasma pneumoniae, EBV
- Causes Cold agglutination and acute anemia
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Neurologic Consequence of hypernatremia
seizure
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Widening wrists, refuses to crawl
Ricketts
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Blood on tapping pleural effusion
malignancy
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Coughing w/cyanosis
Pertussis
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Diabetes shaking
ALWAYS HYPOGLYCEMIA
-
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Midline defect in neck that moves w/ swallowing
Thryoglossal Duct Problem
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If they show you an x-ray w/o a broken bone
cancer.
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Galloping myocarditis
Coxsackie Virus
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Consequences of recurrent pyelo
- renal scarring
- hypertension
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Causes of fainting w/exercise in adolescent
- Hypertropic Cardiomyopathy
- Hypertrophic IV septum is too close to mitral vavle leaflet, causing outflow tract obstruction. 50% of cases familial associated w/ Friedreich's ataxia. Causes conduction abnormalities
- Long QT syndrome
- Pulmonary Artery Hyperplasia
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Bronchiectasis on CT
think CF.
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