ABEM Recert Exam pt. 2 Flashcards Preview

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Flashcards in ABEM Recert Exam pt. 2 Deck (85)
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1

Scarlet fever: Cause

Group A Beta-hemolytic strep

2

Scarlet fever: si/sx

Sore throat, then rash 12h later

3

Scarlet fever: Rx

PCN

4

Staph Scalded Skin Syndrome (SSSS): Age involved

<5 yo

5

Staph Scalded Skin Syndrome: Rx

Fluids, just like a burn patient with excess fluid loss from skin

6

Staph Scalded Skin Syndrome: Skin involved

Almost everywhere but no mucous membrane involvement

7

Erythema Multiforme: Appearance

Target lesions, symmetric on extensor surfaces, elbows and knees
DOES have mucous membrane involvement

8

Steven Johnson syndrome vs TEN: How to diff

SJS has >30% BSA involvement, TEN has less

Almost all TEN is from drugs, SJS is mostly drugs too but can also be from infection, or graft versus host

9

Measles: Incubation period

1-2 weeks

10

Measles: si/sx

3 Cs
Cough
Conjunctivitis
Corzya (irritation of nasal mucous membrane, runny nose)
Fever
Morbiliform rash starts on face then spreads

11

Measles: Rx

IVIG

12

Henoch-Schonlein Purpura (HSP): si/sx

ARENA
Abdominal pain
Rash
Edema (hands & feet)
Nephritis
Arthritis/arthralgias

13

Henoch-Schonlein Purpura: What complication is at increased risk with

HSP has increased risk of intussecption

14

Do petechiae and purpura blanch? Why?

DO NOT blanch. Is a vasculitis, so vessels are leaky and blood that you see is outside vessel, so when you press on it, it doesn't go back in

15

Erythema Infectiousum: AKA

Fifth disease (slapped cheek disease)

16

Erythema Infectiousum: Complications

Aplastic anemia in patient's with sickle cell dz
Fetal demise in pregnant patients

17

Roseolla: si/sx

3-5 days of fever, which then resolves
As fever resolves, blotchy, macular rash appears

18

Roseolla: Rx

None

19

Impetigo: Causes

GAS
Staph aureus

20

Characteristics of life-threatening rashes

Mucous membrane involvement (but not always, i.e. Hand ,Foot, Mouth disease)
Pain out of proportion to exam
Skin sloughing
Petechiae / purpura
Altered LOC
Persistent fever

21

Myocarditis: When to think about it

When an ill-appearing child gets worse after a fluid bolus, not better

22

Classes of congenital heart disease

Blue baby (right to left shunt)
Gray/mottled baby (cardiac outflow obstruction)
Pink baby (left to right shunt)

23

HOCM murmur: What changes the murmur?

Gets worse with standing or Valsalva
Better with squatting, isometric hand grips or lying down

24

Intussecption: Radiographic findings

Target sign on ultrasound
Decreased bowel gas in RLQ on KUB

25

Meckles rule of 2s

2% of population affected
Most are 2' from ileocecal valve
Most are 2" in length
Most present before age 2

26

Most common disorder requiring surgery in infants

Pyloric stenosis

27

Pyloric stenosis: Ages affected

2 weeks - 2 months

28

Pyloric stenosis: si/sx

Projectile non-bilious emesis
Hypochloremic hypokalemic metabolic acidosis secondary to vomiting

29

What to be concerned about in newborn who hasn't passed a meconium stool?

Hirschprung's disease

30

Most common GI emergency in neonates

Necrotizing enterocolitis (NEC)