Flashcards in ABEM Recert Exam pt. 5 Deck (90)
Microscopic polyangitis (MPA): si/sx
Microscopic polyangitis (MPA): Rx
Wegner's granulomatosis: New name
Granulomatosis with polyangitis
C-ANCA: What is it seen with?
Granulomatosis with polyangitis (formerly Wegner's granulomatosis)
Granulomatosis with polyangitis: Pathophysiology
Necrotizing vasculitis affecting lungs and kidneys
Formerly called Wegner's granulomatosis
Goodpasture's syndrome: Pathophysiology
Lung and kidney involvement
HSP: Typical patient affected
HSP: When does it usually occur?
After a viral syndrome
Acute retroviral syndrome: si/sx
Flu-like illness 1-2 weeks after exposure to HIV
When does HIV seroconversion occur?
4-6 weeks after exposure
Most common intracerebral mass in HIV (+) patient
PCP: What is it now called?
Leading cause of AIDS mortality
Pneumocystis jiroveci (formerly called PCP)
Which transplant(s) doesn't have potential for rejection?
Bone marrow is only one
BUT, can have life-threatening graft-vs-host disease
Rheumatic Fever: How to dx
2 major & 1 minor OR
1 major & 2 minor
Jones criteria: Major
Joint involvement (polyarteritis)
O (looks like heart) Myocarditis
Kawasaki's disease: Phases
1. Acute phase, lasts 1-2 weeks, CRASH
2. Subacute phase, lasts 2-4 weeks (Thrombocytosis, desquamation of rash, resolution of fever)
3. Convalescent phase (2+ months) coronary artery aneurysms
Bacterial tracheitis: Who does it usually affect?
Ages 1-5 yo
Upper c-spine injuries are (MORE/LESS) common in kids
Upper more common
Lower c-spine injuries are (MORE/LESS) common in kids
Lower c-spine injuries are more common in >8yo and adults (kids have large, floppy heads)
Waddles triad: What is it & when is it seen?
Injuries seen from pedestrian getting hit while crossing the road:
1. Femur fracture
2. Chest/upper abdominal injury
3. c/l head injury
Massive hemothorax in kids: Definition
>10 ml/kg initial output from chest tube
>2 ml/kg/hr ongoing output from chest tube
RBCs and FFP: Transfusion does in kids
Simple febrile sz: Definition
Age 6mo - 5y
Differential dx for altered MS in newborns
Inborn errors of metabolism
Leg-Calve Perthes disease: Who is it seen in?
Boys > girls
Leg-Calve Perthes disease: Definition
AVN of the femoral head
Salter-Harris fracture classification
I: physis (growth plate) SLIPPED
II: metaphysis only (ABOVE)
III: epiphysis only (LOWER)
IV: metaphysis, physis, and epiphysis (THROUGH)
V: crush of physis (ERADICATED)