Cleveland Clinic Flashcards
(33 cards)
PHACE
Posterior fossa malformations, Hemangiomas, Arterial anomalies of head and neck, Cardiac anomalies, Eye anomalies
Klippel-Trenaunay syndrome
When vascular malformation asymetrically affects the growth of underlying bone and soft tissue
Sturge-Weber syndrome
Port wine stain on face in ophthalmic branch of trigeminal nerve, ipsilateral leptomeningeal angiomatosis, cortical calcifications, glaucoma. Risk seizures and mental delay
What type of vaccine is HiB?
A capsular polysaccharide / protein conjugate vaccine
What’s least likely cause of death in 2-18 yo? Suicide, homicide, MVA, cancer?
Cancer
Night terror sleep phase?
Non REM. Don’t remember. Unlike nightmare, remember, REM, REMember.
Thumb sucking not normal after what age?
5 and older, permanent teeth set in
5 yo boy with enuresis. Best initial intervention?
Urinalysis, to rule out uti or DM before reassurance / behavior modification
Tinea capitis (patchy scaliness with hair loss, or broken black dot hairs) treatment?
Oral antifungal (griseofulvin) 6-8 weeks, often with selenium sulfide shampoo. Add steroid if kerion (boggy inflammatory mass surrounded by pustules)
Antibiotic for dog bite?
Augmentin (covers Pasteurella and anaerobes). Dog bite less likely infected than cat.
Rickets causes which in 6 mo child? Poor growth, costochondral rosary, bowlegs, soft skull / craniotabes, wide epiphyses
Not bowleg yet because have to be weight bearing
Reyes syndrome, which lab predicts coma?
Ammonia. Aspirin during flu and varicella especially, acute encephalopathy and fatty liver degeneration
Acrodermatitis enteropathica?
Autosomal recessive malabsorb zinc, dermatitis
Terminal ileum resection, which vitamin deficiencies?
ADEK and B12
Intussueception radiologically reduced, recurrence risk?
10%
Measles treatment?
Vitamin A
Fitz-Hugh-Curtis
Gonococcal perihepatitis
What clinical feature only in Crohn’s and not UC?
Perianal disease
Long term complication chronic UC?
Adenocarcinoma of the colon
Patient with UC now fever, jaundice, pruritis, epigastric pain?
Primary sclerosing cholangitis
Mild IBD therapy includes all except: cyclosporine, mesalamine, sulfasalazine, olsalazine, 5-ASA suppositories?
Cyclosporine (refractory UC). If small bowel CD, need pH dependent or time release mesalamine
Azathioprine side effects include all except pancreatitis, bone marrow suppression, liver toxicity, cardiomyopathy?
Cardiomyopathy
Down syndrome, diarrhea, difficulty gaining weight?
Celiac
14 yo difficulty swallowing, now food impaction?
Eosinophilic esophagitis
