Pedia: Common Presentations Flashcards Preview

PLE SEPTEMBER 2018 > Pedia: Common Presentations > Flashcards

Flashcards in Pedia: Common Presentations Deck (65):
1

Bilious vomiting WITHOUT abdominal distention on the 1st day of life

Duodenal Atresia

2

Disorder of pulmonary vasculature that commonly affects term or post term infants. MCC is perinatal asphyxia or hypoxia like meconium aspiration

Persistent Pulmonary Hypertension ofthe Newborn

3

Hydrocephalus with generalized calcifications and chorioretinits

Toxoplasmosis

4

Cataract
Deafness
Heart defect (PDA)

Rubella

5

Microcephaly with periventricular calcifications, petechiae with thrombocytopenia

CMV

6

Skin vesicles
Keratoconjunctivitis
Acute meningoencephalitis

Herpes

7

Osteochondritis and periostitis, skin rash involvinf palms and sokes and is desquamating

snuffles

Syphilis

8

Triad of late manifestation of syphilis

Interstitial keratitis
Hutchinson teeth
Eight nerve deafness

9

Cyanosis relieved by crying. Inability to pass NGT through nostril.

Choanal Atresia

10

Barking cough

Croup

11

Drooling and hyperextended neck

Acute epiglottitis

12

Brassy cough

Bacterial tracheitis

13

Tripod position. Cherry red, swollen epiglottis

Acute epiglottitis

14

Sudden onset respiratory distress, cough, hoarseness, cyanosis, localized wheezing, localized absence of breath sounds

Foreign body aspiration

15

Sore throat and fever. No URTI symptoms. Sandpaper rash on inguinal and antecubital areas

GAHBS Pharyngitis

16

Stacatto cough

Chlamydial pneumonia

17

Brassy cough

S. Aureus
Bacterial tracheitis

18

Barking cough

Parainfluenza
Croup

19

Whooping cough

Bordetella
Pertussis

20

Frothing and bubbling at the mouth and nose. respi distress. Cannot pass NGT. Symptoms exacerbated by feeding.

Esophageal atresia and TEF

21

NON bilious vomiting (initial symptom).
Hypochloremic metabolic alkalosis

Pyloric stenosis

22

Firm, movable, olive-shaped mass

Pyloric stenosis

23

Intermittent painless rectal bleedinh and brick-colored or currant-jelly colored stool

Meckel Diverticulum

24

Full term infant with delay in passage of meconium (>24 hrs). Distended abdomen, failure to pass meconium and/or bilious emesis.

Hirschprung disease

25

Orange sand in diapers

Lesch-Nyhan Syndrome

26

Asymptomatic hematuria and intermittent gross hematuria 1-2 days after upper respiratory infection. Usually associated with anterior lenticonus and hearing deficits.

Alport syndrome

27

ARF in children that usually appears within 3 weeks after onset of bloody diarrhea

HUS

28

Infants with pallor with history of large consumption of cow milk and foods NOT enriched with Iron.

Iron deficiency anemia

29

Basophilic stippling of RBC

Lead poisoning

30

Triphalangeal thumb
Pure RBC deficiency

Blackfan-Diamond
(Congenital Pure Red Cell Deficiency)

31

Absent/Hypoplastic thumbs
Pantocytopenia

Fanconi syndrome

32

Red eye in neonates: causative agent and treatment

Purulent discharge, tense edema of the eyelids with marked chemosis

Increased period 2-5 days

N. Gonorrhea
Ceftriaxone

33

Red eye in neonates: causative agent and treatment

Mild to severe swelling of the eyelids with copious purulent discharge

T. Trachomatis
Erythromycin

34

Red eye in neonates: causative agent and treatment

Edema and erythma of eyelids, pannus formation, endophthalmitis

Pseudomonas
Systemic antibiotics
Gentimicin eye ointment

35

Red eye in neonates: causative agent and treatment

First 6-12 hrs of life

Chemical
Self-limiting

36

Eye infections: conjunctivitis

Red itchy eyes
Thin exudate
Pain, photophobia
+/- cough and colds

Adenovirus

37

Eye infections: conjunctivitis

Red eye+pus

S. Aureus

38

Eye infections: conjunctivitis

Red eye+pus
Inclusion bodies in scrapings

Chlamydia

39

Eye infections: conjunctivitis

Inturned eye lashes
Corneal scarring
Blindness

Chlamydia

40

Eyelid infections

Stye

S. Aureus

41

Eyelid infections

Bilateral eyelid swelling
Eosinophils
Muscle paib
History of infection

Trichenella

42

Eyelid infections

Unilateral inflammation at the bit site around eye ir mouth
History if recent travel to mexico or south america

T. Cruzi

43

Furuncle, Carbuncle

Neck, face, axilla, buttocks

S. Aureus

44

Furuncle, Carbuncle

Neckdown
Bath tub

Pseudomonas

45

Inflammation of sebaceous glands and follicles in teenagers

Propionibacterium

46

Mother brings her child with multiple infected wounds on the lower extremities. Mother states that the lesions started as a koaquito bite and the child kept on scratching them. On PE, you see multiple, dry, heaped up tightly adherent crusts

Ecthyma (ulcerative impetigo)

47

Mother brings her child with multiple infected wounds on the lower extremities. Mother states that the lesions started as a mosquito bite and the child kept on scratching them. On PE, you see vesicular honey crusted lesions. Catalase negative. No pain. No systemic symptoms.

Impetigo
GAHBS

48

Mother brings her child with multiple infected wounds on the lower extremities. Mother states that the lesions started as a koaquito bite and the child kept on scratching them. On PE, you see initially vesicular. Longer lasting and bigger bullae formation. Catalase positive

S. Aureus

49

Vesicular lesion with neurological pain

HZV

50

Vesicular lesion with very large bullous lesions progressing rapidly. Preceded by fever, fatigue, malaise. Toxic looking patient. Denuded areas.

S. Aureus

51

Multiple vesicular lesions, some papules, some crusted all at different times

Varicella

52

Inflamed, erythematous skin, tender and warm.

Red, raised, butterfly rash in appearance with derma pain and rapid speed

Erysipelas

53

Inflamed, erythematous skin, tender and warm.

Following contacr with saltwaters and oysters

Vibrio

54

Inflamed, erythematous skin, tender and warm. Burn pt, blue green pus, grape like odor

Pseudomonas

55

Solitary lymphocutaneous lesions
Rose gardeners
Likes lying in gardens

Sporotrichosis

56

With history of painless genital ulcer

LGV: Chlamydia

57

Fever, Headache, elephantiasis of limb or genitalia

Filariasis

58

Granulomatous lesions, draining sinus tracts

Jaw area swelling
Yellow exudate
Carious teeth
Dental procedure

Actinomyces

59

Granulomatous lesions, draining sinus tracts

Tropical fish enthusiasts

Mycobacterium marinum

60

Granulomatous lesions, draining sinus tracts

Subcutaneous swelling of shoulder

Nocardia

61

Sulfur granules

Actinomyces

62

Malignant pustule, dark red fluid filled, black eschar

Anthrax

63

Target lesion, bull's eye lesion

Borrelia

64

Non tender abdominal mass associated with increased vanillylmandelic acid and homovanillic acid

Neuroblastoma

65

Most common type of TEF

Esophageal atresia with distal TEF