Pediatrics 1 Flashcards
(237 cards)
1
Q
- 14mo poor growth, CF, steatorrhea. What do you expect on CXR?
A
Honeycomb cysts
2
Q
Show you a blood smear. What can kid take to prevent this?
A
Iron for iron def
3
Q
- any thyroid bx
A
Hashimoto’s
4
Q
- 1wo with palpable clunk while lifting femur
A
developmental hip dysplasia
5
Q
- 10yo bitten by cat. Most common infection?
A
Pasteurella. Tx: amoxicillin
6
Q
- 14do will not move R shoulder (bone ifx). Fever + Gram+ cocci in blood. Most likely organism?
A
Staph
7
Q
- 6mo F with 12hr h/o wheezing, resp distress, low O2 sats. Dx?
A
RSV
8
Q
- 11yo w/ 1d h/o fever, nausea, abd pain, extensive diarrhea. Expected acid/base problem is:
A
metabolic acidosis. Expected pH is 7.2 (prolonged diarrhea, loss of HCO3)
9
Q
- 17yo h/o MVA w/ fractured ribs, tachycardia, decreased breath sounds. Management?
A
Chest tube
10
Q
- 6wo w/ 1d h/o difficulty breathing, listless. EKG shows:
A
SVT (due to CHF)
a. EKG ofnewborn SVT due to CHF
b. EKG of adolescent arrhythmia
11
Q
- Inheritance pattern. 2yo F with brown spots, mother has similar brown spots.
A
AD
12
Q
- 40yo 2d h/o fever, abd cramps, diarrhea after picnic. Most likely dx?
A
Salmonella
13
Q
- 2yo w/ 1wk h/o of swollen eyes, ankles. Lab findings?
A
Low albumin (<2)
14
Q
- 7yo 1d h/o rash, 3d h/o of penicillin for strep throat. Allergic or not?
A
No - has mono
15
Q
- 2yo F w/ R chest pain after amoxicillin for pneumo. What’s causative organism?
A
Strep pneumo pneuomonia progressing resistant strain
16
Q
- 14yo F w/ 7y h/o of exacerbations and remissions of rash, pain on hands/knees. Dx?
A
JRA
17
Q
- 2yo M w/ 24hr h/o drooling, noisy breathing, fever, sore throat. Dx?
A
Epiglotittis, retropharyngeal abscess, peritonsillar abscess
18
Q
- Identify most likely lesion in 6yo w/ Down’s, difficulty feeding and tachycardia.
A
VSD
19
Q
- 2do w/ blue feet, 2/6 systolic murmur @ LSB.
A
Coarctation of aorta
20
Q
- 18mo F does not mimic sounds or words. Bacterial meningitis @ 3mo. Dx?
A
Deafness
21
Q
- 3yo M w/ 4d h/o lethargy, vomiting, diarrhea, dry lips. Cause of renal failure?
A
Prerenal
22
Q
- Management of 6yo F w/ enlarged tonsils and 2 sore throats in last yr?
A
Nothing (need 5 infections in a year for tonsillectomy)
23
Q
- 5yo F w/ recurrent swollen R eye after being stung by bee 4d prior.
A
Cellulitis
24
Q
- 17yo F w/ 2h h/o pain on urination, blood in urine, pain in back
A
Kidney stones (since no fever! Otherwise pyelo)
25
24. 18yo F w/ 4wk h/o neck swelling, firm palpable thyroid, twice normal size. Show you a biopsy
Hashimoto’s
26
25. 6yo w/ 2 prior h/o scrotal mass / swelling. Most likely dx?
Hernia or hydrocele
27
26. 3wo M w/ 2d h/o bilateral eye discharge, conjunctival erythema. Dx?
Chlamydia GC would be 2-5 days old
28
27. 15yo F p/w fainting while running. Had 3 other episodes over last 2 mo. Dx?
Long QT ddx also includes HOCM, pulmonary HTN
29
28. 3mo F h/o greasy stools, flatus. Dx?
Celiac no pulm symptoms
30
29. 16yo F p/w 20 min sweating, type 1 diabetes. Initial tx?
IV D10 (dextrose)
31
30. 6yo w/ abd pain and watery diarrhea?
Giardia
32
31. 12yo F w/ recurrent UTIs w/ scarring of upper poles of kidneys. Dx?
Reflux giving pyelo (VUR)
33
32. 2yo p/w ingestion of mod quantity of aspirin. Most likely blood gas?
Resp alkalosis initially, then met acidosis 1 hr later pH = 7.2
34
33. 2yo F w/ 3m h/o recurrent pneumonias, chronic diarrhea, eczema. Dx?
Wiskott-Aldrich
35
34. 5yo 1wk h/o leg pain, hepatosplenomegaly, scattered bruising.
ALL (bone pain + HSM = ALL)
36
35. 5yo w/ 1y h/o impulse behavior.
ADHD
37
36. 6yo w/ parotid and submandibular swelling. Dx?
Mumps
38
37. 10yo w/ labial bruising, vaginal discharge, mother denies abuse
Child protective services
39
38. 18mo w/ 5d h/o of cough, diarrhea, dark red urine, 1d h/o of pallor and lethargy. Dx?
HUS
40
39. 24ho M w/ C-section for low FHR. Pulse is now 138. Management?
Nothing
41
40. 9yo p/w hit in head 60 min ago from baseball bat with clear fluid coming out of head. Dx?
Basal skull fracture (leakage of CSF)
42
41. 3yo M w/ red rash 1 wk after amoxicillin for viral illness. Dx?
Allergy
43
42. 1mo w/ 1d h/o vomiting after feeds, otitis media, decreased muscle tone. Management?
Sepsis workup (LP, UA, blood culture, CBC) also, <6wks + fever sepsis workup
44
43. How do you prevent aspiration pneumo in a 4yo who is s/p anesthesia for adenoidectomy?
Put them on their side
45
44. 7yo w/ crusted yellow facial lesion, blood and 2+ protein in urine.
PSGN
46
45. 6mo w/ 3wk h/o breathing difficulty, wheezing on inspiration, hoarseness.
Vocal cord paralysis
47
46. 14yo F w/ abdominal pain, palpable spleen, hereditary spherocytosis. Dx?
Splenic sequestration
48
47. 1yo w/ failure to thrive, thrush, diarrhea. Dx?
HIV
49
48. 15yo M w/ gunshot wound successfully resuscitated in ER. Most likely to die from:
another gunshot wound
50
49. 4yo M w/ 3d h/o fever, swollen hands/feet, systolic murmur. Dx?
Kawasaki
51
50. 2wo weak suck, sluggish, rarely cries, no maternal care. Dx?
Hypothyroidism
52
51. 3do w/ large swelling on left side of head, delivered at home. What is swelling?
Cephalohematoma
53
52. 5yo presenting w/ respiratory distress 30 min after drinking unknown liquid. What did he drink?
Hydrocarbon ingestion
54
53. 6yo w/ 12h h/o of fever, sore throat, vomiting, fine papular rash in skin folds. Dx?
Scarlet fever (Pastia lines)
55
54. 4yo w/ rash, irritable. Normal exam. Action plan?
Nothing, reassurance
56
55. 10yo w/ 3wk h/o R leg pain, minor injury, limp. FHx of retinoblastoma. Dx?
Osteosarcoma, chr13
57
56. Large neonate, now grunting and cyanosis. Most likely explanation?
Hypoglycemia from maternal diabetes
58
57. 4yo w/ 6hr h/o dysuria, urinary freq, suprapubic pain. Management?
UA, UCx, Abx
59
58. 8yo F. Mother says could not be awoken. 1 wk h/o vomiting, diarrhea. Mother suspects that she had a seizure b/c of other daughter describing it. Why is she seizing?
Hypernatremia (from chronic diarrhea, volume depletion)
60
59. 12yo w/ fever, exudative pharyngitis, lymphadenopathy, HSM. Dx?
Mono
61
60. 6ho w/ lethargy, maternal fever, prolonged ROM prior to delivery. Management?
Sepsis workup + Amp/Gent
62
61. 10yo w/ 24hr h/o fever, joint pain, macular rash. Dx?
Rheumatic fever
63
62. Prevention of neonatal respiratory distress in a premie:
Corticosteroids betamethasone prenatally @> 28 wks
64
63. 10mo w/ listlessness, weakness, pallor. What can be given?
Iron
65
64. 5yo p/w respiratory distress, intubated and found to have tinged blood on endotracheal tube. Dx?
Pulmonary hemosiderosis
66
65. 18mo w/ poor linear growth, BP 90/60, hyperkalemic. Dx?
RTA 4 (aldo def/resistance lose Na, retain K)
67
66. 8do p/w vomiting, high K, pigmented genitalia.
CAH
68
67. 6yo h/o VSD. What would be given prior to dental procedure?
Abx (e.g. amox)
69
68. 13yo F w/ elevated R shoulder and scapula. Dx?
Scoliosis
70
69. 14yo w/ 6wk h/o enlarged tibial tubercle.
Osgood-Schlatter
71
70. 1yo w/ 2y h/o of cough, wheezing, fatty stools. Dx?
CF
72
71. 17yo w/ h/o of nausea, abd discomfort, past h/o bulimia. Dx?
Mallory-Weiss tear
73
72. 36ho sudden onset of poor feeding, holosystolic murmur. Mechanisms?
Heart failure from VSD (poor feeding MOA = CHF)
74
73. Dietary recs in a 3wk old w/ 1wk h/o of anorexia, vomiting, poor weight gain.
Switch away from milk (in real life you admit to hospital)
75
74. Mechanism of neutropenia in a 4yo F w/ 6h h/o fever and is on Bactrim ppx for UTI.
Bactrim
76
75. everted feet on standing
do nothing
77
76. 16yo M who has no growth in 2yrs. Weight/height Tanner stage 5. Management?
Nothing
78
77. 2yo w/ sudden onset of cough at a picnic and respiratory distress. Dx?
Foreign body aspiration
79
78. 9yo w/ 3d h/o ear pain since returning from summer vacation.
Otitis externa. Tx: Cipro ear drops
80
79. 14yo M w/ 2wk h/o tender breasts, weight/BMI < 10, smokes MJ.
Side effect of smoking MJ
81
80. 16yo F w/ 2y h/o cramps, abd pain, diarrhea 2nd day of menses. Dx?
Endometriosis
82
81. 3mo w/ 2d h/o difficulty breathing, wheezing, O2 sat 84%, most likely explanation?
Causes of hypoxia: V/Q mismatch, shunt, low FIO2, hypoventilation, diffusion defect. V/Q mismatch for this. Wheezing suggests V/Q mismatch.
83
82. 12mo w/ 2wk h/o abscess formation, on cephalexin. Most likely explanation?
CGD (neutrophils affected)
84
83. 3mo F w/ low activity, slow feeding, constipated. Dx?
Hypothyroidism
85
84. 17yo F w/ no menstrual periods, sex development.
Turner’s
86
85. 4mo w/ white patches on buccal mucosa, 1 wk h/o amoxicillin.
Thrush
87
86. 12mo w/ 4h h/o fever, irritability, HSM. Dx?
HSV
88
87. 10kg child who is 10% dry. Fluid in next 24 hrs?
Fluid deficit = 1 L. Maintenance is 960 cc over 24 hrs, bolus of 1 L so total fluid = 2 L.
89
88. 7yo w/ edema, erythema of R scrotal sac, absent cremaster reflex. Dx?
Torsion
90
89. 2wo w/ fever, erythema of tympanic membranes. Next step?
Sepsis workup (fever <6 mo sepsis w/u)
91
90. 3yo w/ aniridia, mass in R flank. Dx?
Wilm’s
92
91. 2yo w/ syncopal episode post temper tantrum. Dx?
Breath holding spell
93
92. 11yo w/ short stature, Tanner stage 1, has been growing along 5% for weight/height since 5yo
Reassurance
94
93. 8mo w/ 1d h/o colicky abd pain, mass.
Intussuception
95
94. 18mo w/ URI, swollen R knee. Diagnostic study?
Arthrocentesis (swollen hot knee tap)
96
95. Newborn w/ excessive salivation, drooling, vomiting 1st feed. Dx?
TEF (tracheoesophageal fistula)
97
96. 18mo w/ 2lb weight gain in last 6 mths. Growing along percentiles. Do we need to worry?
No
98
97. 8mo w/ weakness, hypotonia, decreased gag reflex. Dx?
Botulism
99
98. 9yo F w/ 2wk h/o increased thirst, urination. Dx?
Type 1 DM
100
99. 16yo F p/w oral white plaques/exudates, cervical adenopathy. Dx?
Mono
101
100. 3yo w/ cardiomegaly from PAH and tricuspid regurg. Long term management?
Lung transplant
102
101. 2yo found in bathroom w/ swollen white lip and drooling.
Drano ingestion
103
102. 16yo wrestler w/ 2d h/o fatigue and pleural effusions. Dx?
Tore thoracic duct
104
103. 7yo w/ boggy area, crusted exudate on scalp. Dx?
Kerion from Tinea
105
104. Mechanism: periorbital edema, pretibial myxedema, abd distention.
Nephrotic syndrome – Minimal change dz
106
105. 16yo presents to ER for emergent surgical procedure.
Consent needed from no one
107
106. 6mo p/w PCP infection. 3 siblings died from similar infection. Dx?
SCID
108
107. 12yo p/w breath smelling of alcohol, semi-comatose. Management?
Dextrose for hypoglycemia from alcohol intox
109
108. Vaginal itching, perianal itching in 3yo F.
Pinworms
110
109. 3yo w/ vomiting, lethargy after being hit in head by baseball bat. No LOC. Dx?
Subdural hematoma
111
110. 16yo presents 30min after syncopal seizure while running on a track in August. Most likely explanation?
Heat stroke
112
111. 10yo F w/ pallor, Coomb’s + test. Dx?
Autoimmune hemolytic anemia
113
112. 5yo w/ fever, abd pain, cough, decreased breath sounds in LLL. Dx?
Pneumo
114
113. 4yo w/ rash on trunk, enlarged cervical nodes, papules on tongue. Dx?
Coxsackie
115
114. 18mo refuses to move arm after stepping off curb and mom grabs him. Dx?
Nursemaids elbow
116
115. Newborn w/ short palpebral fissures and maxillary hypoplasia. Dx?
FAS (fetal etoh syndrome)
117
116. 14yo p/w murmur w/ mid-systolic click. Dx?
MVP
118
117. 4yo F w/ neutropenia, cough, fatigue, lymphadenitis. Cause?
Adeno
119
118. Vaginal bleeding in 4yo F w/ h/o prurulent vaginal discharge. Dx?
Foreign body (<10yo = foreign body)
120
119. 10yo F w/ fatigue, rash on face and hands, cannot comb hair. Dx?
Dermatomyositis
121
120. 18mo F w/ wheezing, cough, 3 episodes pneumo in last 3 months. Most likely dx?
RAD
122
121. Newborn born to HepA+ mother.
Reassurance (HepB IVIG + vaccine)
123
122. 3mo w/ confirmed seizures p/w fever, vomiting, diarrhea for 3 days. Most likely lab abnormality?
Hypernatremia
124
123. 11yo F w/ breast lumps, prepubescent.
Normal
125
124. 12yo F w/ frothy vaginal discharge, T. vaginalis +. Management?
Metronidazole + check for other STDs
126
125. 3wo F w/ R eye discharge. Most likely explanation?
Long fingernails (scratches face)
127
126. 15yo w/ cough, nasal discharge, conjunctivitis. Immigrated from Sudan. Dx?
Measles
128
127. 2mo w/ increased episodes of crying w/ urination. Diagnostic study?
UA + UCx
129
128. 15yo F w/ widened wrists does not crawl or walk. Dx?
Rickets
130
129. 20 mo w/ fever, cough, weight loss, PPD+. Grandmother has pulmonary lesion. Dx?
TB. Treat with 4 therapy (RIPE)
131
130. 2yo M w/ R sided limp, afebrile, plantar tenderness. Most likely explanation
Wart from HPV
132
131. 1do w/ tachypnea, grunting, cyanosis. Dx?
TGA
133
132. 3yo runs and squats.
TOF
134
133. 3yo F w/ 3wk h/o abd cramps, diarrhea. Similar symptoms as others in daycare.
Viral gastro
135
134. 17yo w/ scarring of upper pole of kidney. Most likely explanation?
VUR
136
135. 14mo w/ recurrent infections, 5% wt/ht. Most likely explanation?
T-cell def (T cell immune defect poor growth)
137
136. 9mo p/w recurrent pneumo bacteremia. Dx?
X-linked Bruton’s
138
137. 5yo w/ L knee pain, nasal discharge, sore throat 2 wks ago.
Transient synovitis
139
138. 14yo F w/ tonic-clonic seizures 4 hrs ago, resists neck flexion. Dx?
Meningitis (Neisseria)
140
139. 10mo F agitated, S3 gallop, crackles in bases. URI 2d ago.
Dilated cardiomyopathy from coxsackie
141
140. Cause: sweating, shaking, pallor in 2yo F w/ T1DM who recently had 60% dec in insulin dose
Hypoglycemia
142
141. 2yo F w/ pyelo, forceful urinary stream. Management?
VCUG + US
143
142. 12ho newborn 3/6 systolic murmur, cyanotic, tachypneic. Dx?
TGA
144
143. Management of newborn w/ APGAR 1 and 3.
Stimulation then CPAP
145
144. Mechanism: 4mo w/ failure to thrive, hepatomegaly, pulmonary congestion on CXR.
Heart failure from VSD
146
145. 1do post-seizure, delivery complicated by prolapsed umbilical cord. Most likely explanation for seizure?
Hypoxia
147
146. 11yo w/ fever, night cough, HA, nasal discharge. Sister has cold. Dx?
Sinusitis
148
147. Pleural effusion tapped has red serosanguinous fluid in 5yo M. Dx?
Cancer
149
148. 2mo w/ cough spells, vomiting, cyanosis. Dx?
Pertussis
150
149. 2mo F w/ poor weight gain, vomits 5-10min, feeding w/ cow’s milk. Dx?
Reflux
151
150. 2yo 30 min s/p tonic-clonic sz w/ URI, family has h/o febrile sz. Management?
Reassurance
152
151. 2yo F w/ recurrent otitis media, cough, growth dev appropriate for age. Dx?
Kartagener’s
153
152. 10yo F w/ asthma, exposure to chicken pox. Management?
Vaccination. Give serum if immunodeficient (I wrote down “do nothing” as answer for this)
154
153. 13yo M w/ fever, gastro, vomiting has not voided 3h post IV hydration. Management?
Give another bolus
155
154. Management of 4yo w/ RLQ pain, vomiting, fever, no masses.
Appendectomy
156
155. 9yo F w/ 1cm blistering after scratching mosquito bites. Tx?
Cephazolin for staph cellulitis
157
156. Management of 7yo w/ enuresis, h/o fevers, abd pain. Dx:
UA for recurrent UTI
158
157. 2mo F w/ opacity in anterior chamber of R eye. Dx?
HSV
159
158. 6mo startle-like movements, murmur, skin hypopigmentation, normal head CT. Dx?
Neurofibromatosis I think this should be tuberous sclerosis given murmur/hypOpigmentation
160
159. How do you prevent transfusion rxn in 16yo M w/ hemophilia?
Irradiated blood products
161
160. 7yo w/ 1y h/o behavior problems in school. Dx?
ADHD
162
161. 3yo runs in w/ garden w/ swollen R eye. Dx?
Bug bite/bee sting
163
162. 4do generalized tonic-clonic sz, micro penis, underdeveloped scrotum. Dx?
CAH
164
163. 9yo p/w appendicitis w/ neighbor. Consent?
Not needed
165
164. 2yo found submerged in pool for 10min. Worst prognostic factor?
Amount of time submerged (not temp!)
166
165. Inheritance pattern for newborn in coma, h/o uncles dying at 1 wk
X-linked
167
166. 13yo w/ L knee injury while playing basketball. Show Xray. Dx?
Osteosarcoma
168
167. Newborn w/ pink body, bluish mouth, extremities. Pulse 110. Management?
None
169
168. 17yo w/ gross hematuria, edema 3wks post insect bite. Dx?
PSGN
170
169. 6wo w/ difficulty breathing. Show EKG:
SVT
171
170. 12yo w/ knee pain, limp, normal knee Xray, obese. Dx?
SCFE
172
171. 4yo F w/ pallor, malaise, petechiae, ecchymosis, h/o hepA. Labs show:
thrombocytopenia (ITP following hepA)
173
172. 3yo w/ occasional stutters. Assessment of language dev?
Normal
174
173. Causes of freq temper tantrums in 2yo w/ h/o bronchiolitis and meningitis:
being a 2yo.
175
174. Management: 6yo F w/ petechiae of skin and mucosa, platelet count 30,000.
High-dose corticosteroids (ITP give steroids)
176
175. Thyroid bx:
Hashimoto’s
177
176. 18mo F turns blue w/ activity. Dx?
TOF
178
177. 6wo w/ L scrotal swelling since birth, normal testicle.
Hydrocele
179
178. 16do 2d h/o vomiting, fever, 12h h/o smacking lips, rolling eyes. Vesicles on throat. Dx?
HSV
180
179. 17yo F post MVA, shocked, BP 20/0. Initial management?
Fluids
181
180. Leukopenia in 4yo w/ recurrent UTIs?
Bactrim
182
181. 12yo w/ joint pain, swelling, nodules, h/o sore throat?
Rheumatic fever
183
182. Management to decrease pneumococcal infections in 3yo w/ sickle cell?
Vaccines, Abx
184
183. 4yo w/ swollen nodules, LAD
JRA
185
184. Hyponatremia in 10yo F comatose after head trauma. Cause?
SIADH
186
185. 14mo w/ fever, BCx grow S. pneumo. Diagnostic immune test?
Immunoglobulins for Bruton’s
187
186. 16yo w/ 6mo h/o limp, dry skin, enlarged parotid glands. Weight 69 lbs. Dx?
Anorexia
188
187. 12yo M w/ fractured humerus, unable to distend/extend wrist. Dx?
Radial nerve palsy
189
188. 18yo M w/ 3d h/o sore throat, displaced uvula. Dx?
Peritonsillar abscess
190
189. 5yo w/ 1wk h/o leg pain, HSM. Dx?
ALL
191
190. Cause of FTT in 16yo M, 6y h/o decreased growth. Dx?
Craniopharyngioma
192
191. 16yo M asymptomatic w/ irregular pulse, show you an EKG. Dx?
Sinus arrthymia
193
192. 2yo ingestion of aspirin, 3h post event.
Metabolic acidosis pH=7.2
194
193. Hormone confirmatory test in newborn w/ ambiguous genitalia.
17-hydroxyprogesterone
195
194. Greatest risk of death from ingested draino?
Esophageal rupture
196
195. 2mo w/ jaundice, needs to be awakened for feeds, cool extremities?
Hypothyroid
197
196. 12yo F w/ 3mo h/o syncope, hyperpigmentation, cafe au lait spots. What heart lesion?
Cardiac rhabdomyoma from TS
198
197. 10wo w/ PCP, no maternal risk for HIV. Dx?
HIV
199
○ Blue at birth:
TGA (transposition great arteries)
200
○ Exercise induced cyanosis
TOF
201
○ Syncopal episodes in 14yo F
Long QT, PAH, HCM. If death → long QT
202
○ Prophylaxis for dental procedure:
always say yes
203
EKG: ■ 6wo in heart failure
SVT
204
EKG ■ Teenager w/ irregular pulse
Sinus arrhythmia
205
○ Most common lesion in Down’s
VSD. 40% of Down’s have heart lesion
206
○ Poor feeder, couple weeks old
Hypothyroidism. But if missing gag reflex → botulism
207
○ Anyone who is sweating
Hypoglycemia. Give 10% dextrose
208
○ 1wo p/w vomiting, hyperpigmentation (hyperpigmented scrotum
CAH. Will not be asked about Addisons, Cushings
209
○ Teenager p/w high/normal K, pH 7.2:
DKA
210
○ FTT w/ lung symptoms
CF. If no lung symptoms → Celiacs
211
○ Scaphoid abdomen
diaphragmatic hernia
212
○ Minor trauma + Xray / fracture:
Osteosarcoma
213
○ FHx of Rb:
Osteosarcoma
214
○ Absent iris or any mass in belly
Wilms tumor
215
○ HSM, bone pain
ALL
216
○ Low platelets, not bleeding
ITP. Give corticosteroids, do not transfuse
217
○ Neck mass, night sweats:
Hodgkin’s
218
○ Recurrent bacteremia in >6mo:
IgA def, Bruton’s
219
○ Early T-cell defect
HIV (p/w parotid swelling) or SCID
220
○ Abscesses:
CGD
221
○ One hot joint
tap. Most likely organism S. aureus
222
○ Clunks in hip:
Developmental dysplasia of the hip
223
○ Flat feet:
do nothing
224
○ will not ask Legg Perthes v. SCFE but Leg Perthes
unable to internally rotate (leg perthes)
225
○ Recurrent arthritis with rash:
JRA
226
○ Cannot comb hair or raise hands, rash:
Dermatomyositis
227
○ Drooping of eyes late in evening
Myasthenia gravis
228
○ Flaking of scalp, loss of hair, boggy lesion:
Kerion (T cell reaction) from Tinea
229
○ Pneumonia not getting better on amoxicillin
Pneumococcus
230
○ Uvula pushed over
Peritonsillar abscess
231
○ Large prevertebral space on lateral neck XRay
retropharyngeal abscess
232
○ Walks on nail through shoe:
Pseudomonas
233
○ CGD
unusual infections
234
○ Down’s
hypotonia
235
DiGeorge
absent thymic shadow on CXR
236
○ Newborn rash
erythema toxicum
237
○ Newborn w/ white pearls on palate (Epstein pearls
normal
