What is Dx? Fever Drooling in tripod position "hot potato" voice refusal to lie flatĮpiglottitis H. What is Dx? Barking cough Coryza Inspiratory Stridor Hypoxia What is Dx? fever precedes parotid gland swelling with possible orchitis What is Dx? Fever and URI progressing to diffuse rash What is Dx? fever and URI progressing to rash "slapped cheek" appearanceįifth disease/Erythema infectiosum (Parvovirus B19) What is Dx? cough, coryzam conjunctivitis with Koplik spots on buccal mucosa What is Dx? pruritic vesicular rash beginning on face, fever, malaise What is Dx? week 1-shock and DIC week 2- vesicular lesions week 3-encephalitis Initial-urine or saliva titers best- urine or saliva PCR for viral DNA What is Dx? periventricular calcifications with microcephaly, chorioretiinitis, hearing loss, petechiae What is Dx? PDA, cataracts, deafness, IUGR, blueberry muffin rash, hyperbili, hepatosplenomegaly Initial-VDRL or RPR Best- FTA ABs or dark field micro Penicillin
What is Dx? rash on palms, soles, snuffles, frontal bossing, Hutchinson 8th nerve palsy, saber shins/teeth What is Dx? chorioretinitis, hydrocephalus, ringenhancing lesions on CT D-normalĬalciumnormal Phosphatedecreased 1-25 Vit. D-Ĭalcium-decreased Phosphate-normal 1-25 Vit. D-Ĭalcium- Normal or decreased Phosphate-decreased 1-25 Vit. Meckel's diverticulum Best test-technetium 99 scan aka Meckel scanġ) Macrosomia- enlarged organs except brain, polycythemia 2) Small Left Colon Syndromedescending colon 3) Cardiac abnormalitiesasymmetric septal hypertrophy 4) Renal Vein Thrombosis 5) Metabolic changes -hypoglycemia-szrs -hypocalcemia-tetany, lethargy -hypomagnesemia-hypocalcemia and PTH disease -hyperbilirubinemia-icterus and kernicterusįindings in 17-alpha hydroxylase deficiency Aldosterone: Cortisol: Sex hormone: BP: Sxs: Electrolytes:Īldosterone:increase Cortisol:decrease Sex hormone: decrease HTN Sxs: female-normal birth, delayed puberty male-pseudohermaphrodite Electrolyes-hypokalemiaįindings in 21hydroxylase deficiency Aldosterone: Cortisol: Sex hormone: BP: Sxs: Electrolytes:Īldosterone:decrease Cortisol:decrease Sex hormone:increase BP: hypotension Sxs: female-look male, internal female male-normal birth Electrolytes-hyponatremia, hypochloremia, hyperkalemiaġ1-beta hydroxylase deficiency Aldosterone: Cortisol: Sex hormone: BP: Sxs: Electrolytes:Īldosterone:decrease Cortisol:decrease Sex hormone:increase 11-DOC-increase (weaker aldosterone) BP: HTN Sxs: female-virilized male- normal birth Electrolytes:no change What is Dx? bilious vomiting within 12 hours birth CXR-double-bubbleĭuodenal atresia a/w annular pancreas and Down Syndrome 1st step - IVF V-vertebral anomalies A-anal atresia C-cardio anomalies T-TEF E-esopageal atresia R-renal anomalies L-limb anomalies Hirschprung Disease AXR-distended bowel loops Manometry high pressure anal sphincter Dx-full thickness biopsy showing lack of ganglionic cells Presents:birth Disappears: 48 hrs extreme constipation rectal exam shows extremely tight sphincter, can't pass flatus What Dx of Newborn: multiple AR disease resulting in errors of steroidogenesisĬongenital adrenal hyperplasia Tx: replace mineralocorticoids and glucocorticoids What Dx of Newborn: mental and developmental retardation, inability to breast feed, inability to metabolize galactoseĬongenital hypothyroidism Tx: replace hormone PKU Tx: special diet low in phenylalanine for first 16 years What Dx of Newborn: AR, mental retardation, deficiency in enzyme phenylalanine hydroxylase G-6-PD Tx: reduce oxidative stress and special diet What Dx of Newborn: X-linked, hemolytic crises. BC USMLE Step 2 Pediatrics (Kaplan) Study online at /_dlhlx 1.Ĭonjunctivitis Cause: Day 1Day2-7>7 Days>3 weeks-ĭay 1- chemical irritation Day 2-7- Neisseria gonorrhea >7 DaysChlamydia trachomatis >3 weeks- herpes
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