Pediatrics COMAT Part 2

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Can you name the Pediatrics COMAT Part 2?

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Absent tonsils and other lymphoid tissues may provide a clue
Herniation of the abdominal viscera through the abdominal wall at the umbilicus into a sac. Seen in Beckwith-Wiedemann syndome and trisomies.
Respiratory distress, sunken abdomen, bowel sounds over the left hemithorax.
_____ Jaundice: Present in the first 24 hours of life. Bilirubin increases to greater than 15mg per dL.
X-linked recessive B cell deficiency found only in boys. Symptoms begin after 6 months of age.
All Ig levels are low. Normal B cell numbers. Decreased plasma cells. Treat with IVIG
Patients sit with the neck hyperextended and the chin protruding and lean forward in a 'tripod' position to maximize air entry.
Classic 'steeple sign' from subglottic narrowing
_____ abscess: Acute onset high fever with sore throat, a muffled 'hot potato' voice. Six months to 6 years of age.
'Ground-glass' appearance, diffuse atelectasis, and air bronchograms on CXR.
Progressive cerebellar ataxia and oculocutaneous telangiectasia. Caused by DNA repair defect. Increased incidence of malignancies.
Presents as an asymptomatic, nontender, smooth abdominal mass that does not usually cross the midline.
A range of nonhereditary, nonprogressive disorders of movement and posture. Often results from perinatal neurologic insult, but in most cases the cause is unknown.
'Thumbprint sign' on lateral film
_____ abscess: Sore throat, a muffled 'hot potato' voice, truisms, drooling, uvula displaced to opposite side. Group A streptococcus.
Inability to form membrane attack complex (MAC). Recurrent Neisseria infections, meningococcal or gonococcal.
Caused by Paramyxovirus. An erythematous maculopapular rash spreads from head to toe.
_____ Jaundice: Not present until 72 hours after birth. Resolves by 1 week in term infants and 2 weeks in preterm infants.
'Slapped Cheek' caused by Parvovirus B19.
Pruritic 'teardrop' vesicular rash in a dermatomal distribution. Uncommon unless the patient is immunocompromised.
An acute inflammatory illness of the small airways in the upper and lower respiratory tracts that primarily affects infants and children
Generalized, pruritic, 'teardrop' vesicular periphery. Lesions are often at different stages of healing.
Severe lack of B and T cells due to a defect in stem cell maturation and decreased adenosine deaminase
_____ sign: Pain with passive neck flexion.
Herniation of the intestine only through the abdominal wall next to the umbilicus with no sac.
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'Cough, Coryza, and Conjunctivitis', Koplik Spots.
______ syndrome: Cardiac abnormalities, Abnormal facies, Thymic aplasia, Cleft palate, Hypocalcemia, and 22q11 deletion
Subglottic narrowing
The classic presentation is an infant less than 6 months of age with posttussive emesis and apnea. Give Erythromycin for 14 days to patients and close contacts.
An autosomal dominant disorder with recurrent episodes of angioedema lasting 2-72 hours and provoked by stress or trauma.
Recurrent infections of catalase + organisms. The nitroblue tetrazolium test is diagnostic.
Caused by Coxsackie A virus. Oral ulcers. Maculopapular vesicular rash on the hands and feet and sometimes on the buttocks.
Presents with tetany secondary to hypocalcemia in the first days of life. Infections with viruses, fungi, and PCP pneumonia. X-ray may show absent thymic shadow.
Apgar Score ____: Indicate the need for immediate resuscitation.
The most common cause of respiratory failure in preterm infants (affects more than 70% of infants born at 28-30 weeks)
Anaphylactic transfusion reaction. Do not give IVIG, as it can lead to the production of anti-IgA antibodies.
An acute viral inflammatory disease of the larynx, primarily within the subglottic space. Pathogens include parainfluenza virus type 1. Barking cough.
Untreated Kawasaki disease can lead to ______
The syndrome includes partial oculocutaneous albinism, peripheral neuropathy, and neutropenia. Blood smear shows neutrophils with giant granules.
_____ Disease: Conjunctivitis, Rash, Adenopathy, Strawberry Tongue, Hands and Feet are red, swollen, and flaky skin
_____ sign: Reluctance of knee extension when the hip is flexed.
Recurrent skin, mucosal, and pulmonary infections. Delayed separation of the umbilical cords.
A suppurative infection of the middle ear cavity that is common in children. Pathogens are S. pneumonia, H. influenza, and Moraxella.
Bilious emesis within hours after the first feeding. Associated with Down Syndrome.
An autoimmune disorder manifesting as arthritis with 'morning stiffness' and gradual loss of motion that is present for at least 6 weeks in a patient
Congenital infection associated with PDA, deafness, cataracts, and mental retardation.
Coarse Facies, Abscesses, Retained Primary Teeth, Hyper-IgE, Dermatologic
The most common immunodeficiency. Low IgA levels only.
An X-linked recessive disorder seen only in males. Classic presentation involves bleeding, eczema, and recurrent otitis media. Patients rarely survive to adulthood.
Caused by HHV-6 and HHV-7. A maculopapular rash appears as fever breaks.

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