Pediatrics COMAT Part 2

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Can you name the Pediatrics COMAT Part 2?

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

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Created Oct 20, 2012ReportNominate
Tags:pediatric