Tuesday, January 29, 2008

Peds

Measles: complications

"MEASLES COMP" (complications):
Myocarditis
Encephalitis
Appendicitis
Subacute sclerosing panencephalitis
Laryngitis
Early death
Sh!ts (diarrhoea)
Corneal ulcer
Otis media
Mesenteric lymphadenitis
Pneumonia and related (bronchiolitis-bronchitis-croup)
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---Joshua Goh Unimas: Universiti Malaysia Sarawak
 

Sturge-Weber syndrome: hallmark features

Sturge-Weber:
1. Seizures
2. PortWine stain
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---Ramon Salazar
 

Guthrie card: diseases identified with it

"Guthrie Cards Can Help Predict Bad Metabolism":
Galactosaemia
Cystic fibrosis
Congenital adrenal hyperplasia
Hypothyroidism
Phenylketonuria
Biotidinase deficiency
Maple syrup urine disease
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---Logan Mitchell Dunedin Medical School, New Zealand
 

Croup: symptoms

3 S's:
Stridor
Subglottic swelling
Seal-bark cough
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---Robert O'Connor University College Dublin
 

Ataxia-Telangiectasia (AT): common sign

AT:
Absent
Thymus
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---Anonymous Contributor
 

Cerebral palsy (CP): most likely cause

CP: Cerebral Palsy
Child Premature
· The premature brain is more prone to all the possible insults.
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---Anonymous Contributor
 

Vacterl syndrome: components

VACTERL:
Vertebral anomalies
Anorectal malformation
Cardiac anomaly
Tracheo-esophageal fistula
Exomphalos (aka omphalocele)
Renal anomalies
Limb anomalies
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---Mohamed Azim Assistant lecturer, Pediatric surgery, Alexandria University, Egypt
 

Guthrie card: diseases identified with it

GUTHRIE:
Galactosaemia
Urine [maple syrup urine disease]
THyRoid [hypothyroidism]
Inborn Errors of metabolism [eg: PKU]
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---Anonymous Contributor
 

Duodenal atresia vs. Pyloric stenosis: site of obstruction

Duodenal Atresia: Distal to Ampulla of vater.
Pyloric stenosis: Proximal to it.
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---Rinku Uberoi
 

Bilirubin: phototherapy

BiLirUbin absorbs light maximally in the
BLUe range.
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---Rinku Uberoi New York Hospital

11

Williams syndrome: features

WILLIAMS:
Weight (low at birth, slow to gain)
Iris (stellate iris)
Long philtrum
Large mouth
Increased Ca++
Aortic stenosis (and other stenoses)
Mental retardation
Swelling around eyes (periorbital puffiness)
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---Anthony Chan Chinese University of Hong Kong
 

Russell Silver syndrome: features

ABCDEF:
Asymmetric limb (hemihypertrophy)
Bossing (frontal)
Clinodactyly/ Cafe au lait spots
Dwarf (short stature)
Excretion (GU malformation)
Face (triangular face, micrognathia)
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---Anthony Chan Chinese University of Hong Kong
 

Dentition: eruption times of permanent dentition

"Mama Is In Pain, Papa Can Make Medicine":
1st Molar: 6 years
1st Incisor: 7 years
2nd Incisor: 8 years
1st Premolar: 9 years
2nd Premolar: 10 years
Canine: 11 years
2nd Molar: 12 years
3rd Molar: 18-25 years
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---Saurabh Sikka
 

Cyanotic heart diseases: 5 types

· Use your five fingers:
1 finger up: Truncus Arteriosus (1 vessel)
2 fingers up: Dextroposition of the Great Arteries (2 vessels transposed)
3 fingers up: Tricuspid Atresia (3=Tri)
4 fingers up: Tetralogy of Fallot (4=Tetra)
5 fingers up: Total Anomalous Pulmonary Venous Return (5=5 words)
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---Jeff Simmons University of Alabama School Of Medicine
 

Cyanotic congenital heart diseases

5 T's:
Truncus arteriosus
Transposition of the great arteries
Tricuspid atresia
Tetrology of Fallot
Total anomalous pulmonary venous return
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---Vince Yamashiroya
 

Head circumference with age

· Remember 3, 9, and multiples of 5:
Newborn 35 cm
3 mos 40 cm
9 mos 45 cm
3 yrs 50 cm
9 yrs 55 cm
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---Vince Yamashiroya
 

Weights of children with age

Newborn 3 kg
6 mos 6 kg (2x birth wt at 6 mos)
1 yr 10 kg (3x birth wt at 1 yr)
3 yrs 15 kg (odd yrs, add 5 kg until 11 yrs)
5 yrs 20 kg
7 yrs 25 kg
9 yrs 30 kg
11 yrs 35 kg (add 10 kg thereafter)
13 yrs 45 kg
15 yrs 55 kg
17 yrs 65 kg
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---Vince Yamashiroya
 

Hemolytic-Uremic Syndrome (HUS): components

"Remember to decrease the RATE of IV fluids in these patients":
Renal failure
Anemia (microangiopathic, hemolytic)
Thrombocytopenia
Encephalopathy (TTP)
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---Vince Yamashiroya
 

Cough (chronic): differential

When cough in nursery, rock the "CRADLE":
Cystic fibrosis
Rings, slings, and airway things (tracheal rings)/ Respiratory infections
Aspiration (swallowing dysfunction, TE fistula, gastroesphageal reflux)
Dyskinetic cilia
Lung, airway, and vascular malformations (tracheomalacia, vocal cord dysfunction)
Edema (heart failure)
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---Vince Yamashiroya
 

Cystic fibrosis: presenting signs

CF PANCREAS:
Chronic cough and wheezing
Failure to thrive
Pancreatic insufficiency (symptoms of malabsorption like steatorrhea)
Alkalosis and hypotonic dehydration
Neonatal intestinal obstruction (meconium ileus)/ Nasal polyps
Clubbing of fingers/ Chest radiograph with characteristic changes
Rectal prolapse
Electrolyte elevation in sweat, salty skin
Absence or congenital atresia of vas deferens
Sputum with Staph or Pseudomonas (mucoid)
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---Vince Yamashiroya
 

21

Cystic fibrosis: exacerbation of pulmonary infection

CF PANCREAS:
Cough (increase in intensity and frequent spells)
Fever (usually low grade, unless severe bronchopneumonia is present)
Pulmonary function deterioration
Appetite decrease
Nutrition, weight loss
CBC (leukocytosis with left shift)
Radiograph (increase overaeration, peribronchial thickening, mucus plugging)
Exam (rales or wheezing in previously clear areas, tachypnea, retractions)
Activity (decreased, impaired exercise intolerance, increased absenteeism)
Sputum (becomes darker, thicker, and more abundant, forming plugs)
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---Vince Yamashiroya
 

Pyloric stenosis (congential): presentation

Pyloric stenosis is 3 P's:
Palpable mass
Paristalsis visible
Projectile vomiting (2-4 weeks after birth)
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---Dr. Atif Farooq Khawaja Rawalpindi Medical College, Pakistan
 

Cyanotic heart diseases: 5 types

· 5 T's:
Tetralogy of Fallot
Transposition of the great arteries
Truncus arteriosus
Tricuspid atresia, pulmonary aTresia
Total anomalous pulmonary venous drainage
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---Kok Fai Kong Final year student, University of Auckland
 

Breast feeding: benefits

ABCDEFGH:
· Infant:
Allergic condition reduced
Best food for infant
Close relationship with mother
Development of IQ, jaws, mouth
· Mother:
Econmical
Fitness: quick return to pre-pregnancy body shape
Guards against cancer: breast, ovary, uterus
Hemorrhage (postpartum) reduced
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---Anthony Chan
 

Perez reflex

Eliciting the PErEz reflex will make the baby PEE.
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---Anonymous Contributor
 

WAGR syndrome: components

WAGR:
Wilm's tumor
Aniridia
Gential abnormalities
Mental retardation
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---Andrew J. Vasil University of Minn Medical School
 

Haematuria: differential in children

ABCDEFGHIJK:
Anatomy (cysts, etc)
Bladder (cystitis)
Cancer (Wilm's tumour)
Drug related (cyclophosphamide)
Exercise induced
Factitious (Munchausen by proxy)
Glomerulonephritis
Haematology (bleeding disorder, sickle cell)
Infection (UTI)
In Jury (trauma)
Kidney stones (hypercalciuria)
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---S. Jibodh University College Dublin
 

Vitamin toxicities: neonatal

Excess vitamin A: Anomalies (teratogenic)
Excess vitamin E: Enterocolitis (necrotizing enterocolitis)
Excess vitamin K: Kernicterus (hemolysis)
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---Anonymous Contributor
 

Rubella: congenital signs

"Rubber Ducky, I'm so blue!" (like the "Rubber Ducky" song):
Rubber: Rubella
Ducky: Patent Ductus Arteriosus, VSD and pulmonary artery stenosis.
I'm: Eyes (cataracts, retinopathy, micropthalmia, glaucoma).
Blue: "Blueberry Muffin" rash (extramedullary hematopoesis in skin +purpura)
· Also, deafness, growth retardation, and some more.
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---Lior Greenberg Technion Faculty of Medicine, Haifa, Israel
 

Pediatric milestones in development

1 year:
-single words
2 years:
-2 word sentences
-understands 2 step commands
3 years:
-3 word combos
-repeats 3 digits
-rides tricycle
4 years:
-draws square
-counts 4 objects
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---Rinku Uberoi

31

Gastroschisis: usual location

GasTRoscHIsis usually occurs on the
RIGHT side of the umbilicus.
(Unscramble the letters).
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---Anonymous Contributor
 

Milk protein: women vs. cows

Woman: Whey (mostly)
Cow: Casein (mostly)
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---Anonymous Contributor
 

Short stature: differential

ABCDEFG:
Alone (neglected infant)
Bone dysplasias (rickets, scoliosis, mucopolysaccharidoses)
Chromosomal (Turner's, Down's)
Delayed growth
Endocrine (low growth hormone, Cushing's, hypothyroid)
Familial
GI malabsorption (celiac, Crohn's)
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---Anonymous Contributor
 

Breast feeding: contraindicated drugs

BREAST:
Bromocriptine/ Benzodiazepines
Radioactive isotopes/ Rizatriptan
Ergotamine/ Ethosuximide
Amiodarone/ Amphetamines
Stimulant laxatives/ Sex hormones
Tetracycline/ Tretinoin
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---Dr. Ibrahim Yasir Ahmed IGMH / Male Rep. of Maldives