1. intermittent, severe, crampy abdominal pain
2. a palpable "sausage-shaped" mass on the right side of the abdomen
3. "currant jelly" stools.
intussusception
target sign" on U/S
intussusception
Tx of intussuscpetion
air or water-soluble enema - diagnostic and therapeutic
currant jelly stools
intussusception
What is orthostatic proteinuria?
usually in adolescents
increased protein excretion while upright (day)
decreased protein excretion while supine (night)
need split 24-hour urine collection
pediatric oral described?
1. recurrent ulcers on anterior oral mucosa, no fever or systemic symptoms
2. vesicles and ulcers on posterior oropharynx with fever
3. vesicles and ulcers on anterior oral mucosa and around mouth with fever
4. tonsillar exudates
1. aphthous stomatitis
2. herpangina
3. herpes gingivostomatitis
4. Group A streptococcal pharyngitis
5. infectious mononucleosis
difference between herpangina and herpes gingivostomatitis?
herpangina - vesicles and ulcers on posterior oropharynx with fever
herpes gingivostomatitis - vesicles and ulcers on anterior oral mucosa and around mouth with fever
difference between group A and mono pharyngitis?
group A - exudates with ANTERIOR cervical LAD
mono - exudates with DIFFUSE cervical LAD
recurrent ulcers on anterior oral mucosa, no fever or systemic symptoms
aphthous stomatitis
vesicles and ulcers on posterior oropharynx with fever
herpangina
vesicles and ulcers on anterior oral mucosa and around mouth with fever
herpes gingivostomatitis
sx of herpangina? cause?
painful vesicles in posterior pharynx with fever
coxsackie group A
cause of dislocated radial head in a child? tx?
displaced annular ligament
tx hyperpronation or supination with elbow flexion
what should be given with ferrous sulfate in children with iron deficiency anemia?
vitamin c (orange juice) - facilitates iron absorption
first thing to increase when beginning iron supplementation for iron deficiency anemia?
retic counts
effects of congenital rubella?
sensorineural hearing loss
cataracts
PDA
low grade fever, posterior cervical and occipital LAD, and maculopapular rash that spreads cephalocaudally
rubella
what are forschheimer spots and with what disease are they associated?
patchy spots of erythema on the soft palate associated with rubella
cough
conjunctivitis
coryza
cephalocaudal maculopapular rash
measles
high fever that resolves quickly and then is followed by a rosy, non-pruritic rash that starts on the trunk and spreads to the extremities?
roseola
which type of neonatal hyperbilirubinemia is worse? (conj or unconj)
conjugated - typically pathologic
unconjugated - typically physiologic
level for hyperbilirubinemia that is concerning for infant? level that can cause neurologic problems?
18
25
heart anomaly associated with turner's syndrome?
bicuspid aortic valve
coarctation of the aorta
mutated gene in marfan's? predisposes to what?
fibrillin
aortic dilatation -> aortic dissection
tx of congenital syphillis?
aqueous penicillin G x10d
when to fix cleft lip?
rule of 10s
10 weeks
10 lbs
10 g Hgb