Morning Report 1
What are the electrolyte abnormalities in refeeding syndrome?
Hypophasphatemia, hypokemia, hypomagnesemia
What is the difference between a vesicle and bulla?
Vesicle: Fluid filled lesion 5mm or less in diameter. Bulla: Fluid filled lesion >5cm in diameter.
What is the leading cause of death and disability in high school athletes?
Heat related illness
At which age is the risk of progression to disease following primary TB infection the highest?
<1 year of age
Where did the word “Halloween” come from?
Halloween went by All Hallows’ Eve” until 1773, then the Scots began referring to it as Hallow-e’en. The first known person to put the words together was Scottish poet, Robert Burns, who penned the poem “Halloween” in 1786.
Name three possible presenting signs of narcolepsy
Daytime sleepiness (first symptom), weight gain, sleep paralysis, hypnagognic hallucinations, habitual napping after 5-6 years, cataplexy, poor school performance, hyperactivity and irritability
Name two components of treatment for mild acne?
Topical retinoids, benzoyl peroxide and topical antibiotics (clindamycin)
Name two of the multi-disiplinary members of pediatric palliative team
RN, social work, child life, music therapy, massage therapy, spiritual services
What is the mean time to resolution for molluscum contagiosum?
1-3 years
Halloween can be traced back to a Celtic holiday. What’s the name of that holiday?
Samhain
How long do live vaccines need to be delayed after IVIG administration?
11 months
What type of vessel vasculitis is HSP? Small, Medium, or Large?
Small vessel vasculitis
Named two symptoms/signs that would make you concerned for another diagnosis besides concussion
Focal neurological deficits, bony tenderness or c spine pain, worsening headache, behavior changes, slurred speech, confusion, double vision, longer than brief LOC
II, VII, IX, X
What’s the most popular kids' Halloween candy?
Reese’s Peanut Butter Cups, according to YouGov's 2021 survey.
Name four signs or symptoms of congeital CMV in the neonatal period
SGA, lethargy, microcephaly, seizures, sensorineural hearing loss, hypotonia, chorioretinitis, intracranial calcifications, ventriculomegaly, hepatosplenomegaly, early jaundice, petechiae, hemolytic anemia
Name one method for diagnosis of PE
CT-PA, V/Q scan, MR-PA
What are two things concerning for Medical Child Abuse?
What to look out for:
Diagnosis that does not match the objective findings
Inconsistent histories, signs and symptoms that are present only in the presence of 1 caregiver
Failure of the child’s illness to respond to normal treatments
Caregiver insists on invasive procedures
Caregiver does not express relief when told that their child does not have an illness or improves
Caregiver or siblings have history of unusual or unexplained illness
Doctor shopping
What is the triad of Wiscott Aldrich Syndrome
Thromocytopenia, immunodeficiency, eczema
Where does “Double, double toil and trouble” come from?
William Shakespeare's “Macbeth”