Joints
This disease presents as follows:
A 4 year old girl is brought in to to tactile fever and refusal to bear weight. Her left hip is mildly tender.
Last week she had a cold.
What is transient synovitis?
This disease presents as follows:
A 10 year old comes in with 2 days of fever, emesis and diarrhea. On physical exam, his abdomen is soft and mildly tender.
What is viral gastroenteritis?
An 11 year old comes in with severe emesis. He is very fatigued and reports feeling tired in the past week. He has been very thirsty and has been urinating frequently.
What is diabetic ketoacidosis?
This disease presents as follows:
A 6 month old presents to the emergency room with a seizure. He has had a fever and cough for 1 day. Neuro exam in the ED is unremarkable.
What is a febrile seizure?
This disease presents as follows:
A 6 year old is admitted with pyelonephritis. This is his second UTI. Ultrasound shows hydronephrosis of the right kidney.
What is vesicoureteral reflux?
This disease presents as follows:
A 3 year old comes in with a high fever. His knee is red, swollen, and very tender. He cannot bear weight.
What is septic arthritis?
This disease presents as follows:
A 14 year old presents with fever, severe upper abdominal pain and emesis, no diarrhea. He cannot tolerate any oral intake. Labs show elevated lipase.
What is pancreatitis?
This disease presents as follows:
A 10 year old presents with constipation. She reports feeling very cold. You look at her growth chart and notice poor growth and weight gain.
What is hypothyroidism?
This disease presents as follows:
A 15 year old presents with a headache. She has had a headache on and off for a month. Pain is generalized, worse in the occipital area. She reports needing to lie in a dark and quiet room, because light and sound make her headache worse.
What is a migraine?
A 13 year old presents with bloody urine. Vitals show hypertension. On exam you see edema in the legs and face. 3 days ago he came in with a sore throat and was prescribed amoxicillin.
What is post-strep glomerulonephritis?
This disease presents as follows:
A 5 year old comes in with fever, a generalized maculopapular rash, and swelling in multiple joints. Labs show thrombocytopenia and elevated ESR.
What is juvenile idiopathic arthritis?
This disease presents as follows:
A 3 year old presents with severe abdominal pain. He has been curling up in pain for a few minutes. After which, he has been very tired and difficulty to wake up. He recently had an episode of thick, bloody diarrhea.
What is intussusception?
This disease presents as follows:
A 2 day old girl in the NICU has emesis and hypotension. On exam you notice clitoromegaly. BMP shows severe hyponatremia.
What is 21-alpha-hydroxylase Congenital Adrenal Hyperplasia?
This disease presents as follows:
A 7 year old presents with sudden onset refusal to bear weight. She woke up with vomiting and wouldn't walk. She cannot sit up without falling. Sensation, tone and DTRs are all normal.
What is acute cerebellar ataxia?
This disease presents as follows:
A 4 year old presents with acute severe emesis. A BMP shows bicarb of 14 and an anion gap of 10. His father has history of similar symptoms.
What is renal tubular acidosis?
This disease presents as follows:
A 7 year old girl presents with fever, pain and swelling in her knees and elbows, chest pain, and an erythematous rash on her skin.
She recently immigrated from El Salvador. While traveling, she had a fever and sore throat and was unable to get treatment.
What is acute rheumatic fever?
This disease presents as follows:
A 17 year old girl presents with bloody diarrhea for one month. She has frequent abdominal pain, low grade fevers, and has lost weight.
What is inflammatory bowel disease?
This disease presents as follows:
A 14 your old girl presents due to concerns about acne. She is obese and reports irregular menstruation. On exam you notice some sparce facial hair and acanthosis nigricans.
What is polycystic ovary syndrome?
This disease presents as follows:
A 12 year old presents in inability to talk. He reports pain and numbness that started in his feet and now affects his whole legs. DTRs are absent.
On history, he reports that last week he had fever and bloody diarrhea.
What is Guillain-Barre Syndrome?
This disease presents as follows:
A 3 year old boy with a history of hearing loss presents with hematuria. His mother tells you his uncle had similar symptoms as a child.
What is Alport Syndrome?
This disease presents as follows:
A 16 year old girl comes in for fever, eye pain/redness, and pain in multiple joints. On history you find out she was treated for chlamydia two weeks ago.
What is reactive arthritis.
This disease presents as follows
A 3 day old infant with trisomy 21 is in the NICU starts having greenish emesis. He has not yet passed meconium. Abdomen is very distended.
What is Hirschsprung Disease?
This disease presents as follows:
A 14 year old girl presents with fatigue and emesis. She is hypotensive. Parents note her skin is darker than usual.
What is primary adrenal insufficiency (Addison Disease)
This disease presents as follows:
A 16 year old girl presents with inability to walk. Her legs are numb. On exam you notice numbness that starts at T5.
She reports that 1 month ago she had pain and vision loss in her right eye.
What is multiple sclerosis?
A 3 year old presents with an abdominal mass. He has a history of developmental delay and cryptorchidism. On exam he has no irises.
What is Wilm's Tumor (WAGR Syndrome)?