Viral
abrupt onset HA, fever, chills, malaise, pharyngitis
MCC of death in children with this condition is pneumonia and respiratory distress
what is influenza?
anorexia, abdominal pain, pain with resisted right hip flexion/extension
what is appendicitis?
fever, weeping golden crust, regional LAD
what is impetigo?
-viral prodrome with progression to respiratory distress
-tachypnea, grunting, wheezeing
-CXR w/ hyperinflation, peribronchial cuffing
what is acute bronchiolitis?
-hydrocephalus, chorioretinitis, intracranial calcifications
-cat litter
what is congenital toxoplasmosis?
rhinorrhea, wheezing, cough, low-grade fever, nasal flaring and retractions
MCC of LRTI in children
MCC of pneumonia and bronchiolitis in infants
what is RSV?
bloody diarrhea, fever, abdominal pain, recent contact with new pets, ascending muscle weakness
what is campylobacter jejuni?
acute onset unilateral skin erythema, edema, warmth, & tenderness
-nonpurulent with systemic symptoms
-malar distribution
-raised, clearly demarcated border
what is erysipelas?
cough x 1-3 weeks, dyspnea, chest wall pain, +/- hemoptysis, HA, congestion, sore throat, malaise
what is acute bronchitis?
-maculopapular rash, pseudoparalysis, snuffles, frontal bossing, saddle nose, sensorineural deafness
what is congenital syphilis?
conjunctivitis, rash, erythema and edema of extremities, cervical adenopathy, mucositis, lip fissures
-Tx with IVIG
what is kawasaki disease?
fever, bradycardia, rose-spots, hepatosplenomegaly, bloody or watery diarrhea
what is typhoid fever?
polyarthritis, myocarditis, macular erythematous annular rash, sydenham chorea
what is acute rheumatic fever?
cough x2 weeks with paroxysmal coughing fits
-CXR with perihilar infiltrates (shaggy heart)
-leukocytosis w/ absolute lymphocytosis
what is bordetella pertussis?
purpuric petechial rash, sensorineural deafness, catatacts, cardiac disease
what is congenital rubella?
MCC of:
-epiglottitis
-croup
-viral conjunctivitis
-acute pharyngitis
-Hib
-parainfluenza
-adenovirus
-adenovirus
negative HBsAg, positive anti-HBs, positive Anti-HB IgG, negative HBeAg
what is resolved HBV infection?
fever, new murmur, petechiae, retinal hemorrhages with pale centers, non tender macules on palms/soles
what is infective endocarditis?
chronic productive cough + mucopurulent sputum, dyspnea, rhinosinusitis
-decreased FEV1 and FEV1/FVC
-atelectasis, dilated & thickened airways on CXR
-tx is regular chest physiotherapy
what is bronchiectasis?
microcephaly with periventricular calcifications, sensorineural deafness, learning disabilities
what is congenital CMV?
fever, HA, photophobia
lymphocytic pleocytosis, elevated protein, normal glucose
recent camping trip, foul-smelling fatty stools with flatulence and bloating
what is Giardia?
description of periorbital cellulitis vs orbital cellulitis
periorbital: unilateral ocular pain, erythema and edema of eyelids
orbital: unilateral ocular pain, erythema and edema of eyelids + pain with EOM, opthalmoplegia & proptosis
gradual onset HA, fever, photophobia, pleuritic CP, SOB, and cough
what is atypical pneumonia?
conjunctivitis, gingivostomatitis, seizures, tremors, vesicular lesions
what is congenital HSV?