What is "Slapped cheek rash". Casued by Parvovirus B19
2YO M presents to ED for seizure. T 39C, HR 140 RR 23 BP 98/68. Described as R eye deviation and R arm clonus, lasted 4 minutes. Has remained postictal for 45 minutes.
What is his presenting diagnosis
Complex febrile seizure
Additional work up: CTH, EEG, +/- LP
Pulls to stand, pincer grasp, repetitive syllables (mamamama), stranger danger
9 months
Acute otitis media
What is Amoxicillin
90 mg/kg/day divided BID
The only unanimously elected president
Who is George Washington?
What is eczema
6WK M presenting for vomiting, denies fever and diarrhea.
Labs:Na 140, K 3.0, Cl 95, HCO3 30, BUN/Cr 8/0.2, BG 65
What is pyloric stenosis. Hypochloremic hypokalemic metabolic alkaosis
Can sit with support. Babbling (stinging vowels together). Can roll both from prone to supine and supine to prone. Can support oneself on elbows while prone.
6 months old
Status Asthmaticus
What is Albuterol
2.5mg: <16kg
5mg: 16-60kg
10mg: >60kg
4puffs <5yo/ 8 puffs >5yo
What are steroids
Prednisolone/Prednisone 1-2 mg/kg QD-BID
Methylprednisolone 0.5-1 mg/kg Q6h
Dexamethasone 0.6 mg/kg daily
Youngest president elected
Who is JFK?
What is scabies
5YO present for palpable purpura on b/l LE, abdominal pain, bloody stools.
What is HSP.
Knows name, age, gender. Can dress oneself. Copies circle. Vocabulary of 200 words. Stranger can understand 75% of speech.
3 years old.
Cellulitis (inpatient and Peds)
What is Clindamycin?
10 mg/kg Q6-8h
Also acceptable: Vancomycin, Bactrim, Doxycyline, Linezolid
Oldest president elected
Who is Biden?
What is Pityriasis Rosea
4YO presenting for petichial rash, vomiting, fatigue. Labs show thrombocytopenia and elevated creatinine.
Bonus: What treatment should be avoided?
What is HUS. Avoid antibiotics.
Jumps on two feet. Can go up and down stairs. Uses a fork. Can draw a line. 2-word phrases.
2 years old
<21 day old with fever
What is Ampicillin and Cefotaxime/Ceftazidime +/- Acyclovir
Graduated from high school at the age of 15.
LBJ
What is Molluscum Contagiosum
8YO presenting for weight loss, abdominal pain, vomiting and fatigue. Has been wetting the bed at night, lost 10 pounds in 3 weeks.
ED labs: Na 148, K 4.6, Cl 116, HCO3 14, BUN/Cr 15/0.6, BG 433
What is DKA (new onset T1DM)
Hops on one foot. Alternating feet on stairs. Can name opposites. Knows 4 colors. Can tell a story.
4 years old.
Whooping cough
What is Azithromycin
10 mg/kg x1, 5 mg/kg x4
Delivered the longest inaugural address in history, a 105 minute speech, outside in the rain. After developing pneumonia, he died in the White House exactly one month later, becoming the first president to die in office.
Who is William Henry Harrison