Rheum with a View
Severe abdominal pain in a patient with HSP raises concerns for this intestinal problem
Intussusception
Hair loss that occurs after severe stress to the body
Telogen effluvium
-Hair pull test (>35% suggestive)
This is the most common congenital heart defect
"This is Joe, he's here with his toes"
Dr. Laura Golob
Most common cause of microscopic hematuria in children
Urinary tract infection
After HSP, this is the 2nd most common vasculitis of childhood
Kawasaki Disease
Port wine stains involving the ophthalmic branch of the trigeminal nerve may be associated with this syndrome
Sturge Weber Syndrome
a 17-year-old girl with anorexia nervosa presents with a mid to late-systolic crescendo murmur at the apex, with murmur preceded by a click.
The murmur decreases with squatting.
Mitral valve prolapse
"We don't own the patients"
Dr. Yves Ouellette (PICU)
17 y/o football player presents in August with elevated Cr, U/A positive for heme but no RBCs on microscopy. Diagnosis?
Rhabdomyolysis
Juvenile rheumatoid (idiopathic) arthritis is usually divided into these 3 types
1. Pauciarticular
2. Polyarticular
3. Systemic
Umbilicated pearly fleshy-pink papules
Molluscum contagiosum
On ECG, you note progressive prolongation of the PR interval on consecutive beats followed by a dropped QRS
2nd degree AV block, Mobitz 1
- AKA Wenckebach
*unintelligible genius speak*
Dr. Paul Boesch
Casts seen in ATN
Large, muddy brown granular casts
Name 2 pharmacologic treatments for Kawasaki disease
Aspirin
IVIG
Baby has widespread papules, vesicles and pustules, including palms and soles.
Scabies
-Adults and older children/adolescents are more likely to have the classic burrows and interdigital lesions
Diagnosis in a newborn who has delay of femoral pulse compared to the radial pulse
Coarctation of the aorta
"You don't get bilious vomiting from a circumcision"...
Dr. Ellen McMahon
Most common cause of gross hematuria in US
IgA nephropathy
This is the most common clinical manifestation of pediatric systemic lupus erythematosus
Arthritis
Name 2 disorders associated with nail pitting
Psoriasis, alopecia areata, atopic dermatitis
A rise in jugular venous pressure with inspiration, often seen with cardiac tamponade or constrictive pericarditis, is known as this sign
Kussmaul sign
"I knew she wasn't post-ictal because as soon as I walked in she told me to get out"
Dr. Efren Bernal
Most common cause of acute renal failure in a previously healthy child
Hemolytic Uremic Syndrome (HUS)