Glomerular disease.. what's that?
Renal tubular acidosis, OMG!
Acid- throw down the base
Fluids, Fluids, Fluids
Pediatricians Bible
100

Whats the most common cause of nephrotic syndrome in children.

Minimal Change Disease

100

Distal RTA results from inability to excrete this ion in the distal nephron.

H +

100

This electrolyte abnormality commonly causes peaked T waves on ECG.

hYperkalemia

100

This formula is used in pediatrics to calculate daily maintenance fluid requirements.


 Holliday–Segar formula

100

What is Blueys siblings name?

Bingo

200

A 10-year-old develops cola-colored urine and edema 2 weeks after streptococcal pharyngitis. Blood pressure is elevated. Labs show low C3 complement.

Which diagnosis is most likely?

PSGN 


classically presents 1–3 weeks after streptococcal infection with nephritic syndrome and low C3 levels.

200

Type 4 RTA commonly results from deficiency or resistance to this hormone.

aldosterone

200

Opioid overdose classically causes this acid–base disorder

Respiratory acidosis

200

A 25-kg child is admitted with DKA. Excessively rapid fluid administration increases concern for this feared neurologic complication.


cerebral edema

200

Name the snowman from Frozen 

Olaf

300

A 5-year-old boy presents with periorbital edema and decreased urine output for 4 days. Blood pressure is normal. Urinalysis shows 4+ protein and no hematuria. Serum albumin is 1.9 g/dL and cholesterol is elevated. Complement levels are normal.

What is the most likely diagnosis?

Minimal Change Disease

Explanation:
The child has classic nephrotic syndrome: edema, heavy proteinuria, hypoalbuminemia, and hyperlipidemia. In children, the most common cause is minimal change disease. Normal complement supports this diagnosis.

300

A child presents with polyuria, polydipsia, hypokalemia, metabolic alkalosis, and normal blood pressure. Urine calcium excretion is elevated.

Which diagnosis is most likely?

Bartter syndrome


Bartter syndrome mimics loop diuretic use and causes hypokalemic metabolic alkalosis with hypercalciuria and normal/low blood pressure.

300

Salicylate poisoning classically produces this mixed acid–base disorder

Respiratory alkalosis with metabolic acidosis

300

Oliguria in pediatric patients is commonly defined as urine output less than this many mL/kg/hr

infant?

children?

  • Infants (Neonates): <1mL/kg/hr
  • Children: <0.5 mL/kg/hr
300

Name at least 3 Paw Patrol characters

Ryder

Skye

Chase

Marshall

Rubble

Rocky

Zuma

400

In minimal change disease, electron microscopy classically shows this podocyte abnormality.

foot process effacement

400

This kidney imaging finding is especially associated with distal RTA

nephrocalcinosis

400

This congenital condition in infants classically causes hypochloremic metabolic alkalosis

Pyloric stenosis

400

Calculate fluid deficit of:

20kg, Infant

tachycardia, dry mucous membrane, sunken fontanelles 

2 IV push in ER

IVM- 60mlhr

moderate dehydration- 10%/100ml/kg

in 24hr- 110ml/hr

400

Name 3 Cars characters and kind of car they are

Lightning McQueen- Chevrolet Monte Carlo

Mater- Tow truck

Doc Hudson- Hudson Hornet

Sally- Porsche

500

This nephrotic syndrome subtype is associated with HIV, obesity, and steroid resistance.

focal segmental glomerulosclerosis (FSGS)

500

Children with untreated RTA often develop this skeletal manifestation due to chronic acidosis

rickets


Acidosis stimulates bone-resorbing cells (osteoclasts) to break down bone tissue. This releases alkaline minerals like calcium and phosphate into the blood to neutralize the acid.

500

report the mnemonic MUDPILES

Methanol

Uremia

DKA

Polyethylene glycol/paracetamol

Iron/ Isoniazid / Infection

Lactic acidosis

Ethylene glycol

Salicylates

500

Whats the most common Congenital Adrenal Hyperplasia?

mention deficiency

 glucocorticoids, mineralocorticoids and androgen levels

Sodium and potassium levels 

21 hydroxylase deficiency

decreased glucocorticoids

decreased mineralocorticoids 

elevated androgen levels

low sodium

high potassium

500

This teenager is Spiderman across the spider-verse 

Miles Morales