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Name That Rash
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Help! PedsED
Pediatric Potpurri
Toxidromes
100
These live attenuated vaccines should not be given to immunocompromised patients (Name at least 3).
MMR, Varicella, Rotavirus, live-attenuated influenza vaccine (LAIV), oral typhoid, yellow fever
100
This virus often causes high fever for 3-5 days then, after the patient defervesces, a maculopapular rash erupts.
What is HHV-6 or exanthem subitum/roseola/sixth disease? - Is often associated with febrile seizures during the febrile stage
100
Term used when children play next to, but not with each other and at what age?
What is Parallel play at 2 years old
100
Longitudinal traction on a pronated and extended arm forces the radial head to slip distally through the annular ligament.
What is a nursemaid's elbow reduction
100
The treatment given empirically when an engorged ixodus scapularis is found on a child who ia attending summer camp in upstate NY.
What is Doxycyline 1 time dose
100
While both cause altered mental status, hyperthermia, and tachycardia, this toxidrome is distinguished from its anticholinergic mimic by the presence of copious diaphoresis and increased bowel sounds.
What is the sympathomimetic toxidrome?
200
This vaccine is given to help prevent future unborn children.
What is rubella vaccine.
Congenital rubella syndrome (CRS) can occur if a pregnant person becomes infected with rubella before 20 weeks gestation. CRS can cause miscarriage, fetal death, premature delivery or other birth defects. Preventing CRS is the main reason to ensure women of childbearing age are vaccinated against rubella
200
This bacterium when left untreated resulted in this 17 year old, sexually active female presents with joint pain, and non prurutitic, pustular and papular rash.
What is disseminated Gonococcal Infection
200
The phrase or term used for fear of others that the child is not familiar with and at what age.
What is stranger anxiety and 6 months.
200
A validated clinical decision tool used to determine whether a child requires a head CT scan after a blunt head injury.
What is PECARN head CT Rule
200
This life saving drug works as an Alpha-1 adrenergic agonist, Beta-1 adrenergic agonist, Beta-2 adrenergic agonist effects.
What is Epinephrine
200
A child found near grandmas pills who is being treated for a a sever cough she contracted from her home country. Accidental ingestion of this medication can result in anion gap metabolic acidosis and intractable seizures and is due to inhibition of conversion of glutamate to GABA.
What is INH toxicity
Symptoms:
Nausea, vomiting, altered mental status, ketonemia, hyperglycemia
Anion gap metabolic acidosis and intractable seizures
Due to inhibition of conversion of glutamate to GABA Treatment:
B6 (Pyridoxine), Gram for gram or 70mg/kg up to 5 grams IV
300
This is the recommended treatment for the following scenario: An 11 y/o boy who ran away to join the circus is walking on a bed of rusty, dirty circus nails when he loses his balance and one punctures his foot. He has seen lots of doctors but has had poor continuity and has had 6 previous DTaP vaccines, the last being 6 years ago.
What is TDaP Immunization? - If clean wound and vaccines UTD (<10 years ago), no treatment - If wound is dirty and pt has <3 tetanus immunizations OR unknown give TIG and immunize (DTaP if <7 y/o or TDaP if >7 y/o) - If wound is dirty and immunizations are UTD (most recent <5 yrs ago), no treatment.
300
This X-linked disease has 4 stages: Stage 1: Vesiclular Stage 2: Verrucous Stage 3: Hyperpigmentation Stage 4: Hypopigmented.
What is incontinentia pigmenti
300
The term used when a child can bend at knees to get a toy or object then stand back up and at what age is this met?
What is stoop and recover at 18 months
300
Streaks of blood mixed with normal stool and irritability noted with feeding in an otherwise well infant.
What is milk protein enterocolitis.
300
A child with sickle cell disease presents with fever to 39.5°C but looks well. ANC is 7,000 and blood pressure is normal. This is the next best plan:
What is give IV Ceftriaxone an obtain blood cultures
300
This reversal agent can be used for respiratory depression/apnea seen in benzodiazepines use/overdose
What is Flumazenil
400
People without a spleen are more susceptible to which diseases?
What is pneumococcus and meningococcus?
400
This self-limited acute eruption of monomorphic skin-colored to pink-red papules on the face, buttocks, and extensor surfaces of the extremities is an immune response to an infection, commonly triggered by viruses like EBV, CMV, enteroviruses. The lesions usually spontaneously resolve, and treatment is supportive.
What is Gianotti Crosti syndrome or papular acrodermatitis.
400
The cognitive understanding that objects and people continue to exist even when they are out of sight, sound, or touch and at what age?
What is object permanence at 9 months
400
The next best step in management of a suicidal teen found unresponsive, hypotensive with pinpoint pupils and diminished gag reflex and a respiratory rate 10.
What is intubation/secure the airway
400
Boggy lesion on the scalp with black spots, broken hairs, pustules, scaling, erythema and lymphadenopathy. Treated with Griseofulvin
What is kerion/tinea capitus
400
Treatment for patients experiencing seizures or agitation due to antihistamine toxicity
What are benzodiazepines?
500
Although we don't routinely vaccinate unless a high risk situation occurs, this vaccine-preventable disease kills almost everyone it infects?
What is rabies.
Typically transmitted to humans through the bite of an infected animal. Rabies virus infects the brain causing encephalitis and ultimately death within days of the onset of symptoms.
500
This highly contagious skin rash causes fluid filled blistering lesions that often open easily leaving moist erosions or a thin, brown crust. Unlike other forms, it typically heals without scarring.
What is is bullous impetigo
500
Stage where a child experiences intense distress when separated from their primary caregiver and at what age.
What is Sepration anxiety at 9 months
500
Described as Temp 37-40 degrees celcius with profuse sweating and intact sensorium/ mild confusion.
What is heat exahustion
500
Episode occuring often after blood draw or vaccines resulting in brief loss of consciousness with quick recovery to baseline.
What is vasovagal syncope
500
A child ingests Grandpa's medication and is hypotensive despite fluids and atropine. This is the next best pharmacologic therapy.
What is glucagon?