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Don't Hate, Vaccinate
Here's Your Sign
Baby, Baby, Baby...
the SKINny
Name that bug!
100
The second M in MMR.
MUMPS
100
"Steeple Sign" seen on neck film in patient with inspiratory stridor.
CROUP
100
Congenital dermal melanocytosis, or large birthmark seen on baby's lower back.
MONGOLIAN SPOT
100
Palpable purpura on buttocks and legs of patient with joint pain and abdominal pain.
HENOCH-SCHONLEIN PURPURA
100
Causative agent in patient with hemolytic anemia, uremia, and thrombocytopenia who presents with bloody diarrhea.
E. COLI O157:H7
200
The two vaccines contraindicated in patients allergic to eggs.
INFLUENZA and YELLOW FEVER
200
"Double bubble" on abdominal film in infant with feeding intolerance.
DUODENAL ATRESIA
200
Scalp edema that crosses suture lines.
CAPUT SUCCEDANEUM (as opposed to??)
200
Itchy, red, circular, scaly patches known as tinea corporis are treated with topical anti-fungals (such as clotrimazole). This drug is commonly used as treatment when there is scalp involvement.
GRISEOFULVIN
200
Also called Fifth Disease or erythema infectiosum, this causes children to have fever, malaise, and a characteristic "slapped-cheek" appearance.
PARVOVIRUS (And think... What can it cause in pregnant women during the 1st trimester? Also, those with blood disorders are at risk for this serious complication.)
300
The name of the RSV vaccine.
SYNAGIS
300
"Gower's Sign", or how one with this condition may go from sitting on the floor to standing on his/her feet.
MUSCULAR DYSTROPHY, or proximal muscle weakness.
300
The three most common bacteria to cause neonatal sepsis.
E. COLI, GBS, LISTERIA (hence ampicillin)
300
A family of 3 young children present with small red pimple-like bumps arranged in rows on their wrists, feet, hands, and elbows. They complain of itching. This is the most likely diagnosis.
Scabies
300
Guillan-Barre may follow this bacterial diarrheal infection.
CAMPYLOBACTER JEJUNI
400
Patient comes in with a wound free of dirt and debris. Medical records indicate patient had full tetanus series, with a tetanus booster 2 years ago. What should be done for the patient today?
IRRIGATION of wound. No additional vaccines are required.
400
"Battle sign" (aka mastoid ecchymosis) is a classic finding in a patient with this.
BASAL SKULL FRACTURE
400
Most likely diagnosis (and corresponding treatment) for 2 week old infant who presents with staccato cough, eyelid swelling, nasal drainage, and bilateral infiltrates on CXR.
CHLAMYDIA PNEUMONIA/ORAL ERYTHROMYCIN
400
A 7yo F presents with a 6cm oval red patch on her abdomen. You are concerned it may be ring worm, but about a day later, she develops a pink rash in a Christmas tree distribution on her torso. This is the name of the original lesion.
HERALD PATCH OF PITYRIASIS ROSEA
400
The three most common causes of ear infections in kids.
STREP PNEUMO, H. FLU, MORAXELLA CATARRHALIS
500
True contraindications to TDaP vaccine.
ANAPHYLAXIS, ENCEPHALOPATHY, MODERATE TO SEVERE FEBRILE ILLNESS.
500
"Nikolsky Sign", or sloughing of skin with gentle pressure, may be seen in a patient with this.
STAPH SCALDED SKIN
500
Ambiguous genitalia, vomiting, and hypotension should leave you to consider a diagnosis of CAH (most often caused by a deficiency of this enzyme.)
21-HYDROXYLASE... and know what compound accumulates
500
A mom brings her 6yo son to the ED. She anxiously explains that her son developed diffuse bruise-like marks on his back and upper arms yesterday after spending the day swimming with his siblings. You consult Social Work and photograph the marks. In addition to physical abuse, this condition should be considered in your differential. (Be sure to ask what the family was eating that day!)
PHYTOPHOTODERMATITIS
500
Organism responsible for Lyme Disease (and its vector).
BORRELIA BURGDORFERI (IXODES TICK)