Anticipatory Guidance
Tummy Aches
Can my kid still go pro?
2L NC
Dr. Vaughan can you look at this rash?
100

This vaccine can be given as early as 6 months for high risk travel but requires its typical dose series starting at 12 months 

What is the MMR vaccine? 

100

These items should warrant an immediate GI or emergent consult if ingested. 

What is a button battery or a magnet? 

What are sharper items (pins, fishbones)? 

What are expandable items (water beads)? 

100

This is a musculoskeletal condition to include in your diagnosis with the overweight, adolescent male population. 

What is a SCFE (slipped capital femoral epiphysis)? 

100
This patient has this type of asthma classification if they experience nighttime cough more than twice a month or symptoms more than twice a week. 

What is mild persistent asthma? 

100

This dermatologic condition is part of the atopic triad. 

What is eczema or atopic dermatitis? 

200

This 2 year old has a delay in this milestone domain when he can run and kick a ball, notices others' emotions, and can say one word phrases. 

What is a language, communication, or speech delay? 

200

This type of syndrome is seen with dystonic neck posturing with GERD 

What is Sandifer Syndrome? 

200

This pediatric specific condition is located at the base of the fifth metatarsal. 

What is Iselin's disease or apophysitis? 

200

This condition can be characterized by development of a pseudomembrane. 

What is diphtheria? 
200

A skin peeling rash after two weeks of illness and fever with conjunctivitis and white spots on the tongue in a fully vaccinated 2 year old patient should be treated with this medication. 

What is IVIG and/or Aspirin for Kawasaki disease? 

300

This is a contraindication to the rotavirus vaccine. 

What is SCID or intussusception? 

300

Miralax is an example of this type of laxative. 

What is an osmotic laxative? 

300
This temperature differentiates between heat stroke and heat exhaustion. 

What is 104 degrees F? 

300

Consider macrolide therapy for these 2 pathogens that can cause a type of pneumonia. 

What is chlamydia trachomatis and Mycoplasma pneumoniae?

300

This type of rash can be described as a painful fluid-filled blister with an erythematous base near the finger nail. 

What is herpetic whitlow? 

400

This patient is this age when she can pull to a stand, is crawling, babbling, can transfer objects from hand to another, and can pick up small objects with her thumb and index finger. 

What is 9 months old? 

400

Steatorrhea can be an indication of this condition. 

What is Celiac disease or cystic fibrosis? 

400

This is the medical term for Little League Shoulder. 

What is proximal humeral epiphysitis or proximal humeral epiphyseolysis? 

400
This stage of pertussis is typically where the diagnosis of pertussis is usually suspected. (BONUS DOUBLE: Name all stages of pertussis in order) 

What is the paroxysmal stage? 


Three stages: Catarrhal, Paroxysmal, Convalescence

400

These are the two antibiotics to use together for a patient with an infected dog bite with a true beta lactam allergy.

What is Bactrim and Clindamycin? 

500

This is one of the parameters that indicate a failed cardiac newborn screen. 

What is O2 sat <90% in either right hand or foot in the initial screen? 

What is O2 sat <95% in either right hand or foot on 2 measures (1 hour apart)? 

What is a >3% difference in O2 sat between right hand and foot on 2 measures (1 hour apart)? 


500

This is what differentiates FPIES from food allergies. 

What is a non-IgE mediated response? 

500

Lumbar spondylolysis describes an injury to this anatomical structure. 

What is the pars interarticularis? 

500

Consider this treatment option for a patient presenting with concerns for severe respiratory distress, fever, and a hemoglobin of 6.0. 

What is blood transfusion for acute chest syndrome for sickle cell crisis? 

500

This type of rash/condition typically is a delayed immune reaction to a viral infection, often caused by EBV or Coxsackie virus, starting in the thighs and buttocks symmetrically, appears erythematous and papular in nature, and is not always itchy. (BONUS DOUBLE: Get the medical term as well!) 

What is Gianotti-Crosti syndrome or papular acrodermatitis?