GI
Which vitamin is absorbed in the ileum?
Vitamin B12
After using polysyllabic babbling for 2-3 months, a child now says both "mama" and "dada". He is wary of strangers. He first waved "bye, bye" 2 months ago. Enjoys showing a toy to and adult. He doesn't yet understand a 1 step command.
How old is this child?
12 months of age
Peaked T waves are seen in which electrolyte abnormality?
Hyperkalemia
Organism most commonly associated with hemolytic uremic syndrome?
E. coli H157:H7
What is the diagnosis?
Tinea versicolor
6 weeks old caucasian boy:
progressively worsening, non bilious projectile vomiting, abdominal mass palpable above the umbilicus, hypochloremic alkalosis, hypokalemia.
Diagnosis?
Pyloric stenosis
A male infant has a social smile and has just started to "coo". He does not smile at a mirror.
How old id this infant?
2 months of age
on a ECG, you see progressive prolongation of PR interval until a dropped QRS.
What is this type of conduction disturbance called?
Mobitz 1
Boy presents with:
persistent microhematuria, proteinuria, hypertension, sensorineural deafness, perimacular pigment changes
Maternal uncle with same disease.
What is the diagnosis?
Alport syndrome
mutation in type 4 collagen (basement membrane in kidney, ears, eyes)
5yo from rural Arkansas with:
fever 102.0 F and swollen lymph node in his right inguinal area
What is the diagnosis?
Tularemia (rabbit fever)
Francisella tularensis
Children with type 1 diabetes mellitus should be screened for which type of GI disease?
Celiac disease
An infant has recently started to cry whenever his mother leaves him with an unfamiliar person. He smiles when he looks in a mirror and often babbles with no discernible words, He can track an object 180 degrees.
How old is this infant?
6 months of age
Lithium use in pregnancy is associated with what cardiac abnormality?
Ebstein anomaly of tricuspid valve
5 yo with a history of URI 1 week ago with:
purpuric rash on buttocks, abdomen and lower extremities; abdominal pains, arthralgia, glomerulonephritis with IgA deposition
Diagnosis?
IgA Vasculitis (Henoch-Schonlein purpura)
17yo with:
pneumonia
diarrhea
cns symptoms (headache, delirium, confusion)
what's the etiology of this triad?
Legionella pneumophila
Newborn with trisomy 21, history of polyhydramnios, dilated stomach on ultrasound.On abdominal x-ray shows a "double bubble" in the abdomen.
Diagnosis?
Duodenal atresia
A young child, for the past 2-3 months, cries whenever he is left with an unfamiliar person. He has just started to say "mama" and "dada" nonspecifically and has started to use polysyllabic babbling.He pulls to stand.
How old id this child?
9 months of age
Newborn with delay of femoral pulse compared to the radial pulse.
What cardiac condition?
Coarctation of the aorta
8yo with URI, cola colored urine and transient increase in creatinine (all at the same time)
Diagnosis?
IgA nephropathy (Berger disease)
A 9 yo presents with history of travel to the Rocky Mountains for a camping trip this summer. He has had watery, smelly diarrhea for the last week with multiple episodes daily of flatulence. His mother says that he has been burping a lot and that it smells horrible, "like sulfur".
What is the diagnosis?
Giardiasis
16yo with painful swallowing, chest discomfort, history of nodular acne on oral doxycycline.
Diagnosis?
Pill induced esophagitis
18 month old can:
-squeal and babble, -say "mama", -point at a bottle or chair
HE CANNOT:
-say other words than "mama", "identify body parts
does this child have a delayed development?
YES!
Expressive language delay.
18months, 10-25 words, 2 body parts, follow simple instructions
Do a hearing screen first
2 month old with a machinery-like murmur that increases in intensity in late systole. The murmur us heard best below the left clavicle, over the main pulmonary artery.
What is the diagnosis?
Patent ductus arteriosus
Patient presents:
high anion gap metabolic acidosis, high osmolal gap and calcium oxalate crystals in urine
what is the diagnosis?
Ethylene glycol (antifreeze)
Newborn with:
microcephaly, hydrocephalus, hepatosplenomegaly, maculopapular rash, retinochoroiditis, cerebral calcifications (widespread)
What is the diagnosis?
Congenital toxoplasmosis