clinical fx of herpangina
- coxsackie A virus
- painful posterior pharyngeal vesicles
clinical fx of aphthous stomatitis
- recurrent ulcers on anterior oral mucosa
- no fever of systemic fx
clinical fx of group a streptococcus pharygitis
- tonsillar exudates
- fever, anterior cervical lymphadenopathy
clinical fx of infectious mononucleosis (EBV)
- tonsillar exudates
- fever, diffuse cervical lymphadenopathy
- +/- hepatosplenomegaly
- viral exanthema after amoxicillin or ampicillin, usually immune mediated
treatment of Infectious mononucleosis
- supportive tx
- sports avoided for splenic rupture
treatment of symptomatic ITP in children
- steroids, IVIG
clinical fx of tension pneumothorax
- hemodynamic instability
- trachea shifts to opposite side
when does stress fracture (seen in runners) show up on x-ray?
- 2-3 weeks after symptoms arise
neonatal chlamydial infx (conjunctivitis, pneumonia) sx, mode of transmission, treatment
- thickened injected conjunctivae (chemosis)
- staccato cough, rales, hyperinfalation on chest x-ray, absence of fever
- direct vaginal contact
- oral erythromycin for 14 days
features of acute otitis media
- micro: strep pneumo, nontypeable haemophilus influenza (purulent conjunctivitis), moraxella catarrhalis
- middle ear effusion plus bulging tympanic membrane
- initial tx: amoxicillin, 2nd line: amoxicillin-clavulanic acid
- cx: conductive hearing loss, meningitis, mastoiditis
Treatment for lyme disease, risk for pregnant ppl
- doxycycline
- for pregnant ladies, amoxicillin or cefuroxime, no risk if treated properly
Effects of maternal hyperglycemia on fetus
- macrosomia
- hypocalcemia
- hypoglycemia
- hyperviscosity due to polycythemia
- cardiomyopathy and CHF
- respiratory difficulties
atrialized right ventricle in what disease
ebstein’s anomaly (mothers who take lithium during pregnancy)
Clinical presentation of rubella
- congenital: hearing loss, cataracts, PDA
- children: cephalocaudal spread of rash, fever
- adolescents/adults: same plus arthralgia/arthritis
Diagnosis and prevention of rubella
- serology
- live attenuated vaccine
Isolated alk phos elevation with normal LFT in pt with sarcoidosis is likely what disease?
granulomatous disease
fussy baby, first time parents, no close family support. Likely diagnosis and common finding?
shaken baby syndrome
retinal hemorrhages
