Clubfoot Managment
- Stretching and manipulations
- Can lead to abnormal gait and ulcerations
Management for foreign body swallowing
- FLEXIBLE endoscopy
- symptomatic requires removal from body emergently, otherwise may be able to observe 24 hours
Presentation for Acute lymphoblastic leukemia
- most common childhood cancer
- nonspecific symptoms
- bone pain, lymphadenompathy, hepatosplenomgaly
- DX: bone marrow biopsy
Down Syndrome gives you an increase risk of….
ALL
Step-off of lumbrosacral area on low back
Spondylolisthesis
-urinary incontinence may be seen as well
- gradual-onset hemoplegia
- aphasia
- neck pain
- thunderclap headache
carotid injury
- Fall with object in mouth
- neck manipulation
Recurrent skin and soft tissue abscesses with catalase positive organisms
Chronic Granulomatous Disease
-pulmonary infections as well
What are the catalase positive organisms?
- Staph aureus
- serratia
- Burkholderia
- Aspergillus
Severe periodontitis
LAD
Wiskott-Aldrich Syndrome
-eczema, recurrent infections, and thrombocytopenia
McCune-Albright Syndrome
Precocious puberty, cafe au lait spots and multiple bone deformities(polyostotic fibrous dysplasia)
central lytic lesion, onion skinning, and a moth eaten appearance
ewings sarcoma
- Tense and bulging fontonelle
- Bulging scalp veins
- poor feeding and fussiness
-hydrocephalus
Most common cause of vaginal bleeding and discharge in the neonatal period. “white, thin discharge with some blood streak”
Maternal withdrawal of estrogen
No treatment needed
“Grape-like nodule protruding from the vagina”
Rhabdomyosarcoma
- Failure to thrive
- Hypogammaglobulinemia
- Markedly low T cell counts
- Recurrent infections
Severe combined immunodeficiency (SCID)
—Burton’s have normal T cells
What is cradle cap?
Seborrheic dermatitis
-adherent greasy scales with mildly erythemtous base seen on scalp
What is the most common pathogen in young children with CF?
Staphylococcus aureus, especially if they have influenza
Cefepime
Vancomycin if recurrent infection(methicillin resistance)
Anti-tissue transglutaminase antibody assay IgA
Celiac disease
- DERMATITIS HERPETIFORMIS
- Iron def. Anemia
Nuclei acid amplification test
Chlamydia trachomatis
Neisseria gonorrhoeae
Asymmetrical inguinal skin folds
Dysplasia of the hip - Galeazzi test (leg-length discrepancy ) - Barlow risk factors: breech, tight swaddling Treatment: pavlik harness
Blue-grey macula on patients sacrum
Mongolian spot; benign skin lesion
1 month refusal to talk in situation in which she is expected
Selective mutism
Stranger anxiety
Begins in children 6-9 months, subsides by age 3
