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17 Cards in this Set
- Front
- Back
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most common presentation of lymphadenopathy in kids
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localized (75%)
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most common regions affected in the pediatric population (nodes)
What lymphadenopathy is always considered abnormal |
submaxillary
cervical axillary inguinal SUPRACLAVICULAR |
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term referring to lymph nodes that are abnormal size, consistency, or number
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lymphadenopathy
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nodes that, if inflamed, deserve an urgent if not emergent examination
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supraclavicular nodes
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weight loss that is grounds for significant concern (possible malignancy)
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10%
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how to start the physical exam
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vitals
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mycobacteria that is associated w/ drinking unpasteurized cow's milk, can have lymphadenopathy
Tx |
Mycobacterium bovine
azithromycin/clarithromycin Rifabutin |
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young Asian-American presents w/ cervical adenopathy (3cm), fever fever, "strawberry tongue", truncal rash, conjunctival inflammation swollen hands and feet, and peeling of the skin in the genital area, dx?
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Kawasaki disease
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treatment for Kawasaki disease
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high dose ASA (until cardiac echo is normal)
IV immunoglobulin |
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treatment for MRSA
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bactrim (oral)- TMP-Sulfamethaxazole
vancomycin clindamycin |
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organism that causes "cat scratch disease"
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Bartonella henselae
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child presents w/ hepatosplenomegaly, eye symptoms (macular star), CNS symptoms, and a helaing scratch or wound on the hand
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Cat scratch disease (Bartellona)
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3/4 of patients w/ unexplained lymphadenopathy will present w/ _______changes
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localized
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What are the Kawasaki Criteria
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Fever for 5 or more days w/o other explanation along w/ 4 of the following:
1. Cervical adenopathy (>1.5cm) 2. Bilateral bulbar conjunctival injection 3.Oral mucosal changes (fissured lips, strawberry tongue, pharyngitis) 4.Peripheral extremity changes (erythema of palms soles, fusiform swelling, periungual desquamation/peeling) 5.Polymorphous rash |
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Where are people who get kawasakis usually from?
What would make you question your diagnosis of kawasakis disease? |
Asia or Africa
usaully less than 5 platlet count does not increase after 7-10 days to 1/2 a million or more |
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Consequences of Kawasakis disease?
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Cardiac problems and vessel anurysms
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CHild presents w/ large axillary lymph node and a high fever and was healthy until now, patient reports shaving under arm and cut themselves a few times, no unusual exposures, dx
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MRSA or strep pyogenes
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