Health Care > EXAM > (Kaplan University) PEDIATRICS - BRS/pretest/lange/uworld study Guide 2022/2023 (All)

(Kaplan University) PEDIATRICS - BRS/pretest/lange/uworld study Guide 2022/2023

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3. tx {{Correct Ans- 1. progressive muscle weakness + constitutional, periorbital violaceous heliotrope rash (sun exposed), gottrons papules, proximal muscle weakness (gowers), neck flexor weakness, calcinosis (in muscle,, nail telangiectasias, 2. clinical pres + EMG abnormal, muscle biopsy abnormal, inc. CK/AST/ALT/LDH/aldolase 3. corticosteroids, MTX, cyclophosphamide, cyclosporine, vitamin D/calcium supplementation dermatomyositis complications {{Correct Ans- aspiration pneumonia (dec. gag reflex), intestinal perforation (GI vascultis), osteopenia(secondary to intestinal perforation) rheumatic fever - children 5-15 year of age 1. pathogenesis 2. clinical dx/presentation {{Correct Ans- 1. autoimmune complication of GABHS URI.pharyngitis (NOT IMPETIGO) 2. Jones criteria, 2 major or 1 major + 2 minor Major: migratory polyarthritis, carditis(transmural, left sided endocarditis, tachycardia) syndhams chorea (basal ganglia autoimmune erythema marginatum (non-pruritic pink/red macules that spread with centrpitally), subcutaneous nodules Minor: fever, arthralgia, leukocytosis, CRP/ESR, prolonged PR on ECG 1. rheumatic fever lab findings 2. treatment - eventually cardiac damage/valvular insufficiency may require valve replacement {{Correct Ans- 1. ESR/CRP elevated, leukocytoisis, ASO titers/anti-DNase,anti-hyaluronidase elevated, echocardiography shows decreased ventricular function,2. benzathine penicillin, or oral penicillin NSAIDS (after DX) corticosteroids for severe cardiac involvement diuretics,digoxin, salt restriction for CHF haloperidol for syndenhams chorea what must a patient who has rhuematic fever prophylax against {{Correct Ans- antimicrobial prophylaxis especially before minor dental procedures lyme disease 1. pathogenesis 2. clinical presentation early/early disseminated/late {{Correct Ans- 1. New england US borellia burgdorferi tick bite via ixodes tick 2. early = erythema chronicum migrans (target like annular rash), constitutional symptoms (headache, myaligias, fatigue, arthralgias,lymphadenopathy) early disseminated = multiple secondary erythema migrans, constitutional symptoms, FACIAL NERVE PALSY (UNI/BILATERAL), encephalitis, heart block/carditis (arrythmias), aseptic meningitis Late: arthritis lyme disease 1. diagnosis 2. treatmnet {{Correct Ans- 1. clinical pres + ELISA (sensitive), then western blot (sens + specific), 2. early doxycycline or amoxicillin ceftriaxone or penicillin for carditis/meningitis reactive reiters disease1. clinical presentation {{Correct Ans- 1. chlamydia trachomatis--> arthritis, urethritis, conjunctivitis (cant see cant pee cant climb a tree - TF)

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