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Details

Case 23
fam med cases
6
Medical
Graduate
01/26/2011

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Cards

Term
Vaccination schedule in children
Definition
School admission:
Hep B (3)
DTap(5)
Polio(5)
MMR(2)
Varicella (2)

not requrired by schools
HIB
Pneumococcal vaccine
Rotavirus (initate by 15 weeks)
Hep A (12-23)
Influenza (6months-18years)
Term
ADHD dx
Definition
Dx made at >6 years
-symptoms must be more freq or severe than peers
-present in at least 2 settings
-present for at least 6 months
Term
Epiglotitis clinical features
Definition
-Life threatening emergency
-caused by H influenza B
-presents at 2-5 y/o. Toxic child, upper airway obstruction, stridor, cough, fever, dyspnea
-DO NOT USE tongue depressor if epiglotitis is suspected
-Dx w lateral neck x ray, CT scan of neck
Term
Mononucleosis
Definition
caused by EBV or CMV
-low grade fever, pharyngitis, and lymphadenopathy
Post cervical adenopathy is common and specific
Term
Complications of Group A beta hemolytic strep pharyngitis
Definition
Scarlet Fever: diffuse, erythematous, finely popular rash, "sandpaper texture"
Mastoiditis
peri tonsillar abscess(fever, difficulty swallowing, muffled voice, deviation of uvula)
Term
Strep Pharyngitis management
Definition
Penicilin VK
Penicillin G IM (when pt is non compliant)
Amoxicillin Liquid given in children
cephalosporins (1st gen), and macrolides if penicillin allergy
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