14 y/o M with several months of recurrent bloating, stomach upset, occasional loose stools. Difficulty
gaining wt, short. Symptoms worse after crackers, cookies, and breads. No blood in stools. - Celiac
disease
Education for febrile seizures - Not actual seizure; best prevention is tylenol/ ibuprofen alternate
Q4hr; hydrate & rest; seek emergency care if seizure lasting longer than 5 minutes
10 y.o M with sudden scrotal pain upon awakening. severe N/V. Exam= tender, warm swollen L scrotum.
Cremasteric reflex negative and urine no findings. - Testicular torsion. Refer to ED
11 y/oM with sickle cell anemia woke up painful penile erection that wont go away. - Recommend
immediate referral to ED
12 month old with fever, suspected UTI, vomited 5x in last 7hours, last wet diaper ~6hrs ago. Prepare to -
arrange for child to be admitted to hospt
14 y/o M plays bball, complains of swelling and pain on bilat knees. Exam= tenderness over tibial
tuberosity bilat knees - Osgood-schlatter
+ post drawer sign in 10/yo soccer player? - instability of knee
17y/o M feeling something in L scrotum. Palpation is soft, movable, blood vessels that feels like 'bag of
worms' under scrotum skin. testicle not swollen or red. - Varicocele
, 4 weeks, forceful vomiting, wt down, seems hungry, sucks on bottle no problem. poss cause and
findings= - round olive like mass in RUQ
7 y/o M tells NP that teacher says he daydreams a lot, mom says he doesnt hear her/blanks out. -
Absence seizures
8 months with intermittent random episodes of vomiting, AB bloating, currant jelly stools, irritability
with poor appetite. growth/lethargic, sausage like mass on Right side - intusseception
8 y/o with DM1 seen for 3 day hx of urinary frequency and nocturia. UA is neg blood and nitrites, + large
amt of leukocytes and ketones. Trace protein. Best initial test - Urine culture/sensitivity
Appendicits - Constant periumbilical pain shifting to RLQ. Worsens over period of 4hrs. Pain
subsides as it migrates to RLQ and then worsens with movement, deep respir, and coughing.Pain/Fever
are late sign, leading to perforation. Vomiting. *Elevated WBC.
avoid this with celiac spruce - Avoid gluten (wheat, barley, rye)
+ obturator sign - acute appendicitis
Bactrim - treatment of choice for UTI in children
Beta thalassemia minor considered - microcytic anemia
child 2 months- 2 years with UTI, antibiotic therapy for - 7-14 days
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller ACADEMICMATERIALS. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $7.99. You're not tied to anything after your purchase.
