20 Eylül 2010 Pazartesi

Medical reminders - ( T-U-V-W )

Sponsorlu Bağlantılar:

Teething (features)
Temperature <101
Eat but low appetite
Erupt site swelling/pain
Tylenol helpful
Hand sucking often occurs
Irritable but consolable
No diarrhea but drooling
Gum/rubbing

Toxic shock syndrome (STSS) (clinical features)
Staph/strep infection
Temperature >102
Skin rashes
Shock (systolic BP <90)

Toxoplasmosis (caused by toxoplasma gondii--clinical features )
Growth (IUGR)
Ocular (retinitis)
Neurological (hydrocephalus)
Deafness
Intracerebral calcification
IQ impaired

Townes-Brocks syndrome 
Bony defect of hands, thumb anomaly
Otic anomaly (hearing loss and dysplastic ears)
Cardiac defects
Kidney anomaly
Spadias (hypospadias)

Tracheoesophageal fistula (complications)
Failure to breathe
Immobility of esophagus 
Stomach perforation on PPV
Tracheomalacia
Upper airway irritation (cough)
Lower airway infection (pneumonia)
Achalasia

Treacher-Collins syndrome
Treacle gene mutation
Robin sequence
Eye anomalies (lid coloboma)
Antimongoloid palpebral fissures
Conductive hearing loss
Hypoplastic zygomas/mandible
External ear anomalies
Retrognathia

Trisomy 13
Trisomy 13
Holoprosencephaly
IQ low (MR)
Retarded growth
Thorax/heart (80 % VSD)
Eye (microphthalmia)
Eating problem (FTT)
Ninety-five percent die with six months

Trisomy 18
Extra chromosome 18
IQ low (MR)
Growth retardation (IUGR)
Hypertonia
Thorax (small chest/heart defects)
Eye/ear/extremities
Eating problem (always requires NGF)
Ninety percent die within first year

Trisomy 21 (Down syndrome)
Age-advanced maternal age
Brain(MR)
Cardiac (CHD)
Dysmorphic features
Eyes (cataract, strabismus)
Feeding problem
GI anomalies (Hirschsprung)
Hypotonia
Infection
Joint laxity
Karyotype (trisomy or translocation)
Leukemia potential
Microcephaly
Neck (cervical spine)
Otitis (conductive hearing loss, hearing test)

Tuberculosis (side effects of INH)
Irritation of GI tract
Neuropathy
Hepatitis

Tuberous sclerosis (clinical features)
Subependymal nodules
Cortical tubers
Lipoma
Extremity (ungual fibroma)
Rhabdomyoma (heart)
Ocular (astrocytic hamartoma)
Skin (shagreen patches, ashleaf, CALS and edenoma sebaceum)
Infantile spasm
Seizure of any type

Turner syndrome
Thoracic aortic stenosis/coarctation
Underdeveloped gonads
Residual lymphedema
Neck webbing
Endocrine (GH and TSH deficiency)
Renal anomaly
Sexuality (delayed puberty)

Ulcerative colitis/Crohn disease (extraintestinal manifestation)
Uveitis
Loss of weight
Cholangitis
Extremity (arthritis)
Red cell (anemia)
Spondylitis

Ulcerative colitis (indications for surgery)
Cancer
Obstruction
Losing blood
Ineffective medical management
Toxic megacolon
Incapacitating disease
Slow growth (failure to thrive)


Urticaria (management)
Atarax for anti-H1 receptors
Benadryl better
Corticoids for chronic phase
Discontinuation of  “drugs/offenders”
Epinephrine for emergency

Usher syndrome
Clinical features include:
Under-diagnosed (very common in profound deafness/blindness)
Sensorineural
Hearing loss
Eye
Retinitis pigmentosa

Viral hepatitis (clinical features )
Hepatomegaly
Encephalopathy
Prodromic fever
Ascites
Thrive failure
Obstruction
Coagulopathy
Yellow (jaundice)
Tumor potential
Edema
Splenomegaly

Volvulus (clinical features)
Malrotation as trigger
Irritable infant
Distended abdomen
GI track bleeding
Up-drawing of legs
Tenderness on exam

Von Hippel-Lindau syndrome
Vision loss
Ocular (retinal angioma)
Nephritic (renal cell carcinoma)
Hemangioblastoma of brain (cerebella)
Increased ICP
Pheochromocytoma
Pancreas cyst
Ectopic erythropoietin
Liver cyst



Wegener granulomatosis
(clinical features)
Weight loss
Enlarged spleen
Glomerulonephritis
Erythematous rashes
Neuropathy
Eye
Respiratory
Sinuses

Whipple’s disease (clinical features)
Weight loss
Heart involvement
Intestinal symptoms
Polyarthritis
Lymphadenopathy
Enlarged spleen

Williams syndrome
Wide mouth
Iris (stellate)
Lip prominence
Long philtrum
IUGR
Abnormal voice (hoarse voice)
Mental retardation
Supravalvular aortic stenosis

Wilson disease    (copper metabolic disorder-complications)
Cardiomyopathy
Osteoporosis
Pancreatitis
Puberty delay
Eye (Kayser-Fleischer ring)
Red blood cell (anemia)

Wiscott-Aldrich syndrome (management)
Waive contact sport
IVIG
Splenectomy
Kill germs (Antibiotics) for acute infection
Oral Abx as prophylaxis in post-splenectomy
Transfusion (platelet)
Transplant (BMT)