Severe periumbilical pain out of proportion to exam suggests:
Anonymous Quiz
33%
Appendicitis
11%
Bowel obstruction
46%
Mesenteric ischemia
11%
Pancreatitis
Arm pain and syncope triggered by arm movement suggests:
Anonymous Quiz
8%
Carotid stenosis
45%
Subclavian steal syndrome
24%
Aortic dissection
24%
Thoracic outlet syndrome
A patient develops a rising creatinine after starting an ACE inhibitor. Most likely cause?
Anonymous Quiz
26%
Acute interstitial nephritis
29%
Renal artery stenosis
17%
Glomerulonephritis
28%
Acute tubular necrosis
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A child presents with a midline neck mass. Most likely diagnosis?
Anonymous Quiz
8%
Thyroid carcinoma
10%
Branchial cyst
77%
Thyroglossal duct cyst
6%
Lymphadenopathy
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Emesis, chest pain radiating to the back, and mediastinal air. Most likely diagnosis?
Anonymous Quiz
17%
Mallory-Weiss tear
9%
Esophageal cancer
45%
Boerhaave syndrome
30%
Peptic ulcer perforation
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A 6-year-old boy was brought to the ER with severe vomiting and diarrhea for 3 days. He is lethargic, hypotensive (40/20 mmHg), tachycardic, has sunken eyes, dry mucous membranes, and no tears. The most appropriate initial IV fluid therapy is:
Anonymous Quiz
8%
0.45% saline with dextrose
19%
Normal saline 100 mL/kg over 30 minutes
13%
Ringer lactate 50 mL/kg over 30 minutes
60%
Ringer lactate 20 mL/kg over 20 minutes; repeat if needed
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Normal caloric content per gram is:
Anonymous Quiz
12%
4 kcal protein, 4 kcal carbohydrate, 4 kcal fat
21%
6 kcal protein, 6 kcal carbohydrate, 9 kcal fat
12%
4 kcal protein, 5 kcal carbohydrate, 8 kcal fat
55%
4 kcal protein, 4 kcal carbohydrate, 9 kcal fat
â¤1
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Burn involving only epidermis is called:
Anonymous Quiz
84%
Superficial burn
13%
Partial-thickness burn
2%
Full-thickness burn
1%
Fourth-degree burn
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Rubella virus belongs to which type?
Anonymous Quiz
18%
DNA virus
67%
RNA virus
11%
Retro virus
4%
Prion
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Condyloma lata occur in which stage of syphilis?
Anonymous Quiz
14%
Primary
49%
Secondary
12%
Latent
25%
Tertiary
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The stridor in laryngomalacia typically:
Anonymous Quiz
14%
Is expiratory and worsens in prone positioning
65%
Is inspiratory and worsens in supine positioning
14%
Is biphasic and independent of body position
7%
Is intermittent and triggered by upper respiratory infection
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đĻģ CHOLESTEATOMA | SOMedEd
Cholesteatoma is a collection of keratinizing squamous epithelium in the middle ear. It is not malignant but is locally destructive.
Usually follows chronic otitis media or a retraction pocket where skin gets trapped.
âī¸ Key pathology
Expands and erodes bone
Affects ossicles, mastoid air cells, sometimes facial nerve
đ Clinical features
Foul-smelling chronic ear discharge
Painless progressive conductive hearing loss
Ear fullness
đ Diagnosis
Otoscopy: pearly white mass
CT temporal bone: bone erosion
đ Treatment
Surgical removal
đ¨ Complications
Conductive hearing loss
Mastoiditis
Facial nerve palsy
Intracranial infection
âī¸ Key clue
Chronic foul-smelling discharge + painless hearing loss = cholesteatoma until proven otherwise
Cholesteatoma is a collection of keratinizing squamous epithelium in the middle ear. It is not malignant but is locally destructive.
Usually follows chronic otitis media or a retraction pocket where skin gets trapped.
âī¸ Key pathology
Expands and erodes bone
Affects ossicles, mastoid air cells, sometimes facial nerve
đ Clinical features
Foul-smelling chronic ear discharge
Painless progressive conductive hearing loss
Ear fullness
đ Diagnosis
Otoscopy: pearly white mass
CT temporal bone: bone erosion
đ Treatment
Surgical removal
đ¨ Complications
Conductive hearing loss
Mastoiditis
Facial nerve palsy
Intracranial infection
âī¸ Key clue
Chronic foul-smelling discharge + painless hearing loss = cholesteatoma until proven otherwise
Forwarded from Files for Pediatrics and OBGYN | Black Lion đđ
đĻģ LARYNGOMALACIA | SOMedEd
đĻģ Laryngomalacia is the most common cause of inspiratory stridor in infants.
It occurs due to collapse of the supraglottic tissues during inspiration, leading to noisy breathing that typically worsens when the baby is supine and improves when prone.
đ Laryngoscopy may show the classic omega-shaped epiglottis (Ί).
Most cases are mild and resolve spontaneously by 18 months with reassurance and close follow-up. Concurrent gastroesophageal reflux should also be managed when present.
đĻģ Laryngomalacia is the most common cause of inspiratory stridor in infants.
It occurs due to collapse of the supraglottic tissues during inspiration, leading to noisy breathing that typically worsens when the baby is supine and improves when prone.
đ Laryngoscopy may show the classic omega-shaped epiglottis (Ί).
Most cases are mild and resolve spontaneously by 18 months with reassurance and close follow-up. Concurrent gastroesophageal reflux should also be managed when present.