Question 3: A 2-year-old child presents with chronic diarrhea, failure to thrive, and
abdominal distension. Laboratory results show iron deficiency anemia and positive
anti-TTG antibodies. What is the most appropriate next step in management?
A) Empirical gluten-free diet
B) Upper endoscopy with duodenal biopsy
C) Colonoscopy with biopsy
D) Hydrogen breath test
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, Answer: B) Upper endoscopy with duodenal biopsy
Explanation: Celiac disease is confirmed by duodenal biopsy showing
villous atrophy. A gluten-free diet should only be initiated after
confirmation.
continuous vertigo, catch up saccade, horizontal nystagmus and normal test of skew
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= peripheral etiology
vestibular neuritis
vestibular suppressant medications and vestibular rehabilitation;
reassurance
Antihistamines, antiemetics, benzodiazepines
vaccines 4-6 years old
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Tdap-IPV and MMRV
tx for malrotation?
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, NPO, NG tube to suction, fluid resuscitation
Broad-spectrum antibiotics to cover wide range of bacteria
Bowel ischemia can rapidly progress à urgent surgical intervention
3 week old baby, stridor, worse when supine but normal growth and no red flags. dx?
RF?
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laryngomalacia
RF:
began at birth, biphasic or expiratory stridor, position independent, FTT,
cyanosis retractions
kid is 1 year old with febrile UTI what investigation? what if recurrent
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Renal and bladder ultrasound (RBUS) for every child <2yrs with first febrile
UTI
recurrent do VCUG to rule out VUR
what is the actual definition of pregnancy loss?
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25 mm or more empty sac (without yolk sac/fetal pole)
, Age 32, mammo negative with palpable mass on examination. next step?
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refer for biosy
patient is on TB active treatment and what does rifampin cause?
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red tears, urine etc.
treatment of MAHA?
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plasma exchange; immunosuppression
if kiddo is born with low birth weight besides vit D what do you give?
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Iron supplementation recommended for low-birth weight infants from 2-6
weeks until 6 months (if primarily breastfed)o Preterminfants(<2000g):2-
3mg/kg/dayo Term/preterminfants(2000-2500g):1-2mg/kg/day
abdominal distension. Laboratory results show iron deficiency anemia and positive
anti-TTG antibodies. What is the most appropriate next step in management?
A) Empirical gluten-free diet
B) Upper endoscopy with duodenal biopsy
C) Colonoscopy with biopsy
D) Hydrogen breath test
Give this one a try later!
, Answer: B) Upper endoscopy with duodenal biopsy
Explanation: Celiac disease is confirmed by duodenal biopsy showing
villous atrophy. A gluten-free diet should only be initiated after
confirmation.
continuous vertigo, catch up saccade, horizontal nystagmus and normal test of skew
Give this one a try later!
= peripheral etiology
vestibular neuritis
vestibular suppressant medications and vestibular rehabilitation;
reassurance
Antihistamines, antiemetics, benzodiazepines
vaccines 4-6 years old
Give this one a try later!
Tdap-IPV and MMRV
tx for malrotation?
Give this one a try later!
, NPO, NG tube to suction, fluid resuscitation
Broad-spectrum antibiotics to cover wide range of bacteria
Bowel ischemia can rapidly progress à urgent surgical intervention
3 week old baby, stridor, worse when supine but normal growth and no red flags. dx?
RF?
Give this one a try later!
laryngomalacia
RF:
began at birth, biphasic or expiratory stridor, position independent, FTT,
cyanosis retractions
kid is 1 year old with febrile UTI what investigation? what if recurrent
Give this one a try later!
Renal and bladder ultrasound (RBUS) for every child <2yrs with first febrile
UTI
recurrent do VCUG to rule out VUR
what is the actual definition of pregnancy loss?
Give this one a try later!
25 mm or more empty sac (without yolk sac/fetal pole)
, Age 32, mammo negative with palpable mass on examination. next step?
Give this one a try later!
refer for biosy
patient is on TB active treatment and what does rifampin cause?
Give this one a try later!
red tears, urine etc.
treatment of MAHA?
Give this one a try later!
plasma exchange; immunosuppression
if kiddo is born with low birth weight besides vit D what do you give?
Give this one a try later!
Iron supplementation recommended for low-birth weight infants from 2-6
weeks until 6 months (if primarily breastfed)o Preterminfants(<2000g):2-
3mg/kg/dayo Term/preterminfants(2000-2500g):1-2mg/kg/day
