Pediatrics 11 CLIPP Case UPDATED
ACTUAL QUESTIONS AND CORRECT
ANSWERS
Normal heart rate for 4 year old - Correct answers✔✔4-year-old is 65 to 135 beats per minute
(average heart rate 110 bpm).
lymphadenopathy define - Correct answers✔✔Lymphadenopathy or adenopathy is disease of the
lymph nodes, in which they are abnormal in size, number, or consistency
Differential for unilateral cervical lymphadenopathy - Correct answers✔✔Reactive cervical
adenitis, Kawasaki disease, Bacterial cervical adenitis, cat scratch disease, mycobacterium
infection
What is reactive cervical adenitis - Correct answers✔✔Occurs in response to an oral infectious
or inflammatory process
Characteristics of kawasaki disease - Correct answers✔✔Lymphadenopathy with Kawasaki
disease is most often unilateral, with lymph nodes often larger than 1.5 cm in diameter, although
less commonly diffuse lymphadenopathy can occur.
Enlarged lymph nodes are nonfluctuant.
Bacterial cervical adenitis typically seen in what ages - Correct answers✔✔1-5 years old with
history of recent upper respiratory infection
Most common bugs seen in bacterial cervical adenitis - Correct answers✔✔Staphylococcus
aureus and Streptococcus pyogenes
, Typical symptoms of bacterial cervical adenitis - Correct answers✔✔Patients may have high
fevers and a toxic appearance
Also, Overlying cellulitis and development of fluctuance
Define fluctuance - Correct answers✔✔Used to describe a fluid-filled structure, such as an
abscess, that produces a wave-like motion when palpated
Components of cat scratch disease - Correct answers✔✔Bartonella henselae
can be asymptomatic or symptomatic.
introduced by a scratch from a cat with subsequent infection of the node draining that site.
The site most commonly involved is the axilla, followed by cervical, submandibular, and
inguinal areas.
Usually a self-limited disease, with regression of the lymph node in four to six weeks.
Possible location of lymphadenopathy with T.B. - Correct answers✔✔Mycobacterial infections
can cause diffuse lymphadenopathy or isolated lymphadenitis.
What is the most common manifestation of non tuberculous mycobacteria in kids - Correct
answers✔✔Lymphadenitis is the most common manifestation of nontuberculous mycobacteria in
children, with a peak age of presentation of 2 to 4 years.
info - Correct answers✔✔Tuberculosis is the most common cause of mycobacterial
lymphadenitis in children over 12 years of age.
ACTUAL QUESTIONS AND CORRECT
ANSWERS
Normal heart rate for 4 year old - Correct answers✔✔4-year-old is 65 to 135 beats per minute
(average heart rate 110 bpm).
lymphadenopathy define - Correct answers✔✔Lymphadenopathy or adenopathy is disease of the
lymph nodes, in which they are abnormal in size, number, or consistency
Differential for unilateral cervical lymphadenopathy - Correct answers✔✔Reactive cervical
adenitis, Kawasaki disease, Bacterial cervical adenitis, cat scratch disease, mycobacterium
infection
What is reactive cervical adenitis - Correct answers✔✔Occurs in response to an oral infectious
or inflammatory process
Characteristics of kawasaki disease - Correct answers✔✔Lymphadenopathy with Kawasaki
disease is most often unilateral, with lymph nodes often larger than 1.5 cm in diameter, although
less commonly diffuse lymphadenopathy can occur.
Enlarged lymph nodes are nonfluctuant.
Bacterial cervical adenitis typically seen in what ages - Correct answers✔✔1-5 years old with
history of recent upper respiratory infection
Most common bugs seen in bacterial cervical adenitis - Correct answers✔✔Staphylococcus
aureus and Streptococcus pyogenes
, Typical symptoms of bacterial cervical adenitis - Correct answers✔✔Patients may have high
fevers and a toxic appearance
Also, Overlying cellulitis and development of fluctuance
Define fluctuance - Correct answers✔✔Used to describe a fluid-filled structure, such as an
abscess, that produces a wave-like motion when palpated
Components of cat scratch disease - Correct answers✔✔Bartonella henselae
can be asymptomatic or symptomatic.
introduced by a scratch from a cat with subsequent infection of the node draining that site.
The site most commonly involved is the axilla, followed by cervical, submandibular, and
inguinal areas.
Usually a self-limited disease, with regression of the lymph node in four to six weeks.
Possible location of lymphadenopathy with T.B. - Correct answers✔✔Mycobacterial infections
can cause diffuse lymphadenopathy or isolated lymphadenitis.
What is the most common manifestation of non tuberculous mycobacteria in kids - Correct
answers✔✔Lymphadenitis is the most common manifestation of nontuberculous mycobacteria in
children, with a peak age of presentation of 2 to 4 years.
info - Correct answers✔✔Tuberculosis is the most common cause of mycobacterial
lymphadenitis in children over 12 years of age.
