15 results
Childhood Immunization Schedule: Why we immunize
 • Diphtheria Toxin -> URT inflammation causes pseudomembrane with hardened
cause quadriplegia ... & hemorrhagic rash ... Vesicular & pruritic rash ... > Inflammation causes ... #Immunization #peds
Serious Bacterial Illness (SBI):
1) UTI and pyelonephritis
Most common cause of SBI
Accounts for 3-8% of uncharacterized fevers
Female
pyelonephritis Most common cause ... Urinalysis: LE 75% specificity ... , Nitrites 97% specificity ... seizure) #Diagnosis #Peds
Vibrio Vulnificus skin infection
Cirrhosis w/recent consumption of raw oysters w/rapidly evolving rash. 
Vibrio vulnificus part of
rapidly evolving rash ... marine microbiota & causes ... , hypotension, rash ... immunosuppressive meds ... skin #infection #rash
Erythemas Summarized
Erythema ab igne
 • A dermatosis that results from repeated exposure to heat (fires, heating
fires, heating pads ... potential inciting causes ... Haverhill fever caused ... Rash is usually ... Fever + facial rash
Plain radiography of the abdomen revealed calcification of both adrenal glands. A homozygous mutation in LIPA
and gut, which causes ... #clincial #peds ... calcifications #infant #NEJM
CNS Infections - Viral Encephalitis and Bacterial Meningitis - Differential Diagnosis Framework

Viral Encephalitis:
MCC: Enteroviruses (e.g., coxsackievirus
Photophobia • Nausea ... Maculopapular rash ... sensitivity and specificity ... • Uveitis • Rash ... sensitivity and specificity
Moccasin-variety Tinea Pedis 
70 M chronic scaly feet. Over the years: rash has itched only occasionally;
Moccasin-variety Tinea Pedis ... Over the years: rash ... dermatophytes cause ... tinea pedis: Trychophyton ... Moccasin tinea pedis
Acute Liver Injury - Differential Diagnosis Algorithm

Vascular Causes of Acute Liver Injury: 
 • Hepatic vein:
Algorithm Vascular Causes ... Assists in liver specificity ... disease: > 2 • NASH
Clinical Trial of Fluid Infusion Rates for Pediatric Diabetic Ketoacidosis - Kupperman et al. NEJM 2018

https://www.nejm.org/doi/full/10.1056/NEJMoa1716816
Study
NEJM 2018 https ... generally our biggest causes ... out what does cause ... VisualAbstract #Peds ... Infusion #Rates #NEJM
Examination revealed exudative tonsillitis (Panel A), strawberry tongue, and cervical adenopathy with tenderness. Skin examination revealed
punctate papules that caused ... #ScarletFever #Rash ... StrepPyogenes #NEJM