Pediatric Examination and Board Review (3 page)

110
A 6-Year-Old with Vaginal Discharge

Chapter 14

Neonatal Medicine

111
A Term Neonate with Respiratory Distress

112
A Premature Neonate with Respiratory Distress Syndrome and Necrotizing Enterocolitis

113
A Term Neonate with a History of Maternal Polyhydramnios

114
Neonate of a Diabetic Mother

115
A Neonate with a History of Maternal Group B Streptococcal Colonization and a Reactive Rapid Plasma Reagin Test for Syphilis

116
A Neonate with Hyperpigmented Macular Skin Findings

117
A Term Neonate Needs an Initial Examination

118
A Term Neonate Found to have Low Birthweight after Delivery

119
A 36-Week-Gestation Neonate’s Mother wants an Early Discharge

120
A Term Neonate Requires Routine Care in the Nursery

Chapter 15

Nephrology

121
A 4-Day-Old with Feeding Problems

122
A 4-Month-Old Boy with Poor Weight Gain, Irritability, and Low Urine Osmolality

123
An 8-Month-Old Boy with Vomiting and Weight Loss

124
A 7-Year-Old with Enuresis

125
A 6-Year-Old with Puffy Eyelids and Swollen Legs

126
A 12-Year-Old Girl with Smoky-colored Urine

127
A 5-Year-Old Boy with Bloody Diarrhea and Oliguria

128
A 4-Year-Old Girl with a Purpuric Rash on the Buttocks

129
A 10-Year-Old Girl with Bed-wetting and Proteinuria

130
A 15-Year-Old Boy with Flank Pain and Bloody Urine

Chapter 16

Neurology

131
A 6-Year-Old Girl with Staring Spells

132
A 5-Month-Old Boy with Seizures and a Birth Mark

133
A 2-Year-Old Girl with Headache and Fever

134
A 17-Year-Old Adolescent Girl with Muscle Weakness

135
A 7-Year-Old Boy with Head Jerks

136
A 16-Year-Old Girl with Headaches and Blurred Vision

137
An 8-Year-Old Boy with Difficulty in School

138
A 2-Year-Old Boy with Developmental Delay and Spasticity

139
A 17-Year-Old Boy with Weakness and Paresthesias

Chapter 17

Rheumatology

140
A 5-Year-Old Boy with Fevers and Joint Swelling

141
A 15-Year-Old Girl with Fatigue, Fever, and Arthritis

Chapter 18

Ophthalmology

142
A Child with a Lazy Eye

Chapter 19

Dentistry

143
A 4-Year-Old with Dental Truama

144
A Neonate with an Erupted Tooth

CONTRIBUTORS

Lynda Brady, MD

Director of Pediatric Gastroenterology

St. John’s Mercy Hospital

St. Louis, Missouri

Susan Cohn, MD

Professor of Pediatrics

Director of Clinical Sciences

University of Chicago

Chicago, Illinois

Jessica Curley, MD, PhD

Clinical Associate of Pediatrics

University of Chicago

Chicago, Illinois

Dianne Deplewski, MD

Assistant Professor of Pediatrics

Section of Pediatric Endocrinology

Committee on Molecular Metabolism and Nutrition

University of Chicago

Chicago, Illinois

Paul Egger, DDS

Northbrook, Illinois

Jill Glick, MD

Associate Professor of Pediatrics

Medical Director

Child Protective Services

University of Chicago

Chicago, Illinois

Heather A. Johnston, MD

Associate Professor Emerita

Chicago, Illinois

Jennifer Liedel, MD

Assistant Professor of Pediatrics

Medical College of Wisconsin

Milwaukee, Wisconsin

Poj Lysouvakon, MD

Assistant Professor of Pediatrics

Director

General Care Nursery

University of Chicago

Chicago, Illinois

John Marcinak, MD

Associate Medical Director

Takeda Global Research and Development Center, Inc.

Deerfield, Illinois

Charles J. Marcuccilli, MD, PhD

Associate Professor of Neurology

Division of Pediatric Neurology

Medical College of Wisconsin

Milwaukee, Wisconsin

Michael E. Msall, MD

Professor of Pediatrics

Chief

Developmental and Behavioral Pediatrics

University of Chicago

Chicago, Illinois

Izhar ul Qamar, MD, FRCPC

Assistant Professor of Pediatrics

University of Chicago

Chicago, Illinois

Peter K. Rabiah, MD

Clinical Assistant Professor

University of Chicago

Department of Surgery-Ophthalmology

NorthShore University HealthSystem

Evanston, Illinois

Tom Resnick, DDS, MS

Northbrook, Illinois

Sarah L. Stein, MD

Associate Professor of Medicine and Pediatrics

Section of Dermatology

University of Chicago

Chicago, Illinois

Alison S. Tothy, MD

Medical Director

Pediatric Emergency Medicine

Assistant Professor

Department of Pediatrics

University of Chicago

Chicago, Illinois

Darrel Waggoner, MD

Associate Professor

Human Genetics and Pediatrics

University of Chicago

Chicago, Illinois

Linda Wagner-Weiner, MD

Associate Professor of Pediatrics

Attending, Pediatric Rheumatology

University of Chicago

Chicago, Illinois

James Weedon, MD

Fellow

Developmental and Behavioral Pediatrics

University of Chicago

Chicago, Illinois

Frank Zimmerman, MD

Director of Pediatric Electrophysiology

Advocate Hope Children’s Hospital

Oak Lawn, Illinois

PREFACE

Many medical schools and residency programs have had great success in converting learning by lecture into case-based or “vignette” style learning. Professors using vignettes when teaching students can convey important teaching points in a relevant context that forces participants to be proactive, rather than passive learners.

Tests in medical school and residency have thus migrated towards the vignette model. Testing with vignette-based questions has permeated oral exams, written exams, and interactive, computer-based exams. So too follows the mini-vignette style on many pediatric board exam questions, and we have therefore produced this book, made up entirely of vignettes, followed by question choices and discussion thereof.

We anticipate that the second edition of this book will be a valuable tool for exam preparation. Of course, we expect that this book will be useful and interesting to all learners; not only to the pediatrician reviewing for board exams, but to the broader continuum of life-long learners, from medical school students in pediatric clerkships to seasoned pediatricians.