PEDIATRIC DISORDERS.....

Common causes of Dyspareunia are: Atrophic Vaginitis, Endometriosis, Vulvar Vestibulitis.



Today, we are moving on the Pediatric topics...that are always covered on the exams.



Q: What CRITERIA are required to make the diagnosis first episode of RHEUMATIC
FEVER?


A: The revised JONES CRITERIA is divided into Major and Minor subtypes.
One is required to have either TWO MAJOR or ONE MAJOR and TWO MINOR
components....to establish the diagnosis.



Q: What are the revised MAJOR and MINOR JONES CRITERIA?


A: MAJOR CRITERIA are: Carditis/Chorea/Erythema Marginatum/Polyarthritis
and Subcutaneous Nodules

MINOR CRITERIA are: Arthralgia/Elevated ESR or CRP/Fever/PR Prolongation.



Q: What does PROGNOSIS depend on in patiens affected by Rheumatic Fever?


A: The SEVERITY of initial CARDITIS. (So, of all the criteria...this is the most important).




Q: What is the MOST COMMON organism causing Rheumatic Fever?


A: GROUP A STREPTOCOCCUS (GAS).....Usually occurs 2-4 weeks after a bout of
pharyngitis.




Q: What is the most common AGE GROUP affected by Rheumatic Fever?


A: Ages 5 to 15.....It is rare under 3 and over age 21.



Q: What is the BEST diagnostic tool to establish NEUROFIBROMATOSIS?


A: CLINICAL OBSERVATION....tumors and Cafe au Lait spots will be most evident
to the naked eye....in adolescence...the most common age group affected.



Q: How many TYPES of NEUROFIBROMATOSIS are known?


A: TWO.....Type I is most common (90%) of cases.
Type II....about (10%).... is associated with ACOUSTIC NEUROMAS.



Q: What is LEGG-CALVE-PERTHES DISEASE?


A: ASEPTIC NECROSIS OF THE FEMORAL CAPITAL EPIPHYSIS...which occurs
spontaneously....causing hip pain and limping. Most common age groups affected
are 5-10 years old. MRI is the BEST diagnostic tool.



Q: Which CONGENITAL CONNECTIVE TISSUE DISORDERS can cause AORTIC
DISSECTION....in a younger patient presenting with chest and back pain to the ER?


A: MARFAN'S SYNDROME
EHLER'S-DANLOS SYNDROME




Thanks for your time....it was good to depart from adult subjects to the field of Pediatrics.