Medical reminders - ( E-F-G-H )

Ectopic pregnancy (risc factors)

Endometriosis

Congenital anomaly of tubes

Tubal surgery

Old abdominal scar

PID

In vitro fertilization

Contraceptive pills

Endocarditis (Major and minor criteria) Clinical features and diagnostic include:

Infection (persistent positive cultures) (M)

Numerous Echo abnormal findings (M)

Foreign materials (m)

Echocardiogram (single) (m)

Culture (single) (m)

Temperature (m)

Immunologic phenomena (Osler’s nodes, Roth spots, Rf) (m)

Vascular phenomena (emboli, aneurysm) (m)

Early history of Endocarditis (m)

Endometrial cancer (risk factors)

Estrogen

Nulliparity

Diabetes

Obesity

Menapause after 50

Elevated blood pressure

Fabry Disease

Fleischer vortex dysplasia (corneal clouding)

Angiokeratoma

Brain (CNS)

Renal

Intestinal hyperactivity (diarrhea)

Cardiac

Acroparesthesia

Low sweating

Failure to thrive (evaluation)

Family history or genetics (chromosome)

Anemia

Imaging

Lead

Urine

Renal

Endocrine

Skin Test for TB

Fanconi’s anemia

Fragile chromosomes

Absent thumb

Nephritic (double or hypoplastic kidneys)

Cuteneous (hyperpigmentation)

Ocular (ptosiss, nystagmus)

Neoplastic tendency (leukemia)

IUGR

Short stature

Febrile seizure (clinical features)

Fever as trigger

Early childhood

Brief episode

Recurrence possible

Imaging normal

Lab normal

EEG normal

Fetal alcohol syndrome

Microcephaly

Abnormal facies (short fissures, smooth philtrum)

Thorax (murmur, TOF, coarctation, ribs)

Extremity (joint laxity, palmar creases, clinodactyly)

Retarded growth

Neural-MR

ADHD

Learning disorder

Fetal biophysical profiles (fetal factors of BPP test)

Fluid (amniotic fluid volume)

Elevated HR

Tone

Activity

Lung (breathing movement)

Fetal Rubella syndrome (German measles-clinical features)

Mental retrdation

Eyes (cataract)

Aortic coarctation or PDA

Skin rash (petechiae)

Liver (hepatitis)

Ears (deafness)

Small for gestational age

Fetal varicella syndrome (clinical features)

Hypoplastic limbs

Epidermal scars

Retarded (MR)

Prenatal growth deficiency (IUGR)

Eye (retinitis)

Seizure

Fever of unknown origin (evaluation)

Analysis of urine

Blood culture

CBC with diff

Dermal Skin Test for TB

ESR

Fever of unknown origin (common etiologies)

UTI/URI

Neutroenia (cyclic)

Kawasaki

Neoplastic (Leukemia/Hodgkin)

Osteomyelitis

Wound (cat-scratch)

Neurotoxin/drug fever

Factitious

EBV/CMV

Vascular (JRA, SLE, RF)

Endocarditis

RMSF

FG syndrome

Frontal bossing

Growth retardation

Hypotonia

Imperforate anus

Joint contracture

Kyphoscoliosis

Low count of dermal ridges

MR

Floating harbor syndrome

Hand anomlies

Abnormal speech

Retarded growth

Bulbous nose

Ocular/oral anomalies

Rib anomalies

Formula (higher components in kid’s formula)

K (vitamin K)

I (Iron)

D (vitamin D)

Fragile X syndrome

Fragile site

Retarded

Autistic/ADHD

Genital anomaly (macro-orchidism)

Increased mandible

Language problem

Ears (enlarged)

Freeman-Sheldon syndrome

Small mouth (whistling)

Hypoplastic alae nasi

Extremity (Talipes Equinovarus)

Long philtrum

Dimpled chin ("H" shaped)

Ocular (deep-set eyes)

Nasal speech

Frequent infections (evaluation of immune deficiencies)

Immunization Status

Nutritional Hx

Family Hx

Enzymes (catalase, ADA)

Complements

T-cells and Subsets

Ig-Subsets and Titers To CTMT

Organs (BM, thymus, etc)

Nitroblue Tetrazolium Test

Secondary (HIV, Malignancy, Nephrotic Syndrome)

Gastroesophageal reflux (complications)

RAD (reactive airway diseases)

Esophagitis

FTT (failure to thrive)

Lung aspiration/infection

Upset stoach

X--SIDS

Gaucher’s disease

Glucosidase (beta) deficiency

Autosomal recessive (Accumulation of lipid)

Urologic (renal involvement)

CNS (not for type I)

Hematologic (anemia/bleeding)

Enlarged spleen/liver (hepatosplenomegaly)

Respiratory (lung involvement)

Skeletak (osteoporosis/osteopenia)

Goiter (etiologies)

Grave’s disease

Oral contraceptives

Infection

Tumors

Enviromental

Receptor defects (Resistance to thyroxin)

Heart sounds (conditions with increased S2 split)

Septal defect (ASD)

Pulmonary embolus

Left ventricular paced beats

Incomplete pulmonic stenosis

Total right BBB

Henosch-Schönlein Purpura (HSP) (clinical features)

Hematuria/hematemesis

Skin rashes

Pain of joints/abdomen

Histiocytosis (class II) (International criteria for the diagnosis of macrophage activaton syndrome)

Persistent fever

Hemophagocytosis

Anemia/thrmbocytopenia/leukopenia

Glyceride (hypertriglyceridemia)

Enlarged spleen

Histiocytosis (class II) (treatment of macrophage activation syndrome)

ATG (antithymocyte antibodies)

BMT (bone marrow transplant)

Cylosporin (immunosuppressive)

Dexamethasone (steroids)

Etoposide (VP16)

Histoplasmosis (clinical features)

Heart

Infiltrate on X-ray

Spleen

Temperature

Ocular

Pneumonitis

Liver

Adenopathy

Skin (erytema nodusa)

Marrow of bone

Amphotericin is choice of treatment

Hypercalcemic crisis (clinical features)

Anorexia

Belly pain

Coma

Delirium

Emesis

Fatigue/weakness

Hyper Ig E syndrome (clinical features)

Infection

Growth retardation

Eczema

Hyperkalemia (etiologies)

Kıdney

Adrenal dysfunction

Lysis of cells (transfusion, tumors)

Excessive intake

Mediacations (Digoxin, Heparin, PVK)

Insufficient renin

Acidosis

Hyperkalemia (treatment)

Albuterol (hypokalemia is one of the side effect of this drug)

Bicarbonate

Calcium

Dialysis

Exchanger (Kayexalate resin)

Flow of urine (diuretics)

Glucose/insulin

Hyperventilation

Hypokalemia (medication etiologies)

Aminoglycoside

B-amphotericin

Corticosteroids/cisplatin

Diuretics

Epinephrine

Hypertension (causes)

Heart (coarctation)

Increased ICP

Pheochromocytoma

Emotional

Renal

Tumors

Endocrine

Nerological

Steroids (glucocorticoids, mineralocorticosteroids, OCP)

Elicit drugs (cocaine, phencyclidine)

Obesity

Neurofibromatosis

Hypertension (treatment)

ACE inhibitors

Beta-blockers

Calcium channel blockers

Diuretics

Exercise

Food/fat/sodium adjustment

Goal set-up

Habit/behavior modification