Medical reminders - ( T-U-V-W )

Teething (features)

Temperature <101

Eat but low appetite

Erupt site swelling/pain

Tylenol helpful

Hand sucking often occurs

Irritable but consolable

No diarrhea but drooling

Gum/rubbing

Toxic shock syndrome (STSS) (clinical features)

Staph/strep infection

Temperature >102

Skin rashes

Shock (systolic BP <90)

Toxoplasmosis (caused by toxoplasma gondii--clinical features )

Growth (IUGR)

Ocular (retinitis)

Neurological (hydrocephalus)

Deafness

Intracerebral calcification

IQ impaired

Townes-Brocks syndrome

Bony defect of hands, thumb anomaly

Otic anomaly (hearing loss and dysplastic ears)

Cardiac defects

Kidney anomaly

Spadias (hypospadias)

Tracheoesophageal fistula (complications)

Failure to breathe

Immobility of esophagus

Stomach perforation on PPV

Tracheomalacia

Upper airway irritation (cough)

Lower airway infection (pneumonia)

Achalasia

Treacher-Collins syndrome

Treacle gene mutation

Robin sequence

Eye anomalies (lid coloboma)

Antimongoloid palpebral fissures

Conductive hearing loss

Hypoplastic zygomas/mandible

External ear anomalies

Retrognathia

Trisomy 13

Trisomy 13

Holoprosencephaly

IQ low (MR)

Retarded growth

Thorax/heart (80 % VSD)

Eye (microphthalmia)

Eating problem (FTT)

Ninety-five percent die with six months

Trisomy 18

Extra chromosome 18

IQ low (MR)

Growth retardation (IUGR)

Hypertonia

Thorax (small chest/heart defects)

Eye/ear/extremities

Eating problem (always requires NGF)

Ninety percent die within first year

Trisomy 21 (Down syndrome)

Age-advanced maternal age

Brain(MR)

Cardiac (CHD)

Dysmorphic features

Eyes (cataract, strabismus)

Feeding problem

GI anomalies (Hirschsprung)

Hypotonia

Infection

Joint laxity

Karyotype (trisomy or translocation)

Leukemia potential

Microcephaly

Neck (cervical spine)

Otitis (conductive hearing loss, hearing test)

Tuberculosis (side effects of INH)

Irritation of GI tract

Neuropathy

Hepatitis

Tuberous sclerosis (clinical features)

Subependymal nodules

Cortical tubers

Lipoma

Extremity (ungual fibroma)

Rhabdomyoma (heart)

Ocular (astrocytic hamartoma)

Skin (shagreen patches, ashleaf, CALS and edenoma sebaceum)

Infantile spasm

Seizure of any type

Turner syndrome

Thoracic aortic stenosis/coarctation

Underdeveloped gonads

Residual lymphedema

Neck webbing

Endocrine (GH and TSH deficiency)

Renal anomaly

Sexuality (delayed puberty)

Ulcerative colitis/Crohn disease (extraintestinal manifestation)

Uveitis

Loss of weight

Cholangitis

Extremity (arthritis)

Red cell (anemia)

Spondylitis

Ulcerative colitis (indications for surgery)

Cancer

Obstruction

Losing blood

Ineffective medical management

Toxic megacolon

Incapacitating disease

Slow growth (failure to thrive)

Urticaria (management)

Atarax for anti-H1 receptors

Benadryl better

Corticoids for chronic phase

Discontinuation of  “drugs/offenders”

Epinephrine for emergency

Usher syndrome Clinical features include:

Under-diagnosed (very common in profound deafness/blindness)

Sensorineural

Hearing loss

Eye

Retinitis pigmentosa

Viral hepatitis (clinical features )

Hepatomegaly

Encephalopathy

Prodromic fever

Ascites

Thrive failure

Obstruction

Coagulopathy

Yellow (jaundice)

Tumor potential

Edema

Splenomegaly

Volvulus (clinical features)

Malrotation as trigger

Irritable infant

Distended abdomen

GI track bleeding

Up-drawing of legs

Tenderness on exam

Von Hippel-Lindau syndrome

Vision loss

Ocular (retinal angioma)

Nephritic (renal cell carcinoma)

Hemangioblastoma of brain (cerebella)

Increased ICP

Pheochromocytoma

Pancreas cyst

Ectopic erythropoietin

Liver cyst

Wegener granulomatosis (clinical features)

Weight loss

Enlarged spleen

Glomerulonephritis

Erythematous rashes

Neuropathy

Eye

Respiratory

Sinuses

Whipple’s disease (clinical features)

Weight loss

Heart involvement

Intestinal symptoms

Polyarthritis

Lymphadenopathy

Enlarged spleen

Williams syndrome

Wide mouth

Iris (stellate)

Lip prominence

Long philtrum

IUGR

Abnormal voice (hoarse voice)

Mental retardation

Supravalvular aortic stenosis

Wilson disease    (copper metabolic disorder-complications)

Cardiomyopathy

Osteoporosis

Pancreatitis

Puberty delay

Eye (Kayser-Fleischer ring)

Red blood cell (anemia)

Wiscott-Aldrich syndrome (management)

Waive contact sport

IVIG

Splenectomy

Kill germs (Antibiotics) for acute infection

Oral Abx as prophylaxis in post-splenectomy

Transfusion (platelet)

Transplant (BMT)