what peds disease is associated with these clinical presentations? (Neuro 73)

tension headache

most common child headache-does not disrupt daily routine-can be related to stress

infant botulism

plus constipation

glucocerebroside (Gaucher disease)

what intracellular residue would be increased in a child with hepatosplenomegaly, bone pain, and an intellectual deficit?

sphingomyelinase (niemann-pick disease)

what is the enzyme deficiency with the disease that presents with hepatosplenomegaly and a bright red circle on the retina?

adrenoleukodystophy (central demyelination adrenocortical insufficiency)

4 year old pt presents with fatigue and vomiting, blood tests reveal elevated plasma very-long chain fatty acids

febrile seizure

7 month old pt presents with rapid increase of temperature and generalized seizure lasting less than 15 minutes. the child is otherwise developmentally and neurologically normal

horse= migraine/tension headache zebras= epilepsy, recurrent trauma, substance abuse

acute, recurrent headache in children. what are the horses and zebras?

(MOST OMINOUS) generally indicates increased ICP-tumor, pseudotumor cerebri, hydrocephalus, chronic meningitis, brain abscess, subdural collection

chronic, progressive headache that gradually increases with frequency and duration in children. what are the diagnoses you think of first?

horse= febrile ilness zebras= hemorrhage, meningitis, tumor

single acute headache in children with no prior hx. The horse and the zebras?