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?