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pediatry review for the usmle
GENERAL
 Vitamin K deficiency can cause bleeding in an infant in the first weeks of life.
 This is known as Hemorrhagic Disease of the Newborn (HDN). HDN is divided into three categories: early, classic and late HDN.
 Early HDN occurs within 24 hours post partum and falls outside the scope of this review.
 Classic HDN occurs on days one to seven; common bleeding sites are gastrointestinal, cutaneous, nasal and from a circumcision.
 Late HDN occurs from week 2-12; the most common bleeding sites are intracranial, cutaneous, and gastrointestinal.
 Vitamin K is commonly given prophylactically after birth for the prevention of HDN, but the preferred route is uncertain.
PEARLS
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Chicken pox is highly contagious and very common particularly in school-aged children.
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The most common complication of varicella is secondary bacterial infection.
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Varicella vaccine was licensed in the USA in 1995 and is now currently available in Canada
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Problems with the vaccine; thermal instability, duration of immunity and transmission to others..
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What are the risks if my baby is born to soon?
Breathing problems
Babies born before 32 weeks, and especially those weighing under 1,500g (3lb 5oz), usually have immature lungs which cannot secrete surfactant, a foamy substance that prevents the inner surfaces of the lungs from sticking together. This frequently results in severe breathing difficulties, a condition known as Respiratory Distress Syndrome (RDS). The earlier a baby is born, the more likely he is to suffer from RDS. After 32 weeks, RDS is far less common.
If your baby is at risk from RDS, you may be given an injection before he is born to help mature his lungs so he will have fewer respiratory problems. Neonatal units can also use artificial surfactants to treat babies with RDS.
Premature babies can be very prone to infection because their immune systems are not fully developed.
Like many other newborn babies, premature babies may also suffer from jaundice because their livers are immature; they may be treated with phototherapy lamps, similar to ultraviolet light sunbeds.
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Things that are also done at the first visit to the doctor:
1. Will be asked about diabetic family history.
Urine specimens need to be clean catch. If they ask for a concentrated urine, this means the she is going to urinate before she goes to bed and then when she wakes up. The morning urine is concentrated and of course, should be done clean catch.
2. CBC: complete blood count.
Hgb = 12g
Hct = 35% or greater
Lower could indicate folic acid deficiency or anemia (iron deficiency). If indicated, will repeat Hgb and Hct in 32-36 weeks.
3. VDRL for syphilis: if the mom has syphilis she should be treated before 18 weeks. This brings the most positive outcome for the fetus. The treatment is done with antibiotics.
4. Blood typing: group and Rh factor.
Rh factor: antigen that is located on the surface of RBC’s.
(+) means you have the antigen and (-) means you do not.
Once an antigen enters the body it develops antibodies.
Problem: Rh(-) mom and Rh(+) baby.
If the mom is Rh(-) then you need to test the father.
If he is (+) there is a 50% - 100% chance the baby will be (+).
If mom is Rh(+), we don’t have to worry about it.
Indirect Coomb’s test: done when mom is Rh(-).
It will screen for maternal antibodies that have been built up against the Rh factor. We hope to find the test is negative.
If blood mixes and baby’s blood gets into mom’s, antibodies will build up and destroy baby’s RBC’s. This can be fatal. It is called Erythroblastosis fatalis. A positive Coomb’s test can cause this also.
An intrauterine transfusion will be tried.
At 28 weeks, the mother is tested again with an indirect Coomb’s test. If (-) they will at this time give RhoGAM (which is an immunoglobulin). RhoGAM prevents mother from building up antibodies against Rh factor. Once she delivers, she gets another shot of RhoGAM within 72 hours. RhoGAM is always given by Z-track method.
If the mother has already built up antibodies, there is nothing we can give her.
Direct Coomb’s: testing blood from the cord to see if the baby has built up antibodies.
5. Rubella titer: German measles. Test to see if she has been exposed or has had the vaccine. If 1:10, then she has NOT been exposed and is NOT immune. Titer should be 1:16 or more. A pregnant woman whose titer is 1:10 should stay away from those who are being vaccinated or those who have it. It is given while the mom is on the way out the door, because it is a live virus.
6. Hepatitis B titer done also.
7. Teach to call the doctor if she has any of the following signs:
diplopia
spots before eyes
vaginal bleeding
flashes of light
persistent severe vomiting beyond first trimester
abdominal cramping
epigastric pain
chills and fever > 101
blurred vision
severe headache
sudden escape of fluid
painful, burning, or scanty urine
sudden weight gain
can’t feel movement of fetus (if too little or too excessive)
* At the doctor’s visit you need to ask about the fetal movements.
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PIH
P: Promote bedrest, quiet environment.
E: Ensure high protein intake.
(1g/kg/day)
A: Antihypertensive drug.
Hydralazine (Apresoline). Peripheral vasodilator that
does not cross the placenta.
C: Convulsions. Prevent with Mag Sulfate.
E: Evaluate physical parameters.
1. BP
2. Urine output
3. Respirations
4. Patella reflex
Mag Sulfate Toxicity
B: BP is decreased.
U: Urine output is decreased.
R: Respirations <12.
P: Patella reflex absent.
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COMING UP :
PEDIATRY GASTRO
Normal Newborn Abdomen
Anorectal Malformation
Appendicitis, Acute
Biliary Atresia / Neonatal Hepatitis
Choledochal Cyst
Crohn Disease
Duodenal Atresia / Stenosis
Duodenal Intramural Hematoma
Esophageal Atresia and Tracheoesophageal Fistula (EA / TEF)
Familial Polyposis
Foreign Body, Esophagus (FB)
Gastroschisis
Hepatic Hemangioendothelioma
Hiatus Hernia and Gastroesophageal Reflux (HH / GER)
Hirschsprung Disease (Colonic Aganglionosis)
Hypertrophic Pyloric Stenosis (HPS)
Ileal Atresia
Intussusception
Jejunal Atresia
Juvenile Polyps of Colon
Malrotation and Midgut Volvulus
Meckel Diverticulum
Meconium Ileus
Meconium Peritonitis
Meconium Plug (Small Left Colon Syndrome)
Necrotizing Enterocolitis (NEC)
Omphalocele
Pneumonia, Right Lower Lobe
Pneumoperitoneum
Small Bowel Obstruction (SBO) Due to Inguinal Hernia
Ulcerative Colitis (UC)
Neonatal Chest Disease
Normal Neonatal Chest, Inspiratory
Normal Neonatal Chest, Expiratory
Normal Neonatal Chest, Prominent Thymus
Normal Neonatal Chest, Prominent Skin Folds
Normal Neonatal Chest, Lordotic
Normal Neonatal Chest, Rotated
Neonatal Chest with Normally Positioned Tubes and Lines
Neonatal Chest with Normally Positioned Extracorporeal Membrane Oxygenation (ECMO) Catheters
Bronchopulmonary Dysplasia (BPD)
Chylothorax
Congenital Lobar Emphysema (CLE)
Cystic Adenomatoid Malformation (CAM)
Diaphragmatic Hernia (Congenital Diaphragmatic Hernia) (CDH)
Erythroblastosis Fetalis (Immune Hydrops Fetalis) (Hemolytic Disease of the Newborn)
Hyaline Membrane Disease (Respiratory Distress Syndrome ) (HMD) (RDS)
Meconium Aspiration Syndrome
Neuromuscular Paralysis
Patent Ductus Arteriosus (PDA)
Persistent Fetal Circulation (PFC)
Phrenic Nerve Paralysis
Pneumomediastinum (PMS)
Pneumonia, Aspiration
Pneumonia, Chlamydia
Pneumonia, Neonatal (Group B Streptococcus)
Pneumopericardium (PPC)
Pneumothorax (PTX)
Pneumothorax, Anteromedial (PTX)
Pneumothorax, Tension (PTX)
Pulmonary Hypoplasia Due to Fetal Anuria Syndrome
Pulmonary Hypoplasia Due to Skeletal Dysplasias
Pulmonary Interstitial Emphysema (PIE)
Pulmonary Lymphangiectasia
Wet Lung Disease (Transient Tachypnea of the Newborn) (TTN) (Retained Fetal Lung Liquid)
Cardiovascular Disease
Aortic Stenosis (AS) Atrial Septal Defect (ASD) Atrioventricular Canal Defect (Common Atrioventricular Canal) (CAVC) Coarctation of the Aorta, Infantile Coarctation of the Aorta, Adult Double Aortic Arch Ebstein Anomaly Hypoplastic Left Heart Syndrome (HLHS) Hypoplastic Right Heart Disease (Pulmonary Atresia) Left Aortic Arch with Aberrant Right Subclavian Artery Patent Ductus Arteriosus (PDA) Pulmonary Sling Pulmonary Stenosis (PS) Right Aortic Arch with Aberrant Left Subclavian Artery Scimitar Syndrome (Partially Anomalous Pulmonary Venous Return) (Pulmonary Venolobar Syndrome) Situs Ambiguous / Asplenia / Polysplenia Syndrome Situs Inversus Situs Solitus Tetralogy of Fallot (TOF) Total Anomalous Pulmonary Venous Return, Infradiaphragmatic (TAPVR) Total Anomalous Pulmonary Venous Return, Supradiaphragmatic (TAPVR) Transposition of the Great Vessels, Complete (D-TGA) Transposition of the Great Vessels, Corrected (L-TGA) Tricuspid Atresia Truncus Arteriosus Ventricular Septal Defect (VSD)
Chest and Airway Disease
Normal Chest
Normal Chest, Prominent Thymus
Normal Chest, Expiratory with Tracheal Buckling
Asthma
Atelectasis
Bronchiolitis
Bronchogenic Cyst
Choanal Atresia
Croup (Acute Laryngotracheobronchitis)
Cystic Fibrosis (CF)
Cystic Hygroma (Lymphangioma)
Diaphragm Eventration
Diaphragm Rupture, Traumatic
Epiglottitis
Ewing Sarcoma, Chest Wall (Askin's Tumor)
Foreign Body, Tracheal
Idiopathic Pulmonary Hemosiderosis
Kartagener Syndrome (Immotile Cilia Syndrome)
Lymphoma, Hodgkin's
Mediastinal Mass, Anterior
Mediastinal Mass, Middle
Mediastinal Mass, Posterior
Metastases, Pulmonary
Pectus Carinatum
Pectus Excavatum
Pneumonia, Bacterial
Pneumonia, Hydrocarbon
Pneumonia, Mycoplasma
Pneumonia, Pneumocystis Carinii
Pneumonia, Round
Pneumonia, Viral
Pneumothorax, Spontaneous
Pulmonary Agenesis
Pulmonary Arteriovenous Malformation (AVM)
Pulmonary Edema, Cardiogenic
Pulmonary Edema, Non Cardiogenic [Drowning]
Sequestration
Swyer James Syndrome (Unilateral Hyperlucent Lung Syndrome)
Thymic Hyperplasia
Thymic Teratoma
Tuberculosis, Primary
Tuberculosis, Miliary
Genitourinary Disease
Burkitt Lymphoma Crossed Fused Renal Ectopia Exstrophy of the Bladder Horseshoe Kidney Hydrometrocolpos Hydronephrosis, Congenital Infantile / Juvenile Polycystic Kidney Disease (Autosomal Recessive Polycystic Kidney Disease) Mesoblastic Nephroma Multicystic Dysplastic Kidney (MCDK) Neonatal Adrenal Hemorrhage Neonatal Ascites Nephrotic Syndrome Neuroblastoma Ovarian Granulosa-Theca Cell Tumor Ovarian Teratoma (Ovarian Dermoid) Posterior Urethral Valves (PUV) Prune-Belly Syndrome (Eagle-Barrett Syndrome) Renal Fracture Rhabdomyosarcoma of the Bladder Sacrococcygeal Teratoma Ureterocele, Ectopic Ureteropelvic Duplications Ureteropelvic Junction Obstruction (UPJ) Vesicoureteral Reflux (VUR) Wilms Tumor (Nephroblastoma)
Musculoskeletal Disease
Normal Neonatal Pelvis and Hips
Achondroplasia Aneurysmal Bone Cyst (ABC) Battered Child Syndrome, Bone Injuries (Child Abuse) (Trauma X) Benign Cortical Defect (Nonossifying Fibroma) Blount Disease (Tibia Vara) Caffey Disease (Infantile Cortical Hyperostosis) Caudal Regression Syndrome / Sacral Agenesis Cleidocranial Dysplasia Congenital Hip Dislocation (Infantile Hip Dislocation) (Congenital Dislocation of the Hip) ( CDH) (Developmental Dysplasia of the Hip) (DDH) Cortical Desmoid Diskitis Diskitis, Tuberculous (Pott Disease) Dwarf, Thanatophoric Enchondromatosis (Ollier Disease) Ewing Sarcoma Fibrous Dysplasia, Monostotic Fibrous Dysplasia, Polyostotic Fracture, Diaphyseal Fracture, Epiphyseal Plate (Salter Harris) Fracture, Stress Fracture, Supracondylar of the Humerus Fracture, Toddler's Fracture, Torus (Buckle) Histiocytosis X, Eosinophilic Granuloma Histiocytosis X, Hand-Schuller-Christian Histiocytosis X, Letterer Siwe Hypothyroidism Ischiopubic Synchondrosis, Normal Asymmetric Closure Juvenile Rheumatoid Arthritis (JRA) Legg-Calve-Perthes Disease Metastases, Bone Mucopolysaccharidoses (MPS) Normal Condylar Variant Osteoblastoma Osteochondritis Dissecans (OCD) Osteochondromatosis (Multiple Exostoses) Osteogenesis Imperfecta, Congenita (OI) Osteogenesis Imperfecta, Tarda (OI) Osteogenic Sarcoma (Osteosarcoma) Osteoid Osteoma Osteomyelitis, Acute Osteomyelitis, Subacute Osteopetrosis Renal Osteodystrophy Rickets Rickets, Vitamin-D Resistant Scheuermann Disease (Juvenile Kyphosis) Scoliosis, Acquired Scoliosis, Congenital Scoliosis, Idiopathic Scurvy Septic Arthritis, Hip Slipped Capital Femoral Epiphysis (SCFE) Syphilis, Congenital Thalassemia Major Tibial Bowing, Anterior Tibial Bowing, Posterior Unicameral Bone Cyst (UBC) (Simple Bone Cyst
Neurological Disease
Normal Skull Anatomy
Normal Skull Anatomy, Craniofacial Relationships
Normal Skull Anatomy, Prominent Convolutional Markings
Normal Skull Anatomy, Sutures
Abscess, Brain
Arnold-Chiari Malformation
Battered Child Syndrome, Craniocerebral Trauma (Child Abuse) (Trauma X)
Brainstem Glioma (Pontine Glioma)
Calcification, Intracranial
Cephalohematoma
Cerebellar Astrocytoma
Cervical Pseudosubluxation
Cloverleaf Skull (Kleeblattschadel)
Congenital Partial Absence of the Neural Arch of C1
Craniopharyngioma
Craniosynostosis
Diastematomyelia
Ependymoma
Epidural Hematoma, Acute
Fibrous Dysplasia of the Skull
Fracture, Depressed Skull
Galenic Arteriovenous Malformation (Vein of Galen Aneurysm)
Histiocytosis X, Skull (Eosinophilic Granuloma)
Hydrocephalus
Lacunar Skull (Craniolacunia) (Luckenschadel)
Leptomeningeal Cyst
Lipomyelomeningocele
Medulloblastoma
Microencephaly
Myelomeningocele
Neurofibromatosis
Orbital Cellulitis
Pierre-Robin Syndrome
Posterior Parietal Variants (Enlarged Parietal Foramina)
Retinoblastoma
Sinusitis, Acute
Sturge-Weber Syndrome
Subdural Hematoma, Acute
Tuberous Sclerosis
White Matter Disease
Wormian Bones (Prominent Intersutural Bones)
diseases in pediatric population:
AARSKOG SYNDROME
AASE SYNDROME
ABETALIPOPROTEINEMIA
ACATALASEMIA
ACETAMINOPHEN OVERDOSE
ACHONDROPLASIA
ACID/ALKALI INGESTION
ACNE VULGARIS
ACUTE CEREBELLAR ATAXIA
ACUTE INFECTIOUS LARYNGITIS
ACUTE INTERMITTENT PORPHYRIA
ACUTE SPASMODIC LARYNGITIS
ACUTE TRACHEOBRONCHITIS
ACUTE UVULITIS
ADENOIDS
ADENOVIRUS ENTERITIS
ADRENOLEUKODYSTROPHY
AEROMONAS ENTERITIS
AGENESIS OF THE CORPUS CALLOSUM
AGENESIS OF THE CEREBELLAR VERMIS
AICARDI SYNDROME
ALAGILLE SYNDROME
ALEXANDER'S DISEASE
ALLERGIC DISEASE
ALPORT SYNDROME
ANEMIA - IRON DEFICIENCY
ANEMIA - SIDEROBLASTIC
ANEMIA OF CHRONIC DISEASE
ANENCEPHALY
ANGELMAN SYNDROME
ANTERIOR UVEITIS
APERT SYNDROME
APLASTIC ANEMIA
APLASTIC CRISIS
ARGININEMIA
ARGININOSUCCINIC ACIDURIA
ASPHYXIATING THORACIC DYSTROPHY
ASTHMA - ACUTE
ASTHMA - ALLERGIC
ASTHMA - CHRONIC
ASTHMA - EXERCISE-INDUCED
ASTROVIRUS ENTERITIS
ATAXIA-TELANGIECTASIA
ATAXIC DISORDERS
ATOPIC DERMATITIS (ECZEMA)
ATRANSFERRINEMIA
ATRIAL SEPTAL DEFECT
ATTENTION-DEFICIT HYPERACTIVITY DISORDER (ADHD)
AUTOIMMUNE HEMOLYTIC ANEMIA-I
AUTOIMMUNE HEMOLYTIC ANEMIA-II
BACTERIAL MENINGITIS
BACTERIAL TRACHEITIS
BARAKAT'S SYNDROME
BECKER DISEASE (MYOTONIA CONGENITA)
BECKER MUSCULAR DYSTROPHY
BECKWITH-WIEDEMANN SYNDROME
BELL'S PALSY
BENIGN CONGENITAL HYPOTONIA
BENIGN FAMILIAL HEMATURIA
BENIGN FAMILIAL NEONATAL SEIZURES
BENIGN FRUCTOSURIA
BENIGN HEREDITARY CHOREA
BENIGN PAROXYSMAL VERTIGO
BENIGN PARTIAL EPILEPSY WITH CENTROTEMPORAL SPIKES (BPEC)
BENIGN RECURRENT INTRAHEPATIC CHOLESTASIS
BENIGN TRANSIENT PROTEINURIA
BERNARD-SOULIER SYNDROME
BLASTOCYSTIS HOMINIS ENTERITIS
BLOCKED TEAR DUCT (DACRYOSTENOSIS)
BLOOM SYNDROME
BRAIN STEM GLIOMA
BRONCHIOLITIS - ACUTE
BRONCHIOLITIS OBLITERANS
BRONCHOGENIC CYSTS
BRUTON DISEASE
BYLER DISEASE
CAFFEY DISEASE
CALICIVIRUS ENTERITIS
CAMPYLOBACTER ENTEROCOLITIS
CANAVAN'S DISEASE
CARBAMOYL PHOSPHATE SYNTHETASE (CPS) DEFICIENCY
CARTILAGE-HAIR HYPOPLASIA
CAT SCRATCH DISEASE
CELIAC DISEASE
CENTRAL CORE DISEASE
CENTRAL PONTINE MYELINOLYSIS
CENTRONUCLEAR MYOPATHY
CEREBELLAR ASTROCYTOMA
CHARCOT-MARIE-TOOTH DISEASE
CHEDIAK-HIGASHI SYNDROME
CHILDHOOD ABSENCE EPILEPSY
CHLAMYDIAL CONJUNCTIVITIS
CHOLEDOCHAL CYST
CHOLESTASIS - LYMPHEDEMA
CHONDROECTODERMAL DYSPLASIA
CHONDROMALACIA PATELLAE
CHOREIC DISORDERS
CHOTZEN SYNDROME
CHRONIC BRONCHITIS
CHRONIC COUGH
CHRONIC GRANULOMATOUS DISEASE - X-LINKED
CHRONIC MOTOR OR VOCAL TIC DISORDER
CHRONIC MUCOCUTANEOUS CANDIDIASIS
CHRONIC PERSISTENT DIARRHEA
CITRULLINEMIA
CLEIDOCRANIAL DYSOSTOSIS
CLOSTRIDIUM PERFRINGENS ENTERITIS
CNS TUMORS
COARCTATION OF THE AORTA
COCKAYNE SYNDROME
COHEN SYNDROME
COLIC
COMMON VARIABLE IMMUNODEFICIENCY (CVID)
COMPLEX PARTIAL SEIZURE (CPS)
CONGENITAL PARVOVIRUS B19
CONGENITAL BRONCHOBILIARY FISTULA
CONGENITAL CMV
CONGENITAL DYSERYTHROPOIETIC ANEMIA
CONGENITAL HSV
CONGENITAL HYPOTHYROIDISM
CONGENITAL LOBAR EMPHYSEMA
CONGENITAL MESOBLASTIC NEPRHOMA
CONGENITAL MUSCLE FIBRE-TYPE DISPROPORTION
CONGENITAL MUSCULAR DYSTROPHY
CONGENITAL PULMONARY LYMPHANGECTASIA
CONGENITAL RUBELLA
CONGENITAL TOXOPLASMOSIS
CONGENITAL VARICELLA
CONSTIPATION
CORNELIA DE LANGE SYNDROME
COWDEN'S SYNDROME
CRANIOSYNOSTOSIS
CRI DU CHAT SYNDROME
CRIGLER-NAJJAR SYNDROME - I
CROHN'S DISEASE
CROUP
CROUZON SYNDROME
CRYPTORCHIDISM
CRYPTOSPORIDIUM ENTERITIS
CYCLIC NEUTROPENIA
CYCLIC VOMITING SYNDROME
CYSTIC ADENOMATOID MALFORMATION
CYSTIC FIBROSIS
CYSTIC HYGROMA
CYSTINOSIS
CYSTINURIA
DANDY-WALKER MALFORMATION
DEJERINE-SOTTAS DISEASE
DEVELOPMENTAL DYSPLASIA OF THE HIP
DIABETIC KETOACIDOSIS (DKA)
DIAMOND-BLACKFAN SYNDROME
DIARRHEA - ACUTE
DIENCEPHALIC SYNDROME
DIENTOMEBA FRAGILIS ENTERITIS
DIETARY PROTEIN INTOLERANCE
DIGEORGE ANOMALY
DISTAL RENAL TUBULAR ACIDOSIS
DOPA-RESPONSIVE DYSTONIA
DOWN SYNDROME
DUBIN-JOHNSON SYNDROME
DUBOWITZ SYNDROME
DYGGVE-MELCHIOR-CLAUSEN SYNDROME
DYSKERATOSIS CONGENITA SYNDROME
DYSTONIC DISORDERS
ECTOPIA LENTIS
EMERY-DREIFUSS MUSCULAR DYSTROPHY
ENCEPHALOCELE
ENTAMOEBA HISTOLYTICA ENTERITIS
ENTEROADHERENT COLITIS
ENTEROHEMORRHAGIC COLITIS
ENTEROINVASIVE COLITIS
ENTEROPATHIC ARTHRITIS
ENTEROPATHOGENIC ENTERITIS
ENTEROTOXIGENIC COLITIS
ENURESIS
EOSINOPHILIC GASTROENTERITIS
EPENDYMOMAS
EPIGLOTTITIS
ERYTHEMA MUTIFORME MINOR
ERYTHEMA NODOSUM
ERYTHEMA TOXICUM NEONATORUM
ESSENTIAL TREMOR
EVENTRATION OF THE DIAPHRAGM
FABRY DISEASE
FACTOR XII DEFICIENCY
FAMILIAL HYPOPHOSPHATEMIA
FAMILIAL PAROXYSMAL CHOREOATHETOSIS
FAMILIAL POLYPOSIS COLI
FANCONI ANEMIA
FANCONI SYNDROME - RENAL
FARBER DISEASE
FEBRILE SEIZURES
FELTY'S SYNDROME
FEMORAL ANTEVERSION
FIFTH DISEASE
FLAT FEET (FLEXIBLE)
FLOPPY INFANT
FORBES DISEASE - GLYCOGENOSIS III
FRAGILE X SYNDROME
FRIEDREICH ATAXIA
FRUCTOSE-1,6-DIPHOSPHATASE DEFICIENCY
FUCOSIDOSIS
GALACTOSEMIA-I
GALACTOSEMIA-II
GALACTOSEMIA-III
GALACTOSIALIDOSIS
GARDNER'S SYNDROME
GASTROESOPHAGEAL REFLUX DISEASE
GASTROINTESTINAL POLYPOSIS
GASTROSCHISIS
GAUCHER'S DISEASE
GERM CELL TUMORS
GIARDIA LAMBLIA ENTERITIS
GILBERT SYNDROME
GLUTARIC ACIDEMIA I
GM1 GANGLIOSIDOSES
GOLDENHAR SYNDROME
GONOCCOCAL CONJUNCTIVITIS
GOODPASTURE'S DISEASE
GRANULOMA ANNULARE
GRAVES' DISEASE
GROWTH HORMONE DEFICIENCY
GUILLAIN-BARRE SYNDROME
HALLERVORDEN-SPATZ DISEASE
HAND-FOOT-AND-MOUTH DISEASE
HARDING ATAXIA
HARTNUP DISEASE
HAWKINSINURIA
HEADACHE - RECURRENT
HEARING LOSS
HEMATURIA
HEMOLYTIC UREMIC SYNDROME
HUS COLITIS
HEMOPHILIA A
HEMOPHILIA B (CHRISTMAS DISEASE)
HEMOPHILIA C
HEMORRHAGIC DISEASE OF THE NEWBORN
HENOCH-SCHOENLEIN PURPURA
HSP COLITIS
HEPATITIS A
HEPATITIS B
HEPATITIS C
HEPATITIS D
HEPATITIS E
HEPATOBLASTOMA
HEPATOCELLULAR CARCINOMA
HEPATOMEGALY
HEREDITARY ANGIOEDEMA
HEREDITARY FRUCTOSE INTOLERANCE
HERS DISEASE - GLYCOGENOSIS VI
HIDROTIC ECTODERMAL DYSPLASIA
HIRSCHSPRUNG DISEASE
HODGKIN'S LYMPHOMA
HOLOPROSENCEPHALY
HOMOCYSTINURIA-I
HUNTER SYNDROME
HUNTINGTON'S DISEASE (WESTPHAL VARIANT)
HURLER SYNDROME
HYDROCARBON TOXICITY
HYDROCELE
HYPERAMMONEMIA
HYPERTENSION - MALIGNANT
HYPERTENSION - CHRONIC SUSTAINED
HYPERTHYROIDISM
HYPERVITAMINOSIS A
HYPERVITAMINOSIS D
HYPOCHONDROPLASIA
HYPOGLYCEMIA
HYPOHIDROTIC (ANHIDROTIC) ECTODERMAL DYSPLASIA
HYPOTHALAMIC HAMARTOMAS
IDIOPATHIC THROMBOCYTOPENIA PURPURA (ITP)
IDIOPATHIC TORSION DYSTONIA
IgA NEPHROPATHY (BERGER NEPHROPATHY)
IMMUNOPROLIFERATIVE SMALL INTESTINAL DISEASE
INCONTINENTIA PIGMENTI
INFANTILE SPASMS (WEST SYNDROME)
INNOCENT HEART MURMURS
INTESTINAL LYMPHANGIECTASIA
IRRITABLE BOWEL SYNDROME (IBS)
ISOLATED JUVENILE POLYPS
ISOVALERIC ACIDEMIA
JAUNDICE - NEONATAL
JOB SYNDROME
JUVENILE ANKYLOSING SPONDYLITIS
JUVENILE DERMATOMYOSTITIS
JUVENILE LARYNGEAL PAPILLOMATOSIS
JUVENILE POLYPOSIS COLI
JUVENILE POLYPOSIS OF INFANCY
JUVENILE RETINOSCHISIS
KALLMANN SYNDROME
KAWASAKI'S SYNDROME
KENNEDY'S DISEASE
KING SYNDROME
KLIPPEL-TRENAUNAY-WEBER SYNDROME
KLUMPKE PARALYSIS
KOSTMANN AGRANULOCYTOSIS
KUGELBERG-WELANDER DISEASE
LABIAL FUSION
LAFORA-BODY DISEASE
LARYNGEAL FOREIGN BODY
LARYNGEAL HEMANGIOMA
LARYNGEAL WEB
LARYNGOCELE
LARYNGOMALACIA
LARYNGOTRACHEOESOPHAGEAL CLEFT
LAURENCE-MOON SYNDROME
LCAD DEFICIENCY
LEGG-CALVE-PERTHES DISEASE
LENNOX-GASTAUT SYNDROME
LESCH-NYHAN SYNDROME
LIMP
LINEAR NEVUS SYNDROME
LISSENCEPHALY
LISTERIOSIS MENINGITIS
LOCALIZED SCLERODERMA
LOWE (OCULO-CEREBRO-RENAL) SYNDROME
LUCEY-DRISCOLL SYNDROME
LYME DISEASE
MACHADO-JOSEPH DISEASE
MACROGYRIA
MALABSORPTIVE DISORDERS
MALIGNANT HYPERTHERMIA
MALROTATION
MAPLE SYRUP URINE DISEASE (MSUD)
MAROTEAUX-LAMY SYNDROME
MAY-HEGGLIN ANOMALY
MCAD DEFICIENCY
MCARDLE DISEASE - GLYCOGENOSIS V
McCUNE-ALBRIGHT SYNDROME
MECKEL-GRUBER SYNDROME
MEDIAL TIBIAL TORSION
MEDULLARY CYSTIC KIDNEY
MEDULLOBLASTOMA
MENINGOCELE
MENINGOCOCCEMIA
MENKES (KINKY HAIR) DISEASE
METABOLIC ACIDOSIS
METACHROMATIC LEUKODYSTROPHY
METATARSUS ADDUCTUS
METATARSUS VARUS
METATROPIC DYSPLASIA
MICROCEPHALY
MICROGYRIA
MIGRAINE
MIGRAINE VARIANT - THE RUSHES
MILLER-FISHER SYNDROME
MOEBIUS SYNDROME
MOLLUSCUM CONTAGIOSUM
MONONUCLEOSIS
MORQUIO SYNDROME
MUCOPOLYSACCHARIDOSIS
MULTIPLE EPIPHYSEAL DYSPLASIA
MULTIPLE SCLEROSIS
MYELOMENINGOCELE
MYELOPEROXIDASE DEFICIENCY
MYELOSCHISIS
MYOCLONUS EPILEPSY AND RAGGED-RED FIBRES (MERRF)
MYOTONIC DYSTROPHY
MYOTUBULAR MYOPATHY - X-LINKED
NAIL-PATELLA SYNDROME
NASAL POLYPS
NEMALINE ROD MYOPATHY
NEONATAL GRAVES' DISEASE
NEONATAL HEPATITIS
NEONATAL SEIZURES
NEPHROGENIC DIABETES INSIPIDUS
NEPHROTIC SYNDROME - IDIOPATHIC
NEPHROTIC SYNDROME - CONGENITAL
NEUROBLASTOMA
NEUROFIBROMATOSIS (TYPE 1)
NEURONAL CEROID-LIPOFUSCINOSES
NEURONAL MIGRATION DISORDERS
NIGHT TERRORS
NON-HODGKIN'S LYMPHOMA
NON-KETOTIC HYPERGLYCINEMIA
NOONAN SYNDROME
NORRIE DISEASE
NORWALK ENTERITIS
NSP OF INTERLOBULAR BILE DUCTS
OCCIPITAL HORN SYNDROME
OMENN DISEASE
OMPHALOCELE
OPITZ-FRAIS SYNDROME
ORNITHINE TRANSCARBAMYLASE (OTC) DEFICIENCY
OROTIC ACIDURIA
ORTHOSTATIC PROTEINURIA
OSGOOD-SCHLATTER DISEASE
OSTEOCHONDRITIS DISSECANS
OSTEOCHONDROMA
OSTEOID OSTEOMA
OSTEOSARCOMA
OTITIS MEDIA
PALLISTER-KILLIAN MOSAIC SYNDROME
PAROXYSMAL NOCTURNAL HEMOGLOBINURIA
PATENT DUCTUS ARTERIOSUS
PELIZAEUS-MERZBACHER DISEASE
PENDRED SYNDROME
PEPTIC ULCER DISEASE
PERITONSILLAR ABSCESS
PERSISTENT ASYMPTOMATIC PROTEINURIA
PERTUSSIS (WHOOPING COUGH)
PEUTZ-JEGHERS SYNDROME
PFEIFFER SYNDROME
PIERRE ROBIN SYNDROME
PINWORM
PITYRIASIS (TINEA) VERSICOLOR
PITYRIASIS ROSEA
PITYRIASIS RUBRA PILARIS
PNEUMONIA - BACTERIAL
PNEUMONIA - GROUP A STREPTOCOCCAL
PNEUMONIA - HAEMOPHILUS INFLUENZAE
PNEUMONIA - PNEUMOCOCCAL
PNEUMONIA - STAPHYLOCOCCAL
PNEUMOTHORAX
PNEUMOTHORAX - NEONATAL
POLYCYSTIC KIDNEY DISEASE - INFANTILE FORM
PORENCEPHALY
POSTSTREPTOCOCCAL GLOMERULONEPHRITIS
PRADER-WILLI SYNDROME
PRECOCIOUS PUBERTY - CEREBRAL
PRECOCIOUS PUBERTY - CONSTITUTIONAL
PRIMARY CILIARY DYSKINESIS
PROGRESSIVE MYOCLONUS EPILEPSIES
PROGRESSIVE RUBELLA PANENCEPHALITIS (PRP)
PROGRESSIVE SYSTEMIC SCLEROSIS
PROPIONIC ACIDEMIA
PROTEINURIA
PRUNE BELLY SYNDROME
PSEUDOMEMBRANOUS COLITIS
PSEUDOTUMOR CEREBRI
PSORIASIS
PSORIATIC SPONDYLOARTHRITIS
PULMONARY SEQUESTRATION
PYRIDOXINE DEFICIENCY
PYROGLUTAMIC ACIDEMIA
PYRUVATE DECARBOXYLASE DEFICIENCY
RASMUSSEN'S ENCEPHALITIS
RECURRENT ABDOMINAL PAIN
REFSUM DISEASE
REITER'S DISEASE
RETT SYNDROME
RHABDOMYOSARCOMA
RHINITIS - ALLERGIC
RHINITIS - VASOMOTOR
RILEY-DAY SYNDROME
ROTAVIRUS ENTERITIS
ROTOR SYNDROME
RUBINSTEIN-TAYBI SYNDROME
SALICYLATE OVERDOSE
SANDHOFF DISEASE
SANFILIPPO A SYNDROME
SARCOSINEMIA
SCABIES
SCAD DEFICIENCY
SCHEIE SYNDROME
SCHINDLER DISEASE
SCHIZENCEPHALY
SELECTIVE IgA DEFICIENCY
SELECTIVE IgM DEFICIENCY
SEPTIC ARTHRITIS
SERONEGATIVE SPONDYLOARTHROPATHIES
SEVERE COMBINED IMMUNODEFICIENCY DISEASE
SEVERE COMBINED IMMUNODEFICIENCY DISEASE (SCID)- IL-2
SHIGELLOSIS COLITIS
SHORT BOWEL SYNDROME
SHORT RIB-POLYDACTYLY SYNDROME
SHORT STATURE
SHWACHMAN-DIAMOND SYNDROME
SIALIDOSIS
SIMPLE PARTIAL SEIZURES (SPS)
SINUSITIS
SLEEPWALKING
SLIPPED CAPITAL FEMORAL EPIPHYSIS
SLY SYNDROME
SOTO SYNDROME
SPECIFIC GRANULE DEFICIENCY
SPINA BIFIDA OCCULTA
SPINAL MUSCULAR ATROPHY - INTERMEDIATE FORM
SPINOCEREBELLAR ATAXIA - TYPE 1
SPONDYLOEPIPHYSEAL DYSPLASIA CONGENITA
STAGNANT LOOP SYNDROME
STATUS EPILEPTICUS
STRABISMUS
STURGE-WEBER SYNDROME
STYE (HORDEOLUM)
SUBACUTE SCLEROSING PANENCEPHALITIS
SUBGLOTTIC STENOSIS
SULFITE OXIDASE DEFICIENCY
SYDENHAM'S CHOREA
SYSTEMIC LUPUS ERYTHROMATOSUS
TAR SYNDROME
TARUI DISEASE - GLYCOGENOSIS VII
TAY SACHS DISEASE
TELOGEN EFFLUVIUM
TEMPER TANTRUMS
TETRALOGY OF FALLOT
THALASSEMIA - BETA
THANATOPHORIC DYSPLASIA
THIN GLOMERULAR BASEMENT MEMBRANE DISEASE
THOMSEN'S DISEASE (MYOTONIA CONGENITA)
THYROIDITIS
TIC DISORDERS
TODDLER DIARRHEA
TOURETTE SYNDROME
TOWNES-BROCKS SYNDROME
TRACHEAL AMYLOIDOSIS
TRACHEOMALACIA
TRANSIENT ERYTHROBLASTOPENIA OF CHILDHOOD
TRANSIENT HYPERAMMONEMIA OF THE NEWBORN (THAN)
TRANSIENT HYPOGAMMAGLOBULINEMIA OF INFANCY
TRANSIENT SYNOVITIS
TRANSIENT TIC DISORDER
TRANSIENT TYROSINEMIA OF THE NEWBORN
TRANSPOSITION OF THE GREAT ARTERIES
TREACHER COLLINS SYNDROME
TRIMETHYLAMINURIA
TRISOMY 13 SYNDROME
TRISOMY 18 SYNDROME
TROPICAL SPRUE
TUBEROUS SCLEROSIS
TURCOT'S SYNDROME
TURNER SYNDROME
TYROSINEMIA-I
TYROSINEMIA-II
ULCERATIVE COLITIS
UMBILICAL HERNIA
UNVERRICHT-LUNDBORG DISEASE
URINARY TRACT INFECTIONS
URTICARIA (HIVES)
VACTERL ASSOCIATION
VENTRICULAR SEPTAL DEFECT
VIBRIO CHOLERAE
VISCERAL LARVA MIGRANS
VON GIERKE DISEASE - GLYCOGENOSIS Ia
VON HIPPEL-LINDAU DISEASE
VON WILLEBRAND DISEASE - TYPE 1
WAARDENBURG SYNDROMES
WEAVER SYNDROME
WERDNIG-HOFFMANN DISEASE
WHIPPLES DISEASE
WILLIAMS SYNDROME
WILMS' TUMOR
WILSON'S DISEASE
WISKOTT-ALDRICH SYNDROME
WOLF SYNDROME
WOLMAN DISEASE
XERODERMA PIGMENTOSUM
XXX SYNDROME
XXXX SYNDROME
XXXXX SYNDROME
YERSINIA ENTEROCOLITICA
ZELLWEGER'S SYNDROME
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