Jaundice and Petechial Eruption in a Baby! - USMLE Forums
USMLE Forums Logo
USMLE Forums         Your Reliable USMLE Online Community     Members     Posts
Home
USMLE Articles
USMLE News
USMLE Polls
USMLE Books
USMLE Apps
Go Back   USMLE Forums > USMLE Step 2 CK Forum

USMLE Step 2 CK Forum USMLE Step 2 CK Discussion Forum: Let's talk about anything related to USMLE Step 2 CK exam


Reply
 
Thread Tools Search this Thread Display Modes
  #1  
Old 02-08-2014
USMLE Forums Scout
 
Steps History: ---
Posts: 24
Threads: 8
Thanked 2 Times in 2 Posts
Reputation: 12
Pediatrics Jaundice and Petechial Eruption in a Baby!

A newborn infant becomes markedly jaundiced on the second day of life, and a faint petechial eruption, first noted at birth, is now a generalized purpuric rash. Hematologic studies for hemolytic diseases are negative. Acute management should include which of the following?
A. liver ultrasound
B. isolation of infant from all pregnant hospital personnel
C. infant urinary drug screen
D. discharge and follow up 2 days later to check bilirubin
E. thyroid hormone assay
Reply With Quote Quick reply to this message



  #2  
Old 02-08-2014
USMLE Forums Newbie
 
Steps History: Not yet
Posts: 8
Threads: 0
Thanked 3 Times in 2 Posts
Reputation: 13
Default

B ... i am thinking of mengiococcemia
Reply With Quote Quick reply to this message
  #3  
Old 02-08-2014
USMLE Forums Guru
 
Steps History: 1 + CK
Posts: 454
Threads: 20
Thanked 340 Times in 161 Posts
Reputation: 360
Default

Quote:
Originally Posted by aphrodite View Post
B ... i am thinking of mengiococcemia
Why isolate from pregnant personnel only if its menningococemia.... Also early sepsis not caused by meningococemia.... Isolate cause its likely a viral illness cmv, herpes simplex petechial rash maybe bluberry muffin sign and jaundice also seen in congenital infections
Reply With Quote Quick reply to this message
 
  #4  
Old 02-09-2014
USMLE Forums Scout
 
Steps History: 1+CK+CS
Posts: 69
Threads: 7
Thanked 56 Times in 26 Posts
Reputation: 66
Default

Quote:
Originally Posted by whipple23 View Post
A newborn infant becomes markedly jaundiced on the second day of life, and a faint petechial eruption, first noted at birth, is now a generalized purpuric rash. Hematologic studies for hemolytic diseases are negative. Acute management should include which of the following?
A. liver ultrasound
B. isolation of infant from all pregnant hospital personnel
C. infant urinary drug screen
D. discharge and follow up 2 days later to check bilirubin
E. thyroid hormone assay
most definitely B : you're looking at congenital CMV/rubella/Toxoplasmosis here
Reply With Quote Quick reply to this message
  #5  
Old 02-10-2014
USMLE Forums Scout
 
Steps History: 1+CK+CS
Posts: 83
Threads: 9
Thanked 23 Times in 19 Posts
Reputation: 33
Default

TORCH infections, infant should be isolated
Reply With Quote Quick reply to this message
  #6  
Old 03-21-2014
USMLE Forums Newbie
 
Steps History: Step 1 Only
Posts: 7
Threads: 2
Thanked 4 Times in 1 Post
Reputation: 14
Default

Petechial lesions and jaundice in a newborn ------- CMV. People who work with children are at risk of CMV. Primary infection during pregnancy is more serious. I think it is B. Bluberry muffin skin lesions ----------- Rubella.
Reply With Quote Quick reply to this message



Reply

Tags
Pediatrics-, Step-2-Questions

Quick Reply
Message:
Options

Register Now

In order to be able to post messages on the USMLE Forums forums, you must first register.
Please enter your desired user name, your email address and other required details in the form below.
User Name:
Password
Please enter a password for your user account. Note that passwords are case-sensitive.
Password:
Confirm Password:
Email Address
Please enter a valid email address for yourself.
Email Address:
Medical School
Choose "---" if you don't want to tell. AMG for US & Canadian medical schools. IMG for all other medical schools.
USMLE Steps History
What steps finished! Example: 1+CK+CS+3 = Passed Step 1, Step 2 CK, Step 2 CS, and Step 3.

Choose "---" if you don't want to tell.

Favorite USMLE Books
What USMLE books you really think are useful. Leave blank if you don't want to tell.
Location
Where you live. Leave blank if you don't want to tell.

Log-in

Human Verification

In order to verify that you are a human and not a spam bot, please enter the answer into the following box below based on the instructions contained in the graphic.



Thread Tools Search this Thread
Search this Thread:

Advanced Search
Display Modes


Similar Threads
Thread Thread Starter Forum Replies Last Post
petechial rash usmleman2020 USMLE Step 1 Forum 11 1 Week Ago 03:55 AM
FA said that Choriocarcinoma in mother or "baby".. How in baby? agabozy USMLE Step 1 Forum 0 01-13-2014 10:38 AM
Plant exposure causing linear eruption and vesiculation USMLE2011m USMLE Step 1 Forum 7 12-04-2011 08:01 PM
3 year old boy with fever and petechial rash aksyonez USMLE Step 2 CK Forum 7 07-06-2011 04:57 PM
Baby with jaundice, poor feeding, and vomiting aghammoud85 USMLE Step 2 CK Forum 4 06-16-2011 12:45 PM

RSS Feed
Find Us on Facebook
vBulletin Security provided by vBSecurity v2.2.2 (Pro) - vBulletin Mods & Addons Copyright © 2017 DragonByte Technologies Ltd.

USMLE® & other trade marks belong to their respective owners, read full disclaimer
USMLE Forums created under Creative Commons 3.0 License. (2009-2014)