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    PANCE Review

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    Flora Lawrence
    This document provides a summary of key topics in cardiology, pediatrics, pulmonary medicine, and orthopedics for the PANCE review. In cardiology, it outlines the Duke criteria for infective endocarditis diagnosis and Jones criteria for rheumatic heart disease. In pediatrics, it reviews the APGAR scoring system, infant growth parameters, feeding guidelines, failure to thrive criteria, and common pediatric conditions. For pulmonary medicine, it lists exam findings for epiglottitis and croup. Finally, it describes the Salter-Harris classification system for pediatric fractures.

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    PANCE Review

    Uploaded by

    Flora Lawrence
    133 views2 pages
    This document provides a summary of key topics in cardiology, pediatrics, pulmonary medicine, and orthopedics for the PANCE review. In cardiology, it outlines the Duke criteria for infective endocarditis diagnosis and Jones criteria for rheumatic heart disease. In pediatrics, it reviews the APGAR scoring system, infant growth parameters, feeding guidelines, failure to thrive criteria, and common pediatric conditions. For pulmonary medicine, it lists exam findings for epiglottitis and croup. Finally, it describes the Salter-Harris classification system for pediatric fractures.

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    This document provides a summary of key topics in cardiology, pediatrics, pulmonary medicine, and orthopedics for the PANCE review. In cardiology, it outlines the Duke criteria for infective endocarditis diagnosis and Jones criteria for rheumatic heart disease. In pediatrics, it reviews the APGAR scoring system, infant growth parameters, feeding guidelines, failure to thrive criteria, and common pediatric conditions. For pulmonary medicine, it lists exam findings for epiglottitis and croup. Finally, it describes the Salter-Harris classification system for pediatric fractures.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    133 views2 pages

    PANCE Review

    Uploaded by

    Flora Lawrence
    This document provides a summary of key topics in cardiology, pediatrics, pulmonary medicine, and orthopedics for the PANCE review. In cardiology, it outlines the Duke criteria for infective endocarditis diagnosis and Jones criteria for rheumatic heart disease. In pediatrics, it reviews the APGAR scoring system, infant growth parameters, feeding guidelines, failure to thrive criteria, and common pediatric conditions. For pulmonary medicine, it lists exam findings for epiglottitis and croup. Finally, it describes the Salter-Harris classification system for pediatric fractures.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    PANCE Review

    Cardiac
     Infective endocarditis – Duke criteria (1 major + 3 minor or 5 minor)
    o Major: typical microorganism (strep viridans, strep bovis, staph aureus, or
    enterococci) from 2 separate blood cultures; positive echo
    o Minor: predisposing risk factor (CHD, RHD, catheter, prosthetic valve, IVDU);
    fever >38; evidence of emboli (arterial, pulmonary, janeway, conjunctival);
    immune problems (glomerulonephritis, osler nodes); positive blood culture
    (that isn’t major)
     Rheumatic heart disease – Jones criteria (known GAS plus 2 major or 1 major and 1
    minor)
    o Major: joints; heart; nodules; erythema marginatum; syndenham chorea
    o Minor: arthralgia; elevated ESR/CRP; prolonged PR; leukocytosis; hx of RH
     “Boot shaped heart” = tetralogy of fallot
     “Wall to wall heart” = ebstein’s anomaly

    Pediatrics
     APGAR – at 1 and 5 mins
    o Activity: absent, arms/legs flexed, active movement
    o Pulse: absent, below 100 bpm, over 100 bpm
    o Grimace: flaccid, some flexion of extremities, active motion
    o Appearance: blue, body pink/extremities blue, all pink
    o Respiration: absent, slow/irregular, vigorous cry
     Infant growth: 10g/kg/day
    o Triple birth weight at 1 year
    o Ok to lose 5-10% of birth weight, then regain by 10-14 days
     Caloric requirement for growth: 100-120kcal/kg/day
     Formula/breast milk = 20kcal/oz
    o Vit D supplement until 6 mo if breastfeeding (6400 IU maternal)
     FTT = <3rd percentile or drop of 2 or more centile spaces (on growth chart)
     Overweight = >85%, obese = > 95%
     “Barking” cough = croup, “steeple sign” on CXR
     “Sausage shaped mass” (in RUQ) or “donut/target” appearance on US or “currant
    jelly stool” = intussusception
     “Olive shaped mass” = pyloric stenosis
     AOM: 1st line = amoxicillin, 2nd = augmentin
     Strep: PCN or amoxicillin. If PCN allergy  erythromycin

    Pulmonary
     “Thumb sign”/tripod position= epiglottitis
     “Steeple sign” = croup

    Ortho
     Salter-Harris classification
    o I: widening of physis
    o II: fx through metaphysis
    o III: fx though epiphysis
    o IV: fx through metaphysis and epiphysis
    o V: crush injury of physis
     Greenstick fx: one side of cortex disrupted
     Torus (buckle): compression force

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