Sandbox:Ifeoma Anaya
Causes of jaundice in children | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Physiologic | Pathologic | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Unconjugated hyperbilirubinemia | Conjugated hyperbilirubinemia | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Hemolytic | Non-hemolytic | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
•Rh incompatibility •ABO incompatibility •Hemoglobinopathies (Thalassemia) •Hematomas •Polycythemia •Sepsis | •Crigler-Najjar syndrome I and II •Gilbert syndrome •Breast milk jaundice | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Infectious | Obstructive | Drugs | Genetic/Metabolic | Storage disorders | Endocirnopathies | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
•Viral •Bacterial •Parasitic | •Biliary atresia •Choledochal cyst •Inspissated bile syndrome •Neonatal sclerosing cholangitis •Congenital hepatic fibrosis •Intrinsic/extrinsic mass | •Ceftriaxone •Isoniazid •Erythromycin •Rifampin •Sulfa drugs •Parenteral nutrition •Methotrexate | •Alpha 1 antitrypsin deficiency •Alagille syndrome •Cystic fibrosis •Tyrosinemia •Galactosemia •Rotor syndrome •Trisomy 18 and Trisomy 21 | •Gaucher's disease •Niemann-pick disease •Glycogen storage diseases •Mucolipidoses | •Hypopituitarism •Hypothyroidism •McCune Albright syndrome | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Causes of jaundice in children | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Physiologic | Pathologic | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Unconjugated hyperbilirubinemia | Conjugated hyperbilirubinemia | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Hemolytic | Non-hemolytic | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
•Rh incompatibility •ABO incompatibility •Hemoglobinopathies (Thalassemia) •Hematomas •Polycythemia •Sepsis | •Crigler-Najjar syndrome I and II •Gilbert syndrome •Breast milk jaundice | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Non-Infectious | Disease |
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Immune-mediated/Autoimmune | Kawasaki Disease
Henoch-Schönlein Purpura Juvenile Rheumatoid Arthritis Juvenile Dermatomyositis |
Drug-related eruptions | Erythema multiforme
SJS TEN |
Infectious | Disease | Causative Organism |
---|---|---|
Viral | Measles
German Measles Erythema infectiosum Roseola infantum Herpangina Hand-foot-and-mouth disease Molluscum contagiosum Chickenpox |
Rubeola
Rubella Parvovirus B19 Human Herpes Virus 6 & 7 Coxsackie virus Coxsackie virus Poxvirus Varicella Zoster virus |
Bacterial | Meningococcemia |
Neisseria meningitidis
Hemophilus influenzae Streptococcus pneumoniae
|
RMSF | Rickettsia rickettsii | |
HUS | Enterohemorrhagic E.coli (EHEC) | |
Scarlet Fever | Streptococcus pyogenes (Group A Streptococci, GAS) | |
Disseminated gonococcal disease in adolescents | Neiserria gonorrhoea | |
SSSS
TSS |
Staphylococcus aureus | |
Lyme disease | Borrelia burgdorferi | |
Relapsing fever | Borrelia recurrentis | |
Protozoan | Babesiosis | Babesia microti |
Fungal | Histoplasmosis
Blastomycosis Coccidiodomycosis Paracoccidiodomycosis |
Histoplasma capsulatum
Blastomyces dermatitidis Coccidioides immitis Paracoccidioides brasiliensis |
Fever + Rash Morphology | Disease |
---|---|
Non-blanching lesions | a. Meningococcemia
b. Rocky Mountain Spotted Fever (RMSF) c. Hemolytic Uremic Syndrome (HUS) d. Henoch-Schőnlein Purpura (HSP) |
Blanching rash | a. Kawasaki disease
b. Juvenile Rheumatoid Arthritis c. Juvenile Dermatomyositis |
Vesicular or bullous lesions | a. Erythema multiforme
b. Steven-Johnson-Syndrome (SJS) and Toxic Epridermal Necrolysis (TEN) c. Staphylococcal Scalded Skin Syndrome (SSSS) d. Disseminated gonococcal disease in adolescents e. HSV I & II |
Umbilicated papules and pustules | a. Molluscum contagiosum
b. Varicella/Chickenpox |
Sandpaper rash | a. Scarlet fever |
Viral syndromes | a. Measles (Rubeola)
b. Rubella (German measles) c. Erythema infectiosum (Parvovirus B-19) d. Herpangina (Coxsackie) e. Hand-foot-and-mouth disease (Coxsackie) f. Roseola infantum (Human Herpes Virus types 6 or 7) |
Unclassified/Limited to certain geographical areas | a. Babesiosis
b. Blastomycosis c. Coccidiodomycosis d. Histoplasmosis e. Colorado Tick Fever f. Lyme disease g. Relapsing fever h. Colorado Tick Fever |
There are several types of skin rashes classified based on size, consistency, color, etc. Below are some of the common ones encountered in clinical practice.
Type of Rash/Lesion | Description |
---|---|
Macule | flat, circumscribed, usually <1cm in diameter |
Papule | raised/elevated lesion <1cm in diameter |
Maculopapular | combination of both macules and papulus |
Nodule | papule in deeper dermis or subcutaneous tissue |
Pustule | circumscribed raised lesion containing purulent material |
Vesicle | circumscribed elevated skin lesion usually <1cm containing fluid |
Bulla | Bigger vesicle (>1cm and containing fluid) |
Purpura | non-blanching papules or macules due to extravasation of RBCs |
Petechiae | non-blanching pinpoint unraised spots usually measuring <2mm in size |
classification | ||||
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SCC | ||||
BCC | ||||
Melanoma | ||||
Practice here
Criteria | Symptomatic WM | Asymptomatic WM | IgM-Related Disorders | MGUS |
---|---|---|---|---|
IgM monoclonal protein | + | + | + | + |
Bone marrow infiltration | + | + | - | - |
Symptoms attributable to IgM | + | - | + | - |
Symptoms attributable to tumor infiltration | + | - | - | - |
Jaundice in children Microchapters |