This is a document that contains all of the information you will need to know to pass your Pediatric EOR Exam with PAEA. It is guided off of their blueprint and contains supplemental information as well. It is a compiled amount of information from PPP, Harrison's Principles of Internal Medicine, R...
PAEA Blueprint PEDIATRIC EOR STUDY GUIDE Cylee Burns, PA-C 1 Table of Contents Dermatology – 15% ................................................................................................................................................... 3 Acne Vulgaris ................................................................................................................................................................................... 3 Atopic Dermatitis ............................................................................................................................................................................ 5 Burns ............................................................................................................................................................................................... 7 Drug Eruptions: ............................................................................................................................................................................... 8 Lichen planus ................................................................................................................................................................................. 12 Tinea Infections ............................................................................................................................................................................. 14 Urticaria ......................................................................................................................................................................................... 16 EENT – 15% ............................................................................................................................................................. 18 Acute Otitis Media ........................................................................................................................................................................ 18 Streptococcal Pharyngitis ............................................................................................................................................................. 19 Conjunctivitis ................................................................................................................................................................................ 20 Mastoiditis .................................................................................................................................................................................... 22 Orbital Cellulitis ............................................................................................................................................................................ 24 Strabismus ..................................................................................................................................................................................... 25 INFECTIOUS DISEASE – 12% ..................................................................................................................................... 27 Atypical mycobacterial disease .................................................................................................................................................... 27 Epstein-Barr disease ..................................................................................................................................................................... 28 Pertussis - ..................................................................................................................................................................................... 29 Herpes Simplex ............................................................................................................................................................................. 30 Influenza ........................................................................................................................................................................................ 32 Exanthem: Measles ....................................................................................................................................................................... 33 PULOMONLOGY – 12% ............................................................................................................................................ 37 Acute Bronchiolitis ........................................................................................................................................................................ 37 Asthma .......................................................................................................................................................................................... 37 Cystic Fibrosis ................................................................................................................................................................................ 39 Pneumonia .................................................................................................................................................................................... 41 Respiratory Syncytial Virus ........................................................................................................................................................... 44 CARDIOVASCULAR – 10% ........................................................................................................................................ 46 Acute Rheumatic Fever ................................................................................................................................................................. 46 Hypertrophic Cardiomyopathy ..................................................................................................................................................... 49 Patent Ductus Arteriosus .............................................................................................................................................................. 50 Tetralogy of Fallot ......................................................................................................................................................................... 52 GASTROINTESTINAL & NUTRITIONAL SYSTEM – 10% ............................................................................................... 55 Appendicitis .................................................................................................................................................................................. 55 Constipation .................................................................................................................................................................................. 57 Duodenal atresia ........................................................................................................................................................................... 59 Gastroesophageal Reflux Disease ................................................................................................................................................ 61 Hepatitis ........................................................................................................................................................................................ 62 Inguinal Hernia .............................................................................................................................................................................. 65 Lactose Intolerance ....................................................................................................................................................................... 67 Pyloric Stenosis ............................................................................................................................................................................. 68 Vitamin A deficiency ..................................................................................................................................................................... 69 NEUROLOGY & DEVELOPMENT – 6% ....................................................................................................................... 71 Down syndrome ............................................................................................................................................................................ 71 Meningitis ..................................................................................................................................................................................... 72 Seizure disorders ........................................................................................................................................................................... 73 Teething ........................................................................................................................................................................................ 78 2 PSYCHIATORY & BEHAVIORAL MED – 6% ................................................................................................................ 80 GAD ............................................................................................................................................................................................... 80 Child abuse .................................................................................................................................................................................... 82 Conduct Disorder .......................................................................................................................................................................... 85 Disruptive disorder ....................................................................................................................................................................... 86 Anorexia Nervosa .......................................................................................................................................................................... 86 ORTHOPEDICS AND RHEUMATOLOGY – 5% ............................................................................................................ 90 Avascular necrosis of the proximal femur .................................................................................................................................... 90 Juvenile rheumatoid arthritis ....................................................................................................................................................... 91 Malignant neoplasia of the musculoskeletal system ................................................................................................................... 91 Benign Neoplasia of the MSK system ........................................................................................................................................... 93 Scoliosis ......................................................................................................................................................................................... 94 ENDOCRINOLOGY – 3% ........................................................................................................................................... 97 Diabetes Mellitus .......................................................................................................................................................................... 97 Hyperthyroidism ........................................................................................................................................................................... 99 Obesity ........................................................................................................................................................................................ 102 HEMATOLOGY – 3% .............................................................................................................................................. 103 Anemia of Chronic Disease ......................................................................................................................................................... 104 Thrombotic thrombocytopenic Purpura .................................................................................................................................... 111 Von Willebrand Factor Deficiency .............................................................................................................................................. 114 Multiple Myeloma ...................................................................................................................................................................... 116 Leukemias ................................................................................................................................................................................... 117 Lymphomas ................................................................................................................................................................................. 119 UROLOGY & RENAL – 3% ....................................................................................................................................... 122 Cryptorchidism ............................................................................................................................................................................ 122 Hydrocele .................................................................................................................................................................................... 130 Phimosis ...................................................................................................................................................................................... 131 Vesicourethral Reflux .................................................................................................................................................................. 132 3 Dermatology – 15% Acne Vulgaris Etiology: • Inflammatory skin condition associated with papules and pustules involving pilosebaceous units • Stress • Lithium, steroids, progestins, phenytoin • Hormones o Can activate pilosebaceous glands which may cause cystic flares that coincide with menstruation Risk Factors/Demographics: • Males • Adolescents • Puberty (comdeonal acne) Pathophysiology: • Inflammation of pilosebaceous units • Increased sebum production • Hyper keratinization of the follicle • Colonization by Propionibacterium acnes • Follicular obstruction due to hyper keratinization causing plugging of sebaceous ducts • Comedone: dilated epithelium lined follicular sac filled with lamellated keratinaceous material o White heads are more likely to turn to inflammatory • Plugged follicles, retained sebum, bacterial overgrowth, release of fatty acids Clinical Manifestations: • Most commonly presents in areas with increase sebaceous glands – face, back, chest, upper arms • Open and closed Comedones, papules, pustules, nodulocystic lesions • Mild o Non-inflammatory: Comedones – mostly § Open: blackheads § Closed: white heads o Inflammatory: only a small amount § Occurs from a comedone that has ruptured and extruded its contents into the sub adjacent dermis § Papules, pustules, nodules, 10 • Stage II: Moderate o Moderate numbers of papules and pustules and comedones. • Stage III: Moderate-severe o Numerous papules and pustules present o Many comedones o Occasional larger, deeper, nodular inflammatory lesions • Stage IV: Severe o Nodulocystic acne and conglobate acne Diagnosis: • Clinical Management: • Mild comedones – monotherapy
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