Council on Medical Student Education in Pediatrics

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Curriculum Competencies and Objectives

PREFACE | PROFESSIONAL CONDUCT AND ATTITUDES | SKILLS | HEALTH SUPERVISION | GROWTH | DEVELOPMENT | BEHAVIOR | NUTRITION | PREVENTION |ISSUES UNIQUE TO ADOLESCENCE | ISSUES UNIQUE TO THE NEWBORN | MEDICAL GENETICS AND DYSMORPHOLOGY | COMMON ACUTE PEDIATIC ILLNESS | COMMON CHRONIC ILLNESS AND DISABILITY | THERAPEUTICS | FLUID AND ELECTROLYTE MANAGEMENT | POISONING | PEDIATRIC EMERGENCIES | CHILD ABUSE | CHILD ADVOCACY | COMMON PEDIATRIC ILLNESS TABLE | CLINICAL ENCOUNTER TABLE | DIAGNOSIS LIST | CURRICULUM DEVELOPMENT PARTICIPANTS

Appendix 1. Common Pediatric Illness Table

For each presenting symptom, finding, or laboratory value the columns list the suggested differential diagnosis based on level of competence.

Presenting symptom, finding, or laboratory value

Core pediatric level

Mastery level

Cough and/or wheeze

Asthma

Allergic rhinitis

 

Bronchiolitis

Chlamydia pneumonia

 

Community acquired pneumonia

Cystic fibrosis

 

Croup

Gastroesophageal reflux (GERD)

 

Viral upper respiratory tract infection

Laryngomalacia and tracheomalacia

   

Pertussis

   

Tuberculosis

     

Fever without a focus

Bacteremia/sepsis

JRA

 

Meningitis

malignancy

 

Occult bacteremia

 
 

Urinary tract infection

 
 

Viral illnesses

 
     

Sore Throat

Group a streptococcal pharyngitis

Peritonsillar abscess

 

Mononucleosis

Retropharyngeal abscess

 

Postnasal drip

 
 

Viral upper respiratory tract infection

 
     

Otalgia

Otitis media, Acute and Recurrent

Dental caries

 

Otitis media with effusion

Foreign body of the canal

 

Otitis externa

Mastoiditis

   

Pharyngitis

   

TMJ syndrome

     

Rhinorrhea

Allergic rhinitis

Nasal foreign body

 

Sinusitis

 
 

Viral URI.

 
     

Fever and rash

Group A streptococcal infection

drug reaction

 

Kawasaki disease

JRA

 

meningococcemia

Lyme disease

 

viral exanthem

Rickettsial disease

   

Toxic shock syndrome

     

Abdominal pain

Appendicitis

Bowel obstruction

 

Constipation/encopresis

Cholecystitis

 

Gastroenteritis

Dysmenorrhea

 

HSP

Gastritis

 

intussusception

Incarcerated hernia

 

Pelvic inflammatory disease

Inflammatory bowel disease

 

Urinary tract infection/pyelonephritis

Malignancy

   

Malrotation and volvulus

   

Ovarian or testicular torsion

   

Pancreatitis

   

Peptic ulcer disease

   

pregnancy

     

Diarrhea

Gastroenteritis

Celiac Disease

   

Clostridium difficile infection

   

Encopresis

   

Inflammatory Bowel Disease

   

Malabsorption

   

Toddlers diarrhea

     

Vomiting

Gastroenteritis

Bowel obstruction

 

Gastroesophageal reflux

Congenital adrenal hyperplasia

 

Pyloric stenosis

Diabetic Ketoacidosis

 

UTI/pyelonephritis

Eating disorder

   

Hepatitis

   

Inborn errors of metabolism

   

Inborn errors of metabolism

   

Intracranial process (increased intracranial pressure)

   

Meningitis

   

poisoning

   

Pregnancy

   

Volvulus/malrotation

     

Rash

Atopic dermatitis

drug reaction

 

Contact dermatitis

erythema toxicum

 

cellulitis

molluscum contagiosum

 

impetigo

warts

 

lice

 
 

monilial infections

 
 

scabies

 
 

seborrhea

 
 

urticaria

 
 

viral enanthem

 
 

viral exanthem

 
     

Limp or extremity pain

developmental dysplasia of the hip

Acute rheumatic fever

 

fracture

Henoch Schönlein purpura

 

Legg-Calve-Perthes disease

JRA

 

Nursemaid elbow

Lyme disease

 

Osgood Schlatter disease

malignancy

 

Osteomyelitis

reactive arthritis

 

Septic arthritis

sickle cell crisis

 

Slipped capital femoral epiphysis

 
 

transient synovitis

 
     

Headache

meningitis

Brain tumor

 

tension headache

concussion

   

hydrocephalus

   

increased intracranial pressure

   

metabolic disorders

     

Seizures

febrile seizures

idiopathic seizures

   

meningitis

   

post traumatic seizure

   

toxic ingestions

     

Bruising

trauma

coagulopathy

   

leukemia

     

Petechiae/purpura

ITP

leukemia

 

sepsis

coagulopathy

 

trauma

rickettsial infection

 

vasculitis

 
 

viral infections

 
     

Heart murmur

innocent murmur

anemia

   

CHF

   

myocarditis

   

PDA

   

valvular defects

     

Lymphadenopathy

Bacterial adenitis

Cat scratch disease

 

Streptococcal pharyngitis

HIV

 

Viral illnesses (general or specific such as EBV)

Kawasaki disease

   

Malignancy

   

Mycobacterial adenitis

     

Splenomegaly

Malignancy (e.g. leukemia)

Hemolytic anemia

 

Mononucleosis

Sickle cell anemia (infancy)

   

Systemic infectious diseases

     

Hepatomegaly

hepatitis

congestive heart failure

   

inborn errors of metabolism

   

systemic infectious diseases

     

Abdominal mass

hydronephrosis

 
 

malignancy

 
 

pregnancy

 
 

stool

 
     

White pupillary reflex

cataracts

 
 

retinoblastoma

 
     

Red or wandering eye

conjunctivitis

allergy

 

strabismus

esotropia

   

exotropia

   

foreign body

   

trauma

     

Anemia

iron deficiency anemia

anemia of chronic disease

 

sickle cell anemia

bone marrow failure

 

thalassemia

hemolytic anemia

   

hemolytic uremic syndrome

   

malignancy

     

Hematuria

glomerulonephritis

benign familial hematuria

 

trauma

hemolytic uremic syndrome

 

UTI

hypercalciuria

     

Proteinuria

nephrotic syndrome

transient proteinuria

 

orthostatic proteinuria

glomerulonephritis

     

Positive Mantoux skin test

latent tuberculosis

non-tuberculosis mycobacterial infection

 

active tuberculosis

 

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