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Clinical shelf · Study guide

Pediatrics

Start with a clinical decision, read a focused lesson, then practice questions and revisit your misses. Age and developmental stage → urgent findings → safe next step.

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Start with a clinical decision

These existing lessons are suggested starting points, not a ranked prediction of exam frequency. Check the full lesson directory below for more systems and cases.

Clinical lesson

Necrotizing Enterocolitis

Trace neonatal bowel injury and gas location to early treatment and surgical assessment.

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Clinical lesson

Pyloric Stenosis

Connect infant vomiting, ultrasound, acid-base findings and safe treatment.

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Clinical lesson

Lead Poisoning

Read the teaching and identify the decision that changes management.

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Choose your pace

2 weeks

Focused review

Days 1–4: map and lessons. Days 5–10: targeted questions and an error log. Days 11–14: mixed retrieval.

4 weeks

Steady blocks

Week 1: map and lessons. Weeks 2–3: topic blocks and spaced retrieval. Week 4: mixed review.

6 weeks

Build and consolidate

Weeks 1–2: lessons. Weeks 3–4: shelf blocks. Week 5: mixed application. Week 6: weak-area retest.

Retrieve, then resume

After each question, name one wrong-answer discriminator and the finding that would change management. Return after 48 hours and on day 7 to explain the decision without looking. Scale question blocks to available eligible questions; no fixed count is promised.

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Free practice is subject to reviewed question availability and guest access. It is not an official exam simulation.

93 related teaching pages across subjects. These are the original lessons, collected here for clinical study.

Osteopathic material is separately marked. Continue in your study plan or browse the full directory below.

01

Newborn & Neonatology

Neonatal Jaundice and Hyperbilirubinemia: Timing, Kernicterus and Biliary AtresiaPro
Peds · Kernicterus thresholds and biliary atresia
Newborn Screening: The 48-Hour Heel StickPro
Peds · What the heel-stick catches
TORCH and other perinatal infections: anatomy, timing and action
Micro · Congenital vertical transmission
Brachial Plexus Birth Injury
OMM · Erb and Klumpke palsy
Umbilical Cord Vessels: Two Arteries, One Vein
Repro · Two arteries, one vein
02

Development, Prevention & Adolescent

Immunization schedules: make every dose count
Peds · Birth to adolescence and catch-up rules
Tanner Staging: All 5 Stages of Puberty
Peds · The five stages of puberty
Lead Poisoning
Heme · Screening and chelation thresholds
Eating disorders
Psych · Anorexia vs bulimia
Contraception
Repro · Adolescent options and counseling
Gynecologic infections: localize, test and treat
Repro · Vaginitis and PID
Substance Intoxication and Withdrawal
Psych · Adolescent intoxication and withdrawal
Confidentiality, Its Exceptions, and the Duty to Warn
Ethics · Adolescent confidentiality and its limits
03

Infectious Disease

Kawasaki Disease: Fever, Mucocutaneous Findings and Coronary AneurysmsPro
Peds · Fever, mucocutaneous signs, coronary risk
Meningitis: urgent decisions, CSF patterns and pathogen-specific care
Micro · Age-based pathogens and CSF
E. coli and Shigella: mechanism, tissue and treatment
Micro · Pediatric dysentery and toxins
Fungi and parasites: transmission routes, tissue forms and treatment decisions
Micro · Clinical organisms
Botulism: Recognize the Pattern, Protect Breathing
Micro · Infant botulism, floppy baby, honey
Staphylococci, streptococci and enterococci: tests that change care
Micro · GAS and S. aureus skin and throat infections
04

Respiratory & ENT

Asthma and COPD
Resp · Severity staging and stepwise control
Bronchiolitis and RSV: Supportive Care and PalivizumabPro
Peds · Supportive care and palivizumab
Croup vs EpiglottitisPro
Peds · The pediatric airway showdown
Cystic Fibrosis
Resp · Sweat chloride and complications
Pneumonias: from airspace findings to targeted care
Resp · Age-based pathogens
Pneumococcus and acute otitis media: the organism, the ear and the treatment decision
Micro · Bulging red tympanic membrane
Lymphatic OMT
OMM · Pumps for otitis and asthma
05

Cardiology

Congenital heart defects through blood flow
Cardio · Cyanotic vs acyanotic
Heart murmurs. Timing, pressure and bedside decisions
Cardio · Innocent vs pathologic
Cardiomyopathies. Shape, tissue and clinical decisions
Cardio · HCM and sudden-cardiac-death screening
Systolic Murmur Localizer
Cardio · Where you hear it, which valve
Infective Endocarditis: Vegetations, Duke Criteria & the Peripheral SignsPro
Cardio · Vegetations and prophylaxis in congenital hearts
06

Gastroenterology & Nutrition

Pyloric Stenosis
Peds · Projectile vomiting and the olive
Intussusception: Currant Jelly Stool and the Air EnemaPro
Peds · Currant-jelly stool and air enema
Acute AppendicitisPro
GI · Migrating pain and imaging
GERD, Erosive Esophagitis, and Peptic Ulcer Disease
GI · Reflux to peptic ulcer
Crohn Disease vs Ulcerative Colitis
GI · Pediatric IBD compared
Zinc DeficiencyPro
GI · Rash, taste loss, poor healing
Abetalipoproteinemia: Build the Particle, Find the Block
Biochem · Fat malabsorption and acanthocytes
07

Genetics & Inborn Errors of Metabolism

PKU: follow the blocked pathwayPro
Biochem · Musty odor, light hair
Galactose and fructose. Follow the sugar, predict the consequence
Biochem · Cataracts vs crash after fruit
Fragile X Syndrome: Repeat Size, Expression and Family Risk
Genetics · Macroorchidism, long face
Cystic Fibrosis: From Chloride Transport to Clinical Decisions
Genetics · CFTR and inheritance
Lysosomal storage diseases: follow the stored material
Biochem · The storage map
Tay-Sachs DiseasePro
Biochem · Cherry-red, no hepatosplenomegaly
Niemann-Pick DiseasePro
Biochem · Cherry-red with hepatosplenomegaly
Glycogen storage diseases
Biochem · Von Gierke to Pompe
Urea cycle: localize the block and protect the brainPro
Biochem · Hyperammonemia and OTC deficiency
Maple syrup urine disease and the blocked metabolic stepPro
Biochem · Branched-chain defect, sweet urine
Hunter Syndrome
Biochem · X-linked, no corneal clouding
Primary Immunodeficiency DisordersPro
Immuno · B, T, and combined defects
Wilson DiseasePro
Neuro · Copper overload and Kayser-Fleischer rings in the young
08

Endocrine & Growth

Type 1 vs Type 2 Diabetes: Production, Resistance, and Crisis
Endo · Mechanism and workup
DKA and HHS: Ketones, Acidosis, and Hyperosmolality
Endo · Anion gap, ketones, management
Congenital adrenal hyperplasia: read the blocked steroid pathway
Endo · Salt-wasting and ambiguous genitalia
Thyroid disorders from hormone source to treatment
Endo · Hyper vs hypothyroidism
Sexual differentiation: anatomy, hormones, and response
Repro · Androgen insensitivity vs 5-alpha-reductase
The Calcium, PTH, and Vitamin D Axis
Endo · Rickets and the calcium axis
Gigantism (GH Excess)
Endo · Growth hormone excess before plates close
Primary amenorrhea: locate the problem and choose the next step
Repro · Workup by uterus and breasts
09

Hematology & Oncology

Iron Deficiency Anemia Workup
Heme · Ferritin and iron studies
Leukemias: ALL vs AML vs CLL vs CML
Heme · ALL vs AML in children
Hemolytic anemias: locate the destruction
Heme · Sickle cell, G6PD, spherocytosis
Platelet disorders: number, function and clinical patternPro
Heme · ITP, TTP, HUS, vWD
Neuroblastoma: N-myc & Dancing EyesPro
Peds · Crosses midline, dancing eyes
Microcytic Anemias
Heme · Iron, thalassemia, sideroblastic
Hemophilia & the Coag CascadePro
Heme · Factor VIII vs IX and the PTT
Lymphomas: read the lineage before the label
Heme · Hodgkin vs non-Hodgkin
Vasculitis: read the vessel before naming the diseasePro
Immuno · Palpable purpura after a URI
10

Pediatric Brain Tumors & Hydrocephalus

Brain TumorsPro
Neuro · Posterior-fossa differentials
Medulloblastoma: Cerebellar PNET in KidsPro
Neuro · Most common malignant childhood tumor
Pilocytic Astrocytoma: Rosenthal FibersPro
Neuro · Cystic, Rosenthal fibers
Craniopharyngioma: anatomy, hormones and function
Neuro · Calcified, bitemporal hemianopia
Ependymoma, Fourth Ventricle TumorPro
Neuro · Fourth ventricle, hydrocephalus
Chiari malformations and syringomyeliaPro
Neuro · Cerebellar tonsil herniation
Dandy-Walker MalformationPro
Neuro · Absent vermis, large fourth ventricle
11

Seizures, Neurocutaneous & MSK

Seizures and epilepsyPro
Neuro · Focal vs generalized, febrile seizures
Neural Tube Defects: when the neuropore won't closePro
Neuro · Spina bifida, folate, AFP
Neurofibromatosis Type 1: Cafe-au-Lait & LischPro
Neuro · Cafe-au-lait and Lisch nodules
Phakomatoses: Neurocutaneous Syndromes ComparedPro
Neuro · Tuberous sclerosis to Sturge-Weber
Neurofibromatosis Type 2: Bilateral SchwannomasPro
Neuro · Bilateral acoustic schwannomas
Guillain-Barre syndrome
Neuro · Ascending paralysis after infection
Headaches
Neuro · Migraine and red flags
Scoliosis
MSK · Curve, Cobb angle, screening
12

Renal, GU & Fluids/Electrolytes

Urinary Tract Infections
Renal · Workup and reflux risk
Nephrotic and nephritic syndromes. Find the injured compartment
Renal · Minimal change to PSGN
IgA nephropathy. From urinary findings to kidney protectionPro
Renal · Synpharyngitic hematuria
Sodium and Osmolality: Follow the Water
Renal · Hyponatremic vs hypernatremic dehydration
Electrolytes in clinical context
Renal · Na, K, Ca and the EKG
Renal tubular acidosis
Renal · Types 1, 2, and 4
Varicocele: Dilation of the Pampiniform Plexus
Repro · Pampiniform plexus, left-side bag of worms
13

Emergencies, Injury & Toxicology

Sepsis and Septic Shock · Hour-1 Bundle and Shock PhysiologyPro
Micro · Hour-1 bundle and shock physiology
Anaphylaxis
Immuno · Recognition and epinephrine
Toxidromes and antidotes: recognize the failing physiology
Pharm · Poison recognition

More related teaching pages

Acute Unilateral Cervical Lymphadenitis in ChildrenPro
Pediatrics
Choanal Atresia and the Neonatal AirwayPro
Pediatrics
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