Study Hub

Pediatrics

Kids are not small adults. The shelf rewards one instinct: read the age and the time-course, then name what fits that window and pick the next step. Every Bone Wizardry deep-dive the pediatric boards can touch, mapped by clinical theme and stacked by how hard each gets tested.

Most items are diagnosis and next-best-step management anchored to age-specific norms, with a lighter mechanism load; the osteopathic exam leans harder into prevention, well-child anticipatory guidance, and OMM for otitis, asthma, and musculoskeletal complaints.

01

Newborn & Neonatology

Yield 8-12%
Neonatal JaundicePro
Peds · Kernicterus thresholds and biliary atresia
Newborn ScreeningPro
Peds · What the heel-stick catches
TORCH Infections
Micro · Congenital vertical transmission
Brachial Plexus Birth Injury
OMM · Erb and Klumpke palsy
Umbilical Cord Vessels
Repro · Two arteries, one vein
02

Development, Prevention & Adolescent

Yield 14-22%
Immunization Schedule
Peds · Birth to adolescence and catch-up rules
Tanner Staging
Peds · The five stages of puberty
Lead Poisoning
Heme · Screening and chelation thresholds
Eating Disorders
Psych · Anorexia vs bulimia
Contraception Counseling
Repro · Adolescent options and counseling
Gyn Infections and STIs
Repro · Vaginitis and PID
Substance Use
Psych · Adolescent intoxication and withdrawal
Confidentiality and Consent
Ethics · Adolescent confidentiality and its limits
03

Infectious Disease

Yield 11-15%
Kawasaki DiseasePro
Peds · Fever, mucocutaneous signs, coronary risk
Meningitis
Micro · Age-based pathogens and CSF
E. coli vs Shigella
Micro · Pediatric dysentery and toxins
Pinworm and Parasites
Micro · High-yield organisms
Botulism
Micro · Infant botulism, floppy baby, honey
Staph vs Strep
Micro · GAS and S. aureus skin and throat infections
04

Respiratory & ENT

Yield 8-12%
Asthma
Resp · Severity staging and stepwise control
Bronchiolitis (RSV)Pro
Peds · Supportive care and palivizumab
Croup vs EpiglottitisPro
Peds · The pediatric airway showdown
Cystic Fibrosis
Resp · Sweat chloride and complications
Pediatric Pneumonia
Resp · Age-based pathogens
Acute Otitis Media
Micro · Bulging red tympanic membrane
Lymphatic OMT
OMM · Pumps for otitis and asthma
05

Cardiology

Yield 5-7%
Congenital Heart Defects
Cardio · Cyanotic vs acyanotic
Heart Murmurs
Cardio · Innocent vs pathologic
Cardiomyopathies
Cardio · HCM and sudden-cardiac-death screening
Systolic Murmur Localizer
Cardio · Where you hear it, which valve
Infective EndocarditisPro
Cardio · Vegetations and prophylaxis in congenital hearts
06

Gastroenterology & Nutrition

Yield 8-11%
Pyloric Stenosis
Peds · Projectile vomiting and the olive
IntussusceptionPro
Peds · Currant-jelly stool and air enema
AppendicitisPro
GI · Migrating pain and imaging
GERD vs Physiologic Reflux
GI · Reflux to peptic ulcer
Crohn vs Ulcerative Colitis
GI · Pediatric IBD compared
Zinc DeficiencyPro
GI · Rash, taste loss, poor healing
Abetalipoproteinemia
Biochem · Fat malabsorption and acanthocytes
07

Genetics & Inborn Errors of Metabolism

Yield 4-7%
PhenylketonuriaPro
Biochem · Musty odor, light hair
Galactosemia and Fructose
Biochem · Cataracts vs crash after fruit
Fragile X
Genetics · Macroorchidism, long face
Cystic Fibrosis Genetics
Genetics · CFTR and inheritance
Lysosomal Storage Diseases
Biochem · The storage map
Tay-SachsPro
Biochem · Cherry-red, no hepatosplenomegaly
Niemann-PickPro
Biochem · Cherry-red with hepatosplenomegaly
Glycogen Storage Diseases
Biochem · Von Gierke to Pompe
Urea Cycle DisordersPro
Biochem · Hyperammonemia and OTC deficiency
Maple Syrup Urine DiseasePro
Biochem · Branched-chain defect, sweet urine
Hunter Syndrome
Biochem · X-linked, no corneal clouding
Primary ImmunodeficienciesPro
Immuno · B, T, and combined defects
Wilson DiseasePro
Neuro · Copper overload and Kayser-Fleischer rings in the young
08

Endocrine & Growth

Yield 4-6%
Type 1 vs Type 2 Diabetes
Endo · Mechanism and workup
DKA vs HHS
Endo · Anion gap, ketones, management
Congenital Adrenal Hyperplasia
Endo · Salt-wasting and ambiguous genitalia
Thyroid Disorders
Endo · Hyper vs hypothyroidism
Disorders of Sexual Differentiation
Repro · Androgen insensitivity vs 5-alpha-reductase
Calcium, PTH and Vitamin D
Endo · Rickets and the calcium axis
Gigantism
Endo · Growth hormone excess before plates close
Primary Amenorrhea
Repro · Workup by uterus and breasts
09

Hematology & Oncology

Yield 5-7%
Iron-Deficiency Anemia
Heme · Ferritin and iron studies
Leukemias
Heme · ALL vs AML in children
Hemolytic Anemias
Heme · Sickle cell, G6PD, spherocytosis
Platelet DisordersPro
Heme · ITP, TTP, HUS, vWD
NeuroblastomaPro
Peds · Crosses midline, dancing eyes
Microcytic Anemia
Heme · Iron, thalassemia, sideroblastic
HemophiliaPro
Heme · Factor VIII vs IX and the PTT
Lymphomas
Heme · Hodgkin vs non-Hodgkin
Henoch-Schonlein and VasculitisPro
Immuno · Palpable purpura after a URI
10

Pediatric Brain Tumors & Hydrocephalus

Yield 4-6%
Pediatric Brain TumorsPro
Neuro · Posterior-fossa differentials
MedulloblastomaPro
Neuro · Most common malignant childhood tumor
Pilocytic AstrocytomaPro
Neuro · Cystic, Rosenthal fibers
Craniopharyngioma
Neuro · Calcified, bitemporal hemianopia
EpendymomaPro
Neuro · Fourth ventricle, hydrocephalus
Arnold-Chiari MalformationPro
Neuro · Cerebellar tonsil herniation
Dandy-Walker MalformationPro
Neuro · Absent vermis, large fourth ventricle
11

Seizures, Neurocutaneous & MSK

Yield 6-10%
Seizures and EpilepsyPro
Neuro · Focal vs generalized, febrile seizures
Neural Tube DefectsPro
Neuro · Spina bifida, folate, AFP
Neurofibromatosis Type 1Pro
Neuro · Cafe-au-lait and Lisch nodules
PhakomatosesPro
Neuro · Tuberous sclerosis to Sturge-Weber
Neurofibromatosis Type 2Pro
Neuro · Bilateral acoustic schwannomas
Guillain-Barre Syndrome
Neuro · Ascending paralysis after infection
Pediatric Headache
Neuro · Migraine and red flags
Scoliosis
MSK · Curve, Cobb angle, screening
12

Renal, GU & Fluids/Electrolytes

Yield 5-8%
Urinary Tract Infection
Renal · Workup and reflux risk
Nephrotic vs Nephritic
Renal · Minimal change to PSGN
IgA NephropathyPro
Renal · Synpharyngitic hematuria
Sodium and Osmolality
Renal · Hyponatremic vs hypernatremic dehydration
Electrolyte Disorders
Renal · Na, K, Ca and the EKG
Renal Tubular Acidosis
Renal · Types 1, 2, and 4
Varicocele
Repro · Pampiniform plexus, left-side bag of worms
13

Emergencies, Injury & Toxicology

Yield 5-8%
Sepsis and Septic ShockPro
Micro · Hour-1 bundle and shock physiology
Anaphylaxis
Immuno · Recognition and epinephrine
Toxidromes and Antidotes
Pharm · Poison recognition
+

To Be Added

Blueprint gaps

Topics the Pediatrics boards test that do not yet have a Bone Wizardry deep-dive. On the build list.

Newborn & Neonatology APGAR scoring and NRP delivery-room resuscitation, Neonatal respiratory distress syndrome (surfactant deficiency), Transient tachypnea of the newborn, Meconium aspiration and persistent pulmonary hypertension of the newborn, ABO and Rh hemolytic disease of the newborn, Early vs late-onset neonatal sepsis and GBS prophylaxis, Prematurity complications: IVH, NEC, retinopathy of prematurity, bronchopulmonary dysplasia, Hypoxic-ischemic encephalopathy and therapeutic hypothermia, Infant of a diabetic mother and neonatal hypoglycemia, Caput succedaneum vs cephalohematoma and clavicle fracture, Congenital diaphragmatic hernia and tracheoesophageal fistula, Vitamin K and erythromycin eye prophylaxis, Neonatal abstinence syndrome, Cleft lip and palate (and Pierre Robin sequence), Gastroschisis vs omphalocele (abdominal wall defects), Fetal alcohol syndrome and teratogen exposures.
Development, Prevention & Adolescent Developmental milestones by age (gross and fine motor, language, social), Failure to thrive and faltering-growth workup, Growth-chart interpretation; constitutional vs familial short stature, Autism spectrum disorder and M-CHAT screening, ADHD diagnosis and stimulant management, Global developmental delay and intellectual disability, Cerebral palsy, Tics and Tourette syndrome, Nocturnal enuresis and encopresis, Breath-holding spells and temper tantrums, Colic, infant sleep problems, and night terrors, Well-child visit components and anticipatory guidance, Injury prevention: car seats and safe sleep / SIDS prevention, HEEADSSS adolescent interview, Substance-use (CRAFFT) and adolescent depression / suicide screening, Obesity, BMI screening, and metabolic syndrome, Iron and vitamin D supplementation in infants; nutrition counseling, Dental health and fluoride, Sports preparticipation physical and sudden-cardiac-death screening, Osteopathic primary-care / OMM in well-child care, Strabismus, amblyopia, and vision/hearing screening.
Infectious Disease Viral exanthems: measles, rubella, roseola (HHV-6), erythema infectiosum (parvovirus B19), Varicella and hand-foot-mouth disease (coxsackievirus), Scarlet fever, GAS pharyngitis, and acute rheumatic fever, Pertussis (whooping cough), Fever without a source, occult bacteremia, and the febrile-infant workup, Cervical lymphadenitis, Skin infections: impetigo, cellulitis, staph scalded skin syndrome, Infectious mononucleosis (EBV) and mumps, Latent TB screening.
Respiratory & ENT Foreign-body aspiration, Allergic rhinitis and sinusitis, Mastoiditis, Peritonsillar and retropharyngeal abscess, Obstructive sleep apnea and adenotonsillar hypertrophy, Bronchopulmonary dysplasia, Pertussis, Newborn stridor: laryngomalacia and choanal atresia, Apnea and BRUE.
Cardiology Tetralogy of Fallot and tet spells, Ductal-dependent lesions, hyperoxia test, and prostaglandin E1, Acute rheumatic fever and Jones criteria, Supraventricular tachycardia, Myocarditis, Eisenmenger syndrome, Infant heart failure and endocarditis prophylaxis.
Gastroenterology & Nutrition Malrotation with midgut volvulus, Hirschsprung disease, Duodenal atresia (double bubble) and intestinal atresias, Necrotizing enterocolitis, Acute gastroenteritis, dehydration assessment, and oral rehydration, Functional vs organic constipation, Celiac disease, Meckel diverticulum, Cow's-milk protein allergy and lactose intolerance, Nutritional rickets and scurvy, Breastfeeding vs formula counseling, Caustic and foreign-body ingestion.
Genetics & Inborn Errors of Metabolism Down syndrome (trisomy 21) and associated anomalies, Trisomy 18 (Edwards) and trisomy 13 (Patau), Turner syndrome, Klinefelter syndrome, Marfan syndrome, Prader-Willi and Angelman syndromes, Williams syndrome and 22q11 deletion (DiGeorge) features.
Endocrine & Growth Precocious puberty workup, Growth-hormone deficiency and endocrine short stature, Congenital hypothyroidism (cretinism) and screening.
Hematology & Oncology Sickle cell crises: vaso-occlusive, sequestration, acute chest, aplastic, Physiologic anemia of infancy, Wilms tumor (nephroblastoma), Retinoblastoma, Bone and soft-tissue sarcomas (osteosarcoma, Ewing, rhabdomyosarcoma), Langerhans cell histiocytosis.
Pediatric Brain Tumors & Hydrocephalus Obstructive vs communicating hydrocephalus and VP shunt complications, Macrocephaly and increased intracranial pressure in infants.
Seizures, Neurocutaneous & MSK Febrile seizures: simple vs complex, Infantile spasms (West syndrome) and Lennox-Gastaut, Cerebral palsy, Duchenne and Becker muscular dystrophy; spinal muscular atrophy, Developmental dysplasia of the hip (DDH), Legg-Calve-Perthes disease, Slipped capital femoral epiphysis (SCFE), Osgood-Schlatter and nursemaid's elbow, Septic arthritis vs transient synovitis; osteomyelitis, Juvenile idiopathic arthritis, Genu varum / valgum, in-toeing, and clubfoot.
Renal, GU & Fluids/Electrolytes Vesicoureteral reflux and VCUG workup, Posterior urethral valves, Hypospadias and epispadias, Cryptorchidism (undescended testis), Testicular torsion vs epididymitis, Hydrocele and inguinal hernia, Nocturnal enuresis, Maintenance and deficit fluid management (Holliday-Segar).
Emergencies, Injury & Toxicology Pediatric BLS / PALS and recognition of shock, Child physical abuse: pathognomonic fractures, retinal hemorrhages, abusive head trauma, Child sexual abuse and neglect; mandatory reporting, Sudden infant death syndrome (SIDS) and safe-sleep counseling, BRUE (brief resolved unexplained event), Dehydration and hypovolemic shock, Specific poisonings: acetaminophen, iron, salicylates, hydrocarbons, caustics, Button-battery and magnet ingestion; organophosphate toxidrome, Foreign-body aspiration and ingestion, Burns and burn fluid resuscitation, Drowning and submersion injury, Status epilepticus management, Head trauma and increased intracranial pressure.
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