📌A great and clear educational video on endotracheal intubation

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✒️What's your Diagnosis for this case!!!

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📌A life-saving intervention

This video shows endotracheal intubation in a neonate with Respiratory Distress Syndrome (RDS), a condition commonly seen in premature babies due to surfactant deficiency. By securing the airway, clinicians can provide mechanical ventilation and administer surfactant directly into the lungs, helping improve breathing and oxygenation.

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📌Sydenham Chorea (St. Vitus Dance)

1. Sydenham chorea is a neurological manifestation of acute rheumatic fever, occurring weeks to months after an untreated Group A Streptococcal (GAS) pharyngitis.

2. It results from molecular mimicry, where antibodies produced against GAS cross-react with neurons in the basal ganglia, leading to involuntary, rapid, irregular, dance-like movements.

3. Patients typically present with chorea, emotional lability, hypotonia, clumsiness, deterioration in handwriting, and difficulty with speech or fine motor tasks. The movements disappear during sleep.

4. Sydenham chorea is one of the major Jones criteria for the diagnosis of acute rheumatic fever and may occur even when other features of rheumatic fever have resolved.

5. Evaluation should include evidence of a recent streptococcal infection (ASO or anti-DNase B titers) and assessment for carditis, as rheumatic heart disease may coexist.