Quick Notes
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Remember about EDH:

-Mainly arterial
-Associated with skull fracture
-Bioconvex, lens shaped
-Temporal
-Doesn't cross suture line
-Crosses dural reflection.


#Surgery
Remember about SDH:

-Bridging veins
-Not consistent to be associated with skull fracture
-Associated with brain injury
-Lenticular, crescent shape,concave
-Crosses suture line
-Do not cross dural reflection.


#Surgery
Remember:

-Bilateral idiopathic adrenal hyperplasia is now considered as the commonest cause of Conn's syndrome (Primary hyperaldosteronism).

-(FCPS, MRCP)
#Medicine
Remember:

-Screening for sensory neuropathy in a diabetic patient→ 10g monofilament is used on various parts of the sole of the foot.

-(FCPS, MRCP)
#Medicine
Remember:

-The most common cause of flash pulmonary oedema is myocardial ischaemia. Bilateral renal artery stenosis is a less common cause of flash pulmonary oedema.

- (FCPS, MRCP)
#Medicine
Remember:

-Azathioprine is the disease modifying agent of choice for the treatment of UC.

-(FCPS, MRCP)

#Medicine
Remember:

Medullary thyroid carcinoma:

-Screening test→ serum Calcitonin level (>100 pg/ml)
-Definitive test→ RET mutation


-(FCPS, MRCP)
#Medicine
Remember:

-Flank is the part of the abdomen that lies at the sides between the costal margin and the ilium.

-It is usually free and slightly curved inwards in normal children.

-Fullness of flanks is seen in abdominal distension due to any cause such as ascites.

#Pediatrics
Remember:

Umbilical Hernia:

-It may be seen normally in some children and may close spontaneously by 2 years.

-The following conditions are usually associated with umbilical hernia:

• Down's syndrome
• Cretinism
• Hurler's syndrome
• Hunter's syndrome.

#Pediatrics
-Rickets is a metabolic disorder characterised by defective mineralisation of growing bone & despite normal collagen matrix.

-Osteomalacia is the defective mineralisation of the mature bone and is seen in adults.

-Osteoporosis is the reduction of bone mass per unit volume and it usually occurs in old age.

#Pediatrics
Why Rickets is more frequent in female children?

-This is because they are either not allowed to play outdoors, or they have to cover their whole body even when allowed to go outside in certain communities .
-Also, there is preferential nurturing of the male child and the female child may be neglected in certain families.

-If it occurs in males then it is usually more severe (vitamin D-resistant rickets, Lowe's syndrome).

#Pediatrics
Craniotabes-softening of skull bones is the earliest in Rickets.

#Pediatrics
Type of Rickets and Age of onset:

-Congenital 👉🏼Neonalal period with tetany.

-Premature 👉🏼1-6 months

-Infantile 👉🏼6-12 months

-Toddler 👉🏼1-3 years

-Adolescent 👉🏼8-16 years.

#Pediatrics
-Iron deficiency anemia is the most common hematologic disease in infancy and children.

#Pediatrics
-Beta thassemia major is the commonest cause of chronic hemolytic anemia.

#Pediatrics
-Teething may cause signs and symptoms in the mouth and gums, but does not cause problems elsewhere in the body.

#Pediatrics
-First thing in treatment a case of Acute Epiglottitis is intubation to secure the airway.

#Pediatrics
-Meningitis and Meningoencephalitis are the most frequent complication (10 - 30 % cases; boys > girls) of mumps.

-Epidydimo- Orchitis is the commonest complication in adolescents boys and adults.


#Pediatrics
Complications of Acute Bronchiolitis

1-Dehydration o due to tachypnea & anorexia.
2-Lung collapse or pneumothorax and sudden deterioration.
3-Respiratory failure.
4- Heart failure.

#Pediatrics
-There is higher incidence of wheezing and asthma in children with a history of bronchiolitis.

#Pediatrics
-Staphylococcus aureus is the commonest cause of Bacterial Tracheitis.
-Often follows viral laryngotracheobronchitis.


#Pediatrics