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
-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
-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
-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
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
-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
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
-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
-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
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
-Congenital 👉🏼Neonalal period with tetany.
-Premature 👉🏼1-6 months
-Infantile 👉🏼6-12 months
-Toddler 👉🏼1-3 years
-Adolescent 👉🏼8-16 years.
#Pediatrics
-Teething may cause signs and symptoms in the mouth and gums, but does not cause problems elsewhere in the body.
#Pediatrics
#Pediatrics
-First thing in treatment a case of Acute Epiglottitis is intubation to secure the airway.
#Pediatrics
#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
-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
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
#Pediatrics
-Staphylococcus aureus is the commonest cause of Bacterial Tracheitis.
-Often follows viral laryngotracheobronchitis.
#Pediatrics
-Often follows viral laryngotracheobronchitis.
#Pediatrics
Congenital rickets:
• Onset: Neonatal period
• Predisposing factor:
-Maternal osteomalacia
• Clinical features:
Skeletal deformities with tetany.
•Investigations:
-Radiological features suggestive of metaphyseal lesion, widening, cupping, fraying of ribs and long bones can be seen in utero (or) at birth.
• Treatment:
-IV calcium gluconate (or) oral calcium chloride with vitamin D 1000 ID/ day should be given for 4-6 weeks.
-Calcium and phosphate supplement should be given.
• Prevention:
-Detect and treat osteomalacia during pregnancy.
#Pediatrics
• Onset: Neonatal period
• Predisposing factor:
-Maternal osteomalacia
• Clinical features:
Skeletal deformities with tetany.
•Investigations:
-Radiological features suggestive of metaphyseal lesion, widening, cupping, fraying of ribs and long bones can be seen in utero (or) at birth.
• Treatment:
-IV calcium gluconate (or) oral calcium chloride with vitamin D 1000 ID/ day should be given for 4-6 weeks.
-Calcium and phosphate supplement should be given.
• Prevention:
-Detect and treat osteomalacia during pregnancy.
#Pediatrics
Causes of Short Stature:
-Familial
-Constitutional
-Chromosomal disorders such as Down's syndrome and Turner's syndrome
-Endocrine disorders such as hypopituitarism and hypothyroidism
-Undernutrition
-Chronic systemic disorders
-Psychosocial conditions
-Skeletal dysplasias such as achondroplasia
-Children born small for gestational age.
#Pediatrics
-Familial
-Constitutional
-Chromosomal disorders such as Down's syndrome and Turner's syndrome
-Endocrine disorders such as hypopituitarism and hypothyroidism
-Undernutrition
-Chronic systemic disorders
-Psychosocial conditions
-Skeletal dysplasias such as achondroplasia
-Children born small for gestational age.
#Pediatrics