Precautions and Contraindications od Rotavirus vaccine:
-Should not be given to infants with a severe hypersensitivity to any components of the vaccine,
-To infants who had a serious allergic reaction to a previous dose of the vaccine,
-Infants with a history of intussusception from any cause.
-RV1 should not be given to infants with a severe latex allergy.
-Infants with severe combined immunodeficiency (SCID).
-Vaccination should be deferred in infants with acute moderate or severe gastroenteritis.
#Pediatrics
-Should not be given to infants with a severe hypersensitivity to any components of the vaccine,
-To infants who had a serious allergic reaction to a previous dose of the vaccine,
-Infants with a history of intussusception from any cause.
-RV1 should not be given to infants with a severe latex allergy.
-Infants with severe combined immunodeficiency (SCID).
-Vaccination should be deferred in infants with acute moderate or severe gastroenteritis.
#Pediatrics
Complications,Adverse effects of Rotavirus vaccine:
-Increased risk of intussusception, in prelicensure trials, RV5 was associated with a very small but statistically significant increased risk of vomiting and diarrhea, and RV1 with a similarly small but significant increased risk of cough or runny nose.
#Pediatrics
-Increased risk of intussusception, in prelicensure trials, RV5 was associated with a very small but statistically significant increased risk of vomiting and diarrhea, and RV1 with a similarly small but significant increased risk of cough or runny nose.
#Pediatrics
-Rotavirus is the leading cause of hospitalization and death from acute gastroenteritis in young children worldwide.
#Pediatrics
#Pediatrics
Forwarded from Quick Notes
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
Loin: Lies between the last rib and iliac crest and from vertebral column to flank.
Flank: It's the lateral aspect of loin.
#Pediatrics
Flank: It's the lateral aspect of loin.
#Pediatrics
Remember:
-A palpable spleen is always abnormal.
-It has been observed that the spleen should be about three times its normal size to be palpable clinically!
#Pediatrics
-A palpable spleen is always abnormal.
-It has been observed that the spleen should be about three times its normal size to be palpable clinically!
#Pediatrics
Liver span:
At birth:5.6-5.9 cm
2 months: 5 cm
6-12 yr: 9 cm
Adolescents
8-10 in girls
10-12 in boys.
#Pediatrics
At birth:5.6-5.9 cm
2 months: 5 cm
6-12 yr: 9 cm
Adolescents
8-10 in girls
10-12 in boys.
#Pediatrics
Cruveilhier-Bawugarten syndrome-this is characterised by a loud venous hum due to increased blood flow through the recanalised umbilical vein.
#Pediatrics
#Pediatrics
Remember:
-A spleen is said to be significantly enlarged if it is palpable at least 1 cm below the costal margin in a child more than 6 months of age.
-However in about 30% of newborns and in 15% of infants below 6 months, a palpable spleen is a normal variant.
#Pediatrics
-A spleen is said to be significantly enlarged if it is palpable at least 1 cm below the costal margin in a child more than 6 months of age.
-However in about 30% of newborns and in 15% of infants below 6 months, a palpable spleen is a normal variant.
#Pediatrics
Remember:
-Tender splenomegaly is found in the following conditions:
(a) Infective endocarditis
(b) Splenic infarction
(c) Splenic abscess.
#Pediatrics
-Tender splenomegaly is found in the following conditions:
(a) Infective endocarditis
(b) Splenic infarction
(c) Splenic abscess.
#Pediatrics
Quick Notes
Differences between Kidney and spleen swelling. #Pediatrics
The following points are helpful in differentiating spleen from kidney enlargement:
(a) Kidney is always bimanually palpable or ballotable.
(b) Splenic notch is felt in splenomegaly.
These two features are the most important.
#Pediatrics
(a) Kidney is always bimanually palpable or ballotable.
(b) Splenic notch is felt in splenomegaly.
These two features are the most important.
#Pediatrics
Bronchiolitis vs Asthma.
Also history of atopy may be present in Asthma but absent in the other.
Family history may be positive in asthma.
#Pediatrics
Also history of atopy may be present in Asthma but absent in the other.
Family history may be positive in asthma.
#Pediatrics
Forwarded from Quick Notes
What are the causes of mid diastolic murmur (MDM)?
-MS
-ASD (due to increased flow through tricuspid valve)
-Tricuspid stenosis
-Left atrial myxoma
-Austin-Flint murmur in aortic regurgitation
-Carey Coomb’s murmur (a soft MDM due to mitral valvulitis in acute rheumatic fever.
#Cardiology
-MS
-ASD (due to increased flow through tricuspid valve)
-Tricuspid stenosis
-Left atrial myxoma
-Austin-Flint murmur in aortic regurgitation
-Carey Coomb’s murmur (a soft MDM due to mitral valvulitis in acute rheumatic fever.
#Cardiology
Forwarded from Quick Notes
•What are the signs of Pulmonary HTN?
-Palpable P2
-Prominent ‘a’ wave in JVP
-Left parasternal heave (indicates RVH)
-Epigastric pulsation (indicates RVH)
-Loud P2 on auscultation
-Early diastolic murmur (Graham steel murmur due to PR).
#Cardiology
-Palpable P2
-Prominent ‘a’ wave in JVP
-Left parasternal heave (indicates RVH)
-Epigastric pulsation (indicates RVH)
-Loud P2 on auscultation
-Early diastolic murmur (Graham steel murmur due to PR).
#Cardiology
Forwarded from Quick Notes
•To diagnose AR, remember the formula of 3:
-3 pulse: Collapsing (water hammer), dancing carotid and capillary pulsation.
-3 BP: Rise of systolic, fall of diastolic and wide pulse pressure.
-3 murmur: Early diastolic murmur, Austin Flint murmur and ejection systolic murmur.
#Cardiology
-3 pulse: Collapsing (water hammer), dancing carotid and capillary pulsation.
-3 BP: Rise of systolic, fall of diastolic and wide pulse pressure.
-3 murmur: Early diastolic murmur, Austin Flint murmur and ejection systolic murmur.
#Cardiology