Remember:
-Birth History details should be taken in all children aged less than 2 years or when these details are relevant to the child’s current problem such as CHD, CP.. etc
-Head circumference should be measured in children under 36 months, or when the size of child's head warrants concern.
-MUAC should not be measured in infants less than 6 months!
-Meningeal irritation signs should not be done in patients less than 18 month.
-Trachea in chest examination also percussion and palpation-except apex beat determination- should not be palpated in patients less than 2 years because their neck is short.
-JVP can not be assessed in children less than 2 years due to the same cause mentioned above.
-Plantar reflex is usually extensor in infants less than one year. Normal.
#Pediatrics
-Birth History details should be taken in all children aged less than 2 years or when these details are relevant to the child’s current problem such as CHD, CP.. etc
-Head circumference should be measured in children under 36 months, or when the size of child's head warrants concern.
-MUAC should not be measured in infants less than 6 months!
-Meningeal irritation signs should not be done in patients less than 18 month.
-Trachea in chest examination also percussion and palpation-except apex beat determination- should not be palpated in patients less than 2 years because their neck is short.
-JVP can not be assessed in children less than 2 years due to the same cause mentioned above.
-Plantar reflex is usually extensor in infants less than one year. Normal.
#Pediatrics
-Except in emergencies, you should routinely measure the child’s weight and height or length and plot them on an appropriate growth chart in every physical examination of a child.
-Use an infantometer to measure the supine length of children aged less than 2 years or of those with a handicap.
-Use a stadiometer to measure the standing height of children older than 2 years of age.
-Head circumference represents the growth of the child’s brain.
-MUAC is measured in left arm or the non-dominant hand.
#Pediatrics
-Use an infantometer to measure the supine length of children aged less than 2 years or of those with a handicap.
-Use a stadiometer to measure the standing height of children older than 2 years of age.
-Head circumference represents the growth of the child’s brain.
-MUAC is measured in left arm or the non-dominant hand.
#Pediatrics
Remember:
-Gibson's area:
second left ICS away from sternum ; the murmur of PDA is best heard here.
-Second aortic area is also called Erb's area.
#Pediatrics
-Gibson's area:
second left ICS away from sternum ; the murmur of PDA is best heard here.
-Second aortic area is also called Erb's area.
#Pediatrics
Look for the characters of Hemiplegia.
Causes of stroke : thrombosis, embolism, hemorrhage.
#Pediatrics
Causes of stroke : thrombosis, embolism, hemorrhage.
#Pediatrics
Forwarded from Quick Notes
Remember:
-After examination in a CVS case, never forget to examine the liver to check if enlarged as in HF.
#Pediatrics
-After examination in a CVS case, never forget to examine the liver to check if enlarged as in HF.
#Pediatrics
DD for HSP:
1)Idiopathic Thrombocytopenic Purpura (ITP):
-Isolated thrombocytopenia in healthy child with no joint involvement. BM may show increase in megakaryocytes.
2)Meningococcemia:
The child is very ill, toxic with high fever. DIC may occur.
3)Leukemia:
CBC is important with BM.
4)Acute hemorrhagic edema (AHE):
-Which is an isolated cutaneous leukocytoclastic vasculitis that affects infants <2 yr of age, resembles HSP clinically.
-The younger age, the nature of the lesions, absence of other organ involvement, and a biopsy may help distinguish AHE from HSP.
According to clinical presention, may be DD of arthritis and so on.
#Pediatrics
1)Idiopathic Thrombocytopenic Purpura (ITP):
-Isolated thrombocytopenia in healthy child with no joint involvement. BM may show increase in megakaryocytes.
2)Meningococcemia:
The child is very ill, toxic with high fever. DIC may occur.
3)Leukemia:
CBC is important with BM.
4)Acute hemorrhagic edema (AHE):
-Which is an isolated cutaneous leukocytoclastic vasculitis that affects infants <2 yr of age, resembles HSP clinically.
-The younger age, the nature of the lesions, absence of other organ involvement, and a biopsy may help distinguish AHE from HSP.
According to clinical presention, may be DD of arthritis and so on.
#Pediatrics
Quick Notes
DD for HSP: 1)Idiopathic Thrombocytopenic Purpura (ITP): -Isolated thrombocytopenia in healthy child with no joint involvement. BM may show increase in megakaryocytes. 2)Meningococcemia: The child is very ill, toxic with high fever. DIC may occur. …
In HSP:
-Normal platelets count.
-50% of patients have increased serum IgA.
-Antinuclear antibody (ANA), rheumatoid factor (RF), and antineutrophil cytoplasmic antibodies (ANCA) are negative.
-Common but nonspecific findings include leukocytosis, thrombocytosis, mild anemia, and elevations (ESR) and CRP.
#Pediatrics
-Normal platelets count.
-50% of patients have increased serum IgA.
-Antinuclear antibody (ANA), rheumatoid factor (RF), and antineutrophil cytoplasmic antibodies (ANCA) are negative.
-Common but nonspecific findings include leukocytosis, thrombocytosis, mild anemia, and elevations (ESR) and CRP.
#Pediatrics