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
Quick Notes
DD of acute Paralysis in children. #Pediatrics
-Diphtheria is a common cause in Yemen, and it causes desending paralysis. "Bulbar muscles first, then respiratory then peripheral".
-In GBS which is ascending," Lower limbs, trunk, upper limbs then respiratory and Bulbar".
-Tick paralysis causes ascending paralysis, it's more in South America, it's associated with allergy.
#Pediatrics
-In GBS which is ascending," Lower limbs, trunk, upper limbs then respiratory and Bulbar".
-Tick paralysis causes ascending paralysis, it's more in South America, it's associated with allergy.
#Pediatrics
Forwarded from Quick Notes
Forwarded from Quick Notes
Adverse prognostic factors in GBS:
1-Preceding GI infection
2-> 60 years of age
3-The most severe or rapidly evolving form of the disease (maximum disability within 7 days)
4-Descending paralysis
5-Bulbar weakness
6-Autonomic dysfunction
7-Asymmetrical weakness
8-Very high CSF protein
9-Evidence of widespread axonal damage
10-Those requiring early and prolonged mechanical ventilatory assistance.
#Neurology
1-Preceding GI infection
2-> 60 years of age
3-The most severe or rapidly evolving form of the disease (maximum disability within 7 days)
4-Descending paralysis
5-Bulbar weakness
6-Autonomic dysfunction
7-Asymmetrical weakness
8-Very high CSF protein
9-Evidence of widespread axonal damage
10-Those requiring early and prolonged mechanical ventilatory assistance.
#Neurology
Forwarded from Quick Notes
Good prognostic factors in GBS:
-Symmetrical involvement
-Slowly progressive
-Facial nerve involvement
-Young age
-Preceding hostory of respiratory infection
-Demyelinating disease
-No respiratory involvement
-Ascending paralysis
-Early treatment
-Early recovery.
#Neurology
-Symmetrical involvement
-Slowly progressive
-Facial nerve involvement
-Young age
-Preceding hostory of respiratory infection
-Demyelinating disease
-No respiratory involvement
-Ascending paralysis
-Early treatment
-Early recovery.
#Neurology