السهم الازرق : central pallor هواي يعني hypochromic
السهم الاحمر :RBC صغار
فيعني هذا
hypoochromic microcytic anemia
Causes:
iron deficiency anemia
lead poisoning anemia
sideroblastic anemia

ومرات تطلع cigarette cell shape بس هنا مطالعة

mongolian spot
Abnormal distribution of melanin
اكثر مكان يصير بال
lower part of back and bottock
تختلف عن ال truma
التروما يتغير لونها وي الوكت
But mongolian spot not changed in color

pectus excavatum
parallel chest
Due to chronic dyspnea or congenial

Central pallor of RBC more then one third ,
small cells السهم البنفسجي
cigarette cell shapeالسهم الاحمر
Lymphocyte السهم الاسود
hypoochromic microcytic anemia
(Iron deficiency anemia )

rickets x ray findings
splaying
fraying
cupping
trabeculation
Wide joint space

Café au lait spots
significant if
More then 0.5cm size
More then 5 spots

cleft lip and palate
Correction
Lips 3month
Palate 10_ 12 month

spinal needle
Uses
1_ csf aspiration
2_ therapeutic
3_ anesthesia
4_ decreased csf pressure due to pseudotumor cerebri

nebulizer
Indication
Drugs (bronchodilators ,steriod , adrenaline , hypertonic
Saline )

Pneumothorax ( translucency)
ماكو blood vessels مثل الامفزيما
Heart and mediastinum deviation, collapse lung
Rx by
Emergency case needle
Definit treatment chest tube

Air fluid level
DDx
lung abscess (complicated pneumonia)
hydatid cyst(عادة اكثر من وحده او ينطينه هستري واحد عايش بريف مثلا )

sickle cell anemia

Turner syndrome
manifestation:
webbed short neck
Wide space nipple
Short Stature
low hairline 
Dorsal edema of hand

twin to twin transfusion syndrome

autosomal dominant
Male & female effective
All generations effected
No carrier
Ex:Marfan syndrome
von willebrand disease(spherocytosis)
achondroplasia

Gingival lesion(hyperplesia)
Cause:1.Drug( antiepileptic drugs,,, e.g. Phenobarbital)
2.scurvy(vitamin c deficiency)
3. infection (hiv, herpes simplex virus)
4.leukemia

Petechial rash

Ricket( sever)

Ricket

Skull fracture

Subdural hematoma (cresent shape)