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)

epidural hematoma (lens shape)

Subdural hematoma

Edward syndrome (trisomy 18)
Overlapping fingers
Rocker_bottom foot
Spastic body (opisthotonus position)
هم عدهم congenital heart disease

Turner syndrome:

Webbing of neck
Puffiness of hand and foot

Short stature ويكون
Renal problem
Coarctation of aorta
Widely space nipples