👼Pediatrics. Books,Videos, MCQs...

2024-05-05 09:32:11 You are confused
You didn't know, How to study medicine  .... it's problem
yes
What is the solution ?
subscribe here only
https://t.me/+p7UOG0Lh52VjNmVk Buka / Bagaimana

2024-04-01 23:08:13 السلام عليكم
قناة لشرح أهم cases اللي ممكن تقابلكم في البيديا ل pregraduate students
إن شاء الله تفيدكم إذا أصبنا هو توفيق من الله
و إن أخطأنا فهو من أنفسنا
رابط القناة
https://t.me/+9yfO9rXrj1llNTE0 Buka / Bagaimana

2023-10-03 12:47:05 #Note

Total requirements for sleep are
16 hr/24 hr in the first month of life, with most of the sleeping hours concentrated at night. Sleep requirements decline slowly over the first year. By the age of 9 months, the average infant sleeps 14 hr/day and by 3 years of age, mosttoddlers sleep 12 hr/day Buka / Bagaimana

2023-09-10 21:32:15 Subacute sclerosing panencephalitis (SSPE) [
Definition: a lethal, generalized, demyelinating inflammation of the brain caused by persistent measles virus infection [8][9]
Epidemiology
Primarily affects males between 8 and 11 years of age 
Usually develops ≥ 7 years after measles infection
Clinical presentation: characterized by four clinical stages
Stage I: dementia, personality changes
Stage II: epilepsy, myoclonus, autonomic dysfunction
Stage III: decerebration, spasticity, extrapyramidal symptoms
Stage IV: vegetative state, autonomic failure
Diagnosis
Electroencephalography
Paroxysmal delta waves (very slow, 1–3/sec)
Periodic sharp and slow wave complexes
Cerebrospinal fluid: ↑ anti-measles IgG
Prognosis: SSPE leads to death within 1–3 years of diagnosis)  Buka / Bagaimana

2023-07-03 10:00:28 BNF for Children 2022 - 2023 Buka / Bagaimana

2023-03-24 11:02:52 Explanation 14







(E) Splenic sequestration is characterized by an acutely enlarging spleen and a decreasing (or decreased) hemoglobin, and frequently is associated with thrombocytopenia. Prompt
recognition and treatment is necessary because some of the severe cases will rapidly progress to shock and death. Most of these acute splenic sequestration crises occur during infancy andearly childhood and are uncommon after the fourth or fifth birthday, by which time autosplenectomy (due to recurrent infarctions) has occurred. In patients with sickle cell disease or sickle thalassemia, however, the spleen may remain large and sequestration crises can occur into the teens and adulthood Buka / Bagaimana

2023-02-24 08:54:44 Explanation

.


.
The child now has developed acute otitis media with effusion. Viral upper respiratory infections are the most frequent antecedent of otitis media in young children. They result in eustachian tube dysfunction that predisposes to middle ear bacterial superinfection, most commonly by S pneumoniae, nontypeable Haemophilus influenzae, or Moraxella catarrhalis. Amoxicillin is considered by many authorities to be first-line therapy for otitis media. Because of increasing pneumococcal penicillin resistance rates, high doses (ie, 80–90 mg/kg/day) are appropriate. This is especially true in the context of day care attendance because of the increased risk for resistant pneumococci among children in this setting. Ceftriaxone has been demonstrated to be effective in the management of otitis media, but should generally be
reserved for cases not responsive to initial antibiotic management. Erythromycin is not appropriate in the treatment of this infection because many of the offending organisms are resistant. An otorhinolaryngology consult is not routinely necessary in the management of acute otorrhea. (Rudolph CD,1249–1255) Buka / Bagaimana

2023-02-23 06:20:35 #case 13
The mother brings her child in 6 days later for persistent fever (up to 103°F) and pulling at the left ear. On examination, the left tympanic membrane is bulging and immobile. The bony landmarks are not visible. The mother states the day care won’t let her back in without antibiotics Buka / Bagaimana

2023-02-22 23:27:39 Explanation





Phenytoin has been associated with IUGR as well as other congenital anomalies. IUGR is associated with medical conditions that interfere with the circulation and efficiency ofthe placenta, with the development or growth of the fetus, or with the general health and nutrition of the mother. IUGR is often classifiedas reduced growth that is symmetric (head circumference, length, and weight equally affected) or asymmetric (with relative sparing of head growth). Symmetric IUGR often has an earlier onset and is associated with diseases that seriously affect fetal cell number, such as conditions with chromosomal, genetic, malformation, teratogenic, infectious, or severe maternal hypertensive etiologies. Asymmetric IUGR is often of late onset and is associated with poor maternal nutrition or with late onsetor exacerbation of maternal vascular disease(preeclampsia, chronic hypertension). Other
drugs such as narcotics, alcohol, cigarettes, cocaine, and antimetabolites are commonly a cause of IUGR Buka / Bagaimana