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12 Cards in this Set
- Front
- Back
- 3rd side (hint)
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Sudden Inability to stand/ sit bilateral + UMNL signs +Hypertonia +Brisk Reflexes -Abdominal Reflexes -Crimasteric Reflexes |
DDx: Poliomyelitis (Unilateral) Trauma (hx) Guillane Barre Syndrome (Ascending-not static) - CSF Protien ^ (2nd week) Nerve conduction velocity is reduced Mx:Supportive, Ig infusion, plasma exchange |
Spinal Tumor ( Gradual / Asymptomatic then SUDDEN due to bleeding inside tumor)
Transverse Myelitis (Dermatomal involvment -pain at level of lesson and upper) |
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Hepatomegaly |
DDx - inv - mx Biliary Atresia -U/S TIBIDA radioisotope liver biopsy laprotomy conj - (surgical <60d Kasai procedure , liver transplant) Choledochal cyst - u/s radionuclide scanning ( surgical ) .. 2% maligancy |
Wilson - Kayser Fieshcer ring, high hepatic copper, gene , liver biopsy- (Penicillamine, Zinc, Pyredoxine)
Paracetamol Viral hep Reye S: - Assx w/ Aspirin therapy Cystic Fibrosis |
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Splenomegaly |
SLE Thalassemia TB Cong HFailure Infective Endocarditis Viral hepatitis ITP Cirrhosis |
Sickle Cell - HbS (Prophylactic Penicillin) Iron Deficiency Anaemia Hereditory Spherocytosis -bl film |
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Growth Parameter |
HC: birth 35 ( +2cm 3m +1cm 6m +0.5cm 12m) Length: 20 in /46 cm BW: 2.5-4.5kg (2(Age)+8) |
Length : 5m =BLx30% 1y = blx 50% =~+10in 5y= 2(Bl) |
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Cystic Fibrosis |
CP: Clubbing Bronchiectasis , Abscess formation, persistent loose cough productive of purulent sputum. Hyperinflation of chest Coarse inspiratory crepitation/ expiratory Wheeze neomuconeum ileus, abd distention Mx: Gastrografin enemas Surgery Multidesplinary (Resp , Nutrient, ) Iv AB therapy |
abn ion transport across epithelial cells => mucopurulent secretion retention due impaired ciliary function pseudomonas auruginosa-> chronic endobronchiol infection Pancreatic enz def malabsorbtion ^ Na Cl (60-120 mmol/l) in sweat (Dx test ) |
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Clubbing |
Cardiac: Cyanotic CHD (Tx5) Infective Endocarditis AV malformation Resp: CF Bronchiecteisis Lung Cancer Empyema/Abscess GIT: Celiac , chron, Cirrhosis Ulcerative colitis |
Hyperthyrodisim Hyperparathyrodism TB |
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Thalassemia |
B- severe anamia failure to thrive extramedullary haemopiesis hepatosplenomegaly bone marrow expansion Maxillary Overgrowth Skull bossing mx: Lifelong monthly transfusions of rbc Oral iron chelation w/SC desferrioxamine (2 -3 years of age) Bone marrow transplant |
A4-Fetal hydrops (oedema & ascots) Fatal Mx: IU monthly transfusion cont Dx: Hb electrophoresis (Hb Barts) A3globulin: HbH. mild moderate anaemia, occasionally trasfusion dependant 1/2 Asymptomatic May be hypochoromic/microcytic |
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Hypothyroidism |
Congenital Causes: maldescent of the thyroid and athyrosis dyshormonogenesis iodine deficiency TSH deficiency Dx: Guthrie test T4 levels Xray (bone age) Mx Lifelong oral replacement thyroxine (Juvenile) Thyroxine |
Asympotmatic failure to thrive feedomg prolms prolonged jaundice constipation pale, cold, mottled dry skin coarse facies large tongue haorse cry Goiter umbilical hernia Delayed development Aq: females>males short / growth failure cold intolerance Dry skin bradycardia thin , dry hair pale puffy eyes w/ loss of eyebrows goiter slow relaxing relexes constipation delayed puberty obesity sli[[ed per femoral epiphysis deterioration in school work learning difficulties |
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Hyperthryroidism |
High T4 / T3 , low tsp Antithyroid peroxisoal antibodies xray ( bone age) Mx: carbimazole /propylthiouracil B blocker symptomatic beware of sore throat and fever ( neutropenia) Follow up |
anxiety , restlessness ^ appetite sweating , diarrhoe, wight loss rapid growth tall advanced bone maturity tremor tachycardia, wide pulse pressure goitre (bruit) learinign difficulties psychosis warm casodilated peripheries Exophtalmos ophthalmoplegia lid retraction lid lag |
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Short stature |
Famelial, IUGR , extreme prematurity constituonal delay of growth& puberty Hypothyrodisim, GH def Corticosteroid excess , cushing Caelic , chron , Chronic renal failure Psychosocial deprivation |
Down , Turner Russwel silver Noonan Laron (abs GH resistance) Dwarfisim SHOX gene abnormalitis skeletal dysplasia, achondropasia Scoliosis |
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Asthma p293 |
Hyperinflation Harrison's sulcus wheeze Allergic rhinitis Eczema sputum finger clubbing growth failure Sx worse at night and early morning Triggers inv: Peak flow, response to Rx |
Bronchodilators:Salbutamol / ipratopium bromide inhaled corticosteroids |
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VSD |
Small : Asymptomatic Loud pansystolic murmur at lower left sternal edge Quiet pulomonary second sound Echo dx Mx: follow up prevention of bacterial endocarditis , good dental hygiene |
Large: Heart failure w/ breathlessness failure to thrive recurrent chest infections Tachypnoea, tachycardia, hepatomegaly active precordium soft pansystolic or no murmur Apical mid diastolic Loud P2 Inv: Cxr: cardiomegaly enlarged pul arteries ^pul vascular markings pul oedema ECG: biventricular hypertrophy Echo: anatomy + pulm hypertension Mx: Diuretics + captopril Suregery |
