Important knowledge

mottled skin (livedo reticularis) Ddx - Down's syndrome - congenital hypothyriodism -infection (fever) -can be sign of shock -poisins Also -trauma -blood loss

Flaky paint rash Kwasiorkor

Flag sign in kwashiorkor

⚡️HIV DNA PCR is the preferred virologic method for diagnosing HIV infection during infancy

⚡️Corticosteroids have no role in the Rx of neonatal bacterial meningitis, in contrast to older infants & children

Grunting

Neutropenia in newborn is common in ▪︎premature ▪︎IUGR ▪︎sepsis ▪︎maternal preeclampsia.

⚡️Avoid using Salicylates (aspirin) for 6 weeks after getting Varicella vaccine; this is because of the potential risk of Reye syndrome.

Contraindication to MMR vaccine

⚡️MMR vaccine complications : ▪︎fever (usually 6-12 days following vaccination) ▪︎rash (in approximately 5% of vaccinated persons ) ▪︎ transient thrombocytopenia (rare) ▪︎febrile seizures -----------------------------‐------------------------ ● (Encephalopathy and autism not caused by MMR)

⚡️Rarely, MMR vaccine cause transient thrombocytopenia

⚡️Extra from PDF Salk’s Polio vaccine = “Inactivated Polio Vaccine” IPV injectable Sabin's polio vaccine = “Oral live-attenuated vaccine”

⚡️when BCG vaccination is delayed to end of first year prior tuberculin testing is important .

⚡️متفرقات اوسكي (د. وسناء) PNEUMOCOCCAL = Streptococcus pneumoniae Meningococcal = neisseria meningitidis

⚡️For rota virus vaccine Immunization should not be initiated for infants 15 wk of age and older and the final dose must be administered no later than 8 mo of age beceause this will increase risk of intussusception (but vaccine by it self not increase the risk of intussusception) #vaccine