stuff 🩷

Minimum interval rule 🔹Between measles vaccine and MMR → at least 1 month. 🔹Between one measles/MMR dose and another measles/MMR dose → at least 1 month. 🔹Reason: severe reaction/side effects may appear around 2 weeks after vaccination, so we leave enough spacing. 🔹If child reached 12 months (his first birthday) and did not receive measles vaccine at 9 months: 🔹Give MMR, not measles alone. Any measles vaccine given before 9 months of age, such as during a campaign, should be repeated at 9 months of age.

rotavirus vaccine last does at 6 months any child older than this we dont give a dose of it

If birth weight is ≤2 kg: Postpone hepatitis B vaccine until baby reaches 1 month of age. Don’t start Rotavirus vaccine after 3 months of age. if baby older than 3 months and never received first Rota dose, do NOT begin the Rota series ❌

Child aged more than one year BCG vaccine ❌ مننطي

💎 Hepatitis B vaccine spacing — easy note 🔹Between 1st dose and 2nd dose → at least 4 weeks. 🔹Between 1st dose and 3rd dose → at least 4 months. 🔹Between 2nd dose and 3rd dose → at least 2 months. 🔹## Easy memory 🔹1 → 2 = 4 weeks 🔹1 → 3 = 4 months 🔹2 → 3 = 2 months 🔹## Mnemonic 🔹**“4 weeks, 4 months, 2 months”** 🔹Think:

4–4–2 rule for Hepatitis B doses.

ضفت اسئلة DM

حييييل حلوة و سهلة توي حفظته عليها

🕯️Iraq vaccine schedule memory story 🔹## 0–1 week = “Baby is born → give the birth trio” 🔹BCG + OPV0 + HBV1 🔹Mnemonic: 🔹Born Baby Opens Hepatitis file 🔹Born = BCG 🔹Opens = OPV0 🔹Hepatitis = HBV1 within 24 hours ⸻ 🔹## 2, 4, 6 months = “The 3 repeated baby packages” 🔹At 2 months: 🔹Penta 1 + Rota 1 + OPV1 + PCV1 🔹At 4 months: 🔹Penta 2 + Rota 2 + OPV2 + IPV1 + PCV2 🔹At 6 months: 🔹Penta 3 + Rota 3 + OPV3 + IPV2 + PCV3 🔹Mnemonic: 🔹2-4-6 = PRO-PIP 🔹Penta 🔹Rota 🔹OPV 🔹PCV 🔹then IPV joins at 4 and 6 months 🔹So: 🔹2 months = Penta + Rota + OPV + PCV 🔹4 months = same + IPV1 🔹6 months = same + IPV2 ⸻ 🔹## 9 months = “Measles gets Vitamin A” 🔹Measles + Vitamin A 100,000 IU 🔹Mnemonic: 🔹9 = M + mini A 🔹M = Measles 🔹mini A = 100,000 IU ⸻ 🔹## 12 months = “One year = first MMR” 🔹MMR1 🔹Mnemonic: 🔹12 = MMR 1 ⸻ 🔹## 18 months = “Big booster party” 🔹1st booster: DPT + OPV + MMR2 + Vitamin A 200,000 IU 🔹Mnemonic: 🔹18 = DOMA 🔹DPT 🔹OPV 🔹MMR2 🔹A vitamin A 200,000 IU ⸻ 🔹## School entry 4–6 years = “School booster” 🔹DPT + OPV 2nd booster + Vitamin A 200,000 IU 🔹Mnemonic: 🔹School = DOV 🔹DPT 🔹OPV 🔹Vitamin A ⸻ 🔹## Every 10 years = “Tetanus-diphtheria renewal” 🔹Td every 10 years 🔹Mnemonic: 🔹Ten = Td ⸻ 🔹# The whole story in one line 🔥 🔹Birth: B-O-H → 2/4/6: P-R-O-PCV with IPV at 4 and 6 → 9: Measles + A100 → 12: MMR1 → 18: D-O-M-A200 → School: D-O-A200 → Every 10: Td ⸻ 🔹# Super-short 🔹0–1 week: BCG + OPV0 + HBV1 within 24 h. 🔹2 months: Penta1 + Rota1 + OPV1 + PCV1. 🔹4 months: Penta2 + Rota2 + OPV2 + IPV1 + PCV2. 🔹6 months: Penta3 + Rota3 + OPV3 + IPV2 + PCV3. 🔹9 months: Measles + Vitamin A 100,000 IU. 🔹12 months: MMR1. 🔹18 months: DPT + OPV + MMR2 + Vitamin A 200,000 IU. 🔹School entry 4–6 years: DPT + OPV + Vitamin A 200,000 IU. 🔹Every 10 years: Td. 🔹Severe reaction to DPT → give DT, not DPT, because pertussis causes the severe reaction. ⸻ 🔹# Mnemonic 🧠 🔹**“BOH baby grows PRO-PCV, then IPV joins twice, Measles gets A, MMR at one, DOMA at eighteen, DOV at school, Td every Ten.”** 🔹## 😈 Corner of stupidity 🔹Do NOT confuse OPV0 at birth with OPV1 at 2 months. The “0” dose is the newborn hello-dose. بس انتبهوا بالصورة الPenta شنو يحتوي

0-59 Days Measuring temperature > axillary method cutoff 37.5°C without any addition. Feeling hot > checked using the dorsum of hand on the epigastric or axillary region. Chest indrawing should be continuous and symmetrical to be considered positive

😂 ادوية محاضرة 16 0-59 Days Local infection > amoxicillin twice for 5 days Pneumonia > amoxicillin twice for 7 days Serious bacterial infection, or very severe disease > gentamicin + ampicillin To treat skin pustules or umbilical infection: treatment twice daily for 5 days: ➔ Paint the skin or umbilicus or cord with full-strength gentian violet (0.5%). To treat thrush (ulcers or white patches in mouth): treatment 4 times daily for 7 days: ➔ Paint the mouth with half-strength gentian violet (0.25%)

انتبهوا

Severe dehydration 🚨 Two of the following: Movement only when stimulated or no movement at all Sunken eyes Skin pinch goes back very slowly

Some dehydration ⭐️ Two of the following: Restless, irritable Sunken eyes Skin pinch goes back slowly

Follow up feeding problem or thrush in 2 days Follow up low-weight for age within 14 days

عرفت الاغلب حيغلط لان تنسي هسه حفظتوها

👑 A 5-day-old infant is brought to the clinic. Examination shows ulcers and white patches inside the mouth. Which is the MOST appropriate classification? 🔹A) Oral bacterial infection. 🔹B) Viral stomatitis. 🔹C) Feeding problem. 🔹D) severe disease.

شفت الاغلب حاط A انتبهوا عالتنفس

Semi-solid stools of a breastfed baby are NOT diarrhea

Jaundice in infant after 24 h of age > jaundice follow-up in 1 day (everyday) Jaundice in infant aged LESS than 24 h> severe jaundice

Fast breathing 60+ in infants 7-59 days old>pneumonia Fast breathing 60+ in infants less than 7 days old>very severe disease\possible serious bacterial infection