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🟡الاوسكي الاوسكي اقروه ملفات تتوريالات جوا كلش زين يجي منها ممكن يجي من معلومات نظريه

راح تنسأل لا محالة عن Gastroenteritis ➡️ Rota Vaccine SOB (Pneumonia) ➡️ PCV SOB (Pertussis) ➡️ DTap Meningitis ➡️ Penta (Hib)

🔴The important parts of history according to each case: ▪︎Diarrhea: 1.Vaccination (Rotavirus Cause Diarrhea) 2.Feeding (High Sugar/Over Feed) 3.Social (UnClean Water/Infections) 4.past medical (GIt Diseases) ▪︎Fit: 1.Family Hx 2.past medical (Meningitis) 3.Drug Hx ▪︎SOB: 1.Vaccination (Pneumococcal Vaccine PCV) 2.Past Medical (Infections) ▪︎Meningitis: 1.Vaccination (Hib Vaccine) 2.Past Medical (Communicable disease/Infections) معلومة مهمة جدا وهواي يسالون بيها

#DDX #DDX of fever UTI Otitis media meningitis Pneumonia Hepatitis Haematological disorder #DDX of cough -acute cough Pneumonia Foreign body Bronchitis -chronic cough Asthma TB GERD bronchiectasis * night time cough suggest : asthma , gastroesophageal reflux, sinusitis with postnasal drip * cough that occur during or after eating suggests:aspiration or GERD #DDX of fit Fever Trauma Meningitis Febrile illness Gastroenteritis #DDX of diarrhoea Overfeeding Hyperthyroidism Celiac disease Lactose intolerance Malabsorption Cystic fibrosis * celiac disease at 6month -2 years * cystic fibrosis start at 6-8 month and appear 1 year #DDX of vomiting *Git: gastroenteritis /Hepatitis / Pancreatitis/ Appendicitis Food poisoning or allergy Diaphragmatic hernia or hiatal hernia Pyloric stenosis Dudenal ulcer * extra git : Sepsis Pneumonia Otitis media UTI Meningitis Brain tumor Adrenal insufficiency Inborn error

#Grunting (( Respiratory Distress stage 3)) زين ليش يصير هذا الصوت ؟ (مثل الونين من يدفع النفس بال Expiration ) صوت ال Grunting هي محاولة من الطفل لغلق ال Epiglottis حتى يحبس الهواء داخل ال lungs فبالتالي يتجنب حصول Lung collapse فبالتالي يقاوم ال hypoxia Stages of Respiratory Distress in neonate : 1) Tachypnea 2 ) Retraction 3) Grunting 4) Cynosis #اطفال #مستشفى

هذا ملف كافي.

⚡️Signs of dyspnia according to severity (from up to down) : -------------------------- ▪︎nasal flaring ▪︎subcostal retraction ▪︎intercostal retraction ▪︎suprasternal retraction ▪︎supraclavicular retraction ▪︎grunting (expiratory sound due to expiration against partially closed epiglottis ) ▪︎cynosis