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⚡️Important vaccines in case of S.O.B is : ▪︎streptococcal pneumonia ▪︎hemophilus influenza ▪︎influenza vaccine ▪︎DTaP ▪︎Meningococcal vaccine (not all patients)

⚡️Signs of severity in S.O.B د.وسناء --------------------------- 1) Cynosis 2) disturbed level of conscious 3) lethargy (poor activity) 4) poor feeding 5) poor sleep

📌 How to take a perfect Shortness of Breath history? 1- SOB DETAILS ✨ ▪️Onset? ◾️Course? ◾️Duration of complian & episode? ◾️More at night/evening? ◾️Deepning on crying, feeding (infant) or unable to complete a sentence (child)? ◾️Aggrevating/Reliving? ◾️Effect on general condition 2- Associations ✨ ◾️Infection Cough/Fever/Sore throat ◾️Obstruction Change of voice Choking, Gurgling, drooling, dysphagia ◾️Metabolic acidosis Nausea, Vomitting, Abdominal pain ▪️Congential heart Cyanosis, excercise tolerance, palpitations, fainting ▪️Traumatic Hx of trauma, hemoptysis ◾️General respiratory associations Noisy breath, watery eyes… 3- Outside HPI ✨ 📌 In PMH ask about: Recurrent infections (immune compromised) Asthma, Congenital heart, Eczema, Neuromuscular disorders, hematological (sickle cell disease) 📌 History of immunization and recent travel 📌 Social history for sick contacts and exposure to allergens Our perfect history taking series also includs: 1- Jaundice 2- Meningitis 3- Periorbital swelling 4- Diarrhea 5- Gullian Barret 6- Cyanosis 7- Shortness of breath 8- Skin rash (Within our Pedi& Love course) 9- Fever

SOB approach

Signs of prematurity

Described methods of GI decontamination include induced 1.emesis with ipecac 2. gastric lavage 3.cathartics 4. activated charcoal 5. and whole-bowel irrigation (WBI)

Nondigestive Tract Causes of constipation:  Hypothyroidism.  Spina bifida.  Developmental delay.  Dehydration: diabetes insipidus, renal tubular lesions  Medications: narcotics  Lead poisoning  Infant botulism

Constipation

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