Notes of Pediatrics
Open in Telegram
Show more
The country is not specifiedThe category is not specified
1 664
Subscribers
+124 hours
+157 days
+6230 days
Data loading in progress...
Similar Channels
Tags Cloud
No data
Any problems? Please refresh the page or contact our support manager.
Incoming and Outgoing Mentions
---
---
---
---
---
---
Attracting Subscribers
December '24
December '24
+29
in 0 channels
November '24
+106
in 0 channels
Get PRO
October '24
+95
in 0 channels
Get PRO
September '24
+82
in 0 channels
Get PRO
August '24
+78
in 0 channels
Get PRO
July '24
+56
in 1 channels
Get PRO
June '24
+68
in 0 channels
Get PRO
May '24
+47
in 0 channels
Get PRO
April '24
+74
in 0 channels
Get PRO
March '24
+63
in 0 channels
Get PRO
February '24
+69
in 0 channels
Get PRO
January '24
+125
in 0 channels
Get PRO
December '23
+57
in 0 channels
Get PRO
November '23
+525
in 0 channels
Get PRO
October '230
in 0 channels
Get PRO
September '230
in 0 channels
Get PRO
August '230
in 0 channels
Get PRO
July '230
in 0 channels
Get PRO
June '230
in 0 channels
Get PRO
May '230
in 0 channels
Get PRO
April '230
in 0 channels
Get PRO
March '230
in 0 channels
Get PRO
February '230
in 0 channels
Get PRO
January '230
in 0 channels
Get PRO
December '220
in 0 channels
Get PRO
November '22
+45
in 0 channels
Get PRO
October '22
+70
in 0 channels
Get PRO
September '22
+47
in 0 channels
Get PRO
August '22
+56
in 0 channels
Get PRO
July '22
+33
in 0 channels
Get PRO
June '22
+54
in 0 channels
Get PRO
May '22
+84
in 0 channels
Get PRO
April '22
+459
in 0 channels
Get PRO
March '220
in 0 channels
Get PRO
February '220
in 0 channels
Get PRO
January '220
in 0 channels
Get PRO
December '210
in 0 channels
Get PRO
November '210
in 0 channels
Get PRO
October '210
in 0 channels
Get PRO
September '210
in 0 channels
Get PRO
August '210
in 0 channels
Get PRO
July '210
in 0 channels
Get PRO
June '210
in 0 channels
Get PRO
May '210
in 0 channels
Get PRO
April '210
in 0 channels
Get PRO
March '21
+11
in 0 channels
Get PRO
February '21
+337
in 0 channels
| Date | Subscriber Growth | Mentions | Channels | |
| 09 December | +1 | |||
| 08 December | +4 | |||
| 07 December | +2 | |||
| 06 December | +3 | |||
| 05 December | +3 | |||
| 04 December | +4 | |||
| 03 December | +7 | |||
| 02 December | +1 | |||
| 01 December | +4 |
Channel Posts
Repost from N/a
Blood product and fluid in pediatric
If we have on 5% GW so we tack
1cc of 50% for every 10 cc of 5% GW
| 2 | Maintenance fluid in
- first day of life --> 10% G\W
- from 2nd day to weight of 7 kg --> 1\5 G\S
- after the weight of 7 --> 1\2 G\S
No shoot of fluid in the neonate | 856 |
| 3 |  +1G6PD deficiency | 1 032 |
| 4 | Cerebellar ataxia is a benign complication of chickenpox, and is thought to be due to post-infection demyelination. | 839 |
| 5 | Acute causes of hemiplegia in children | 839 |
| 6 | Parasitic Diseases | 967 |
| 7 | +2 Tetanus | 714 |
| 8 | +1 Diphteria | 574 |
| 9 | +2 Poliomyelitis | 551 |
| 10 | - It is not uncommon to find urate crystals, which have an orange or red, brick dust color, in a newborn baby's diaper
- normal finding
- Urate crystals are made up of uric acid, an end product of normal metabolism. Babies are born with a high blood uric acid level because of the amount they get across the placenta, and this is quickly excreted in the urine and stool
- If a baby is not making much urine at this time, these urate crystals will be especially concentrated and easy to see.
- As your baby increases his or her feeds the urine will become less concentrated and the staining will disappear. | 594 |
| 11 | **During the first week of life, the normal number of wet diapers a day should equal the infant's ageindays(eg, a 4-day-old Infant should have >4 wet diapers aday). | 522 |
| 12 | No text... | 663 |
| 13 | 🌱 Evaluation of bilious emesis in the neonate | 628 |
| 14 | +5 🌱 Hirschsprung disease vs Meconium ileus | 576 |
| 15 | No text... | 617 |
| 16 | Babies on breast feeding must take the following for 6 months :
- 400 IU vit D syrup
- Iron 2mg/kg /day syrup | 572 |
| 17 | pediatric Surgery
Biliary atresia may associated with :
- interrupted IVC
- intestine malrotation
- situs inversus
- cardiac anomaly
- polysplenia
alpha 1-antitrypsin deficiency is the most common inherited liver disease that present with neonatal jaundice. —> and we should differentiated it from biliary atresia by measure level alpha1 antitrypsin
Bowel atresia is the most common associated anomalies with gastroschisis.
Omphalocele usually associate with beckwith-weidemann syndrome
Any newborn presenting with delayed passage of meconium for more than 24hours should be considered as having Hirschsprung`s disease until proved other wise.
40% of patients with duodenum atresia have trisomy 21 ( Down`s syndrome)
On X-Ray :
- single gas bubble sign —> pyloric stenosis
- double bubble sign —> duodenum atresia
- triple bubble sign —> jejunum atresia
Mal-rotation association with :
- omphalocele
- gastroschiasis,
- congenital diaphragmatic hernia )
- intestinal atresia
- imperforated anus
- cardiac anomalies
- downs syndrome.
Erythromycin not use in infancy because risk of developing pyloric stenosis
Meckel’s diverticulum associative with :
- esophageal atresia
- imperforate anus
- omphalocele minor
Triad of —> thrombocytopenia, hyponatremia and metabolic acidosis —> necrotizing enterocolitis
Hyponatrima, hypokalaemia, hypochoremia, metabolic alkalosis —> pyloric stenosis
Blood transfusion
If indicated give :
- 15-20ml/kg = whole blood
- 10ml/kg =RBCs
The most energy consumption activity of the neonate is breathing
Even full term infant can’t withstand starvation more than 6hr without running risk of hypoglycemia
Neonate produce physiological response to pain
**the BBB is less efficient till 2years of age so fate soluble drugs will permeate more freely -> so give low dose of opioid | 597 |
| 18 | 🔮Pediatric trauma (general notes) :
- Death from unintentional injuries accounts for 65% of all injury-related deaths in children <19
- Most pediatric trauma is blant.
- more common in Male children
- Significant clinical hypoxia is suspected when oxygen saturation is less than 95%
- It is important to use uncuffed endotracheal tube to children younger than 8 years
- The patient does not respond to two bolus ,blood should be transfused (10cc\Kg).
- ICH without evidence of external trauma (Shaking injury).
- Patient with mild, isolated head injury (GCS 14-15)and normal CT Scan ,discharged after 6 hours of observation.
- abdominal injury -> typical guideline is to keep the children on extremely limited activity for 2 weeks longer than the grade of organ injury
Children are not little adults, but they are little people.
Cervical X-ray normal + persistent pain —> CT Scan
Findings suggestive of child abuse :
➢ Retinal hemorrhage
➢ Fractures at different stages of healing
➢ ICH without evidence of external trauma (Shaking injury)
Brain CT-Scan Indication:
➢ Any loss of consciousness
➢ Amnesia to the trauma.
➢ Intubated patient
* Patient with mild, isolated head injury (GCS 14-15) and normal CT Scan —> discharged after 6 hours of observation
*Any change in the neurologic status —> neurosurgical evaluation and repeat CT Scan
*Patients with the severe head injury (GCS<8) need urgent neurosurgical consultation
In children :
Significant abdominal injury after seemingly minor trauma , why?
• Small rib cage
• Minimal muscular coverage
• Solid organ trauma (unprotected)
Hematoma in anterior abdominal wall so –called seat belt sign (Should be alert underlying small bowel injury)
The duration of the rest (in weeks) = grade of the organ damage (liver & spleen) + 2 | 546 |
| 19 | +2 Necrotizing Enterocolitis (NEC) | 458 |
| 20 | 📌 Intussusception
🌱Definition
One portion of the gut becomes invaginated in to another immediately adjacent (proximal into distal) -> this will lead to impair blood supply to inner layer of Intussusception
🌱Etiology
- idiopathic
- secondary
*polyp
*submucous lipoma
*meckel's diverticulum
✔️idiopathic Intussusception
- age 6-9 mo
- There is a change in diet -> infant is weaned
- site -> Ileocolic 77%
* last 50cm of the small intestine -> Maximum aggregation of peyer's patches is in the lower ileum
— Theory
(a) Change of diet leads to change of intestinal flora
(b) this predisposes to inflammation of the intestinal tract
(c) which in turn causes inflammation and swelling of peyer's patches
(d) a swollen peyer's patch produces elevation protruding in to the lumen of the gut comparable to one of the known causes of intussusception.
— Another Theory
seasonal incidence related to the attacks of upper respiratory Infection, the antibodies to certain viruses might cause swelling of peyer's patches.
— presentation
*child age 6-9mo
*attack
- sudden
- paroxysm
- abdominal pain characterized by drawing up his legs and screams
- pallor
- last few minutes and recur every 15 minutes
* may vomit shortly after
-vomiting is conspicuous feature
* between attack he lies listless & looks drawn
* In early stages, normal stool is frequently passed, later blood and mucus are evacuated the well-known "red currant jelly" stool.
* After 24-48 hr
- the abdomen start to distend
- vomiting become copious,
- absolute intestinal obstruction follows.
— O/E
* No abdominal distention found in early cases
* in between the spasms with warm hand a mass might be felt
-> sausage-shaped lump
-> concavity toward the umbilicus
-> feeling of emptiness in RIF.
* PRE
-> apex of the intussusception might be felt
-> in most cases blood stained mucus will be found on the examining finger.
-> In a few cases the intussusception actually protrudes through the auns.
— Ix
* abdominal x ray
- increased gas shadows in the small intestine
- absence of the caecal gas shadow.
* Barium ename
- claw sign
*US
- Target sign
*CT scan
- Target sign
— ddx
* Acute enterocolitis
*Purpura with intestinal symptoms (Henoch's purpura)
*Prolapse rectum.
— Rx
- nill by mouth
- NG decompression
- IV fluid
- Reduction by hydrostatic pressure (anaesthetised infant)
- Other way of non-operative treatment is by pneumatic reduction
- surgery if needed
* the lowest part of the sausage – like mass is sueezed little by little, do not pull, the last part of the intussusceptions is the most difficult part to reduce and is gently compressed in a warm, saline- soaked pack, to lessen the odema.
* Resection of an irreducible or gangrenous intussusceptions and end to end anastomosis
— prognosis
* 2% recurrent in idiopathic intussusceptions. | 443 |
