Pediatric MCQ and Nots
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ام ليث خليفه has shared a file with you
https://acrobat.adobe.com/link/review?uri=urn:aaid:scds:US:ff5e9f34-bc4b-3f84-8f20-e1fe7be047ce
Iron deficiency anemia (IDA) vs. Anemia of chronic disease (ACD):
1- check ferritin (Frt):
Frt >100 = IDA excluded
Frt <50 = IDA is likely
Frt 50-100 = boarder line
(go to step 2)
2- check Transferrin saturation (T.sat):
T.sat >30 = IDA less likely
T.sat <25 = IDA is likely
T.sat 25-30 = boarder line
(go to step 3)
3- check Transferrin (TIBC):
TIBC elevated = IDA is very likely
TIBC is normal or decreased = IDA is unlikely
so far, the most sensitive marker to differentiate between IDA & ACD is:
sTfR/log10 ferritin ratio:
if > 2 = IDA
if <1 = ACD
Warfarin embryopath or fetal warfarin syndrome
characterised by nasal hypoplasia and skeletal abnormalities, including short limbs and digits (brachydactyly), and stippled epiphyses
Occipital encephalocele
if there is poly dactyly and cystic dysplatic renal abnormalities
this is Meckel Gruber syndrome
