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Thyroid screen for congenital hypothyroidism, nowadays, is universal in industrialized countries .
It should be done at 3-5 day of life , not before that , due to transient neonatal hyper-secretion of TSH that mask high TSH level due to hypothyroidism .
بحالات ال IDA ، و بعد ما تنطي ال iron supplements لازم يصير reticulocytosis بعد اسبوع، اذا ما صار reticulocytosis ف لازم اتفكر ب
— thalassemia minor
— associated malabsorption syndrome that prevent iron absorption
— occult GIT bleeding like ankylostoma duodenale
Case of diarrhea and vomiting
After treatment :
1) if diarrhea persist and vomiting stop think about lactose intolerance.
2) if vomiting persist and diarrhea stop think about paralytic ileus due to hypokalemia.
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Triad:
♣ Triad of alport's syndrome :
•Sensorineural deafness, •progressive renal failure,
•ocular anomalies.
♣ Triad of Behcet's syndrome :
• Recurrent oral ulcers.
•Genital ulcers.
•Iridocyclitis .
♣ Beck's tried :
•Muffled heart sounds.
•Distended neck veins.
•Hypotension.
♣ Charcot's triad :
•Pain
•Fever
•Jaundice .
♣ Gradenigo's tried :
•6 Cranial nerve palsy.
•Persistant ear discharge. •Retro-Orbital pain.
♣Triad Of Hypernephroma :
•pain.
•Hematuria.
•Renal Mass.
♣ Hutchinson's Triad : •Hutchison's Teeth.
•Interstitial Keratitis. •Nerve Deafness.
♣ Triad Of Kwashiorkar: •Growth Retardation.
• Mental Changes.
• Edema.
♣ Saint's Triad :
•Gall Stones. •Diverticulosis.
•Hiatus Hernia.
♣Trotter's Triad : •Conductive.
• Deafness.
•Immobility of homolateral soft palate,
Trigeminal Neuralgia.
♣ Virchchow's tried :
• STASIS
• Hypercoagulabilty.
• Vessel injury.
♣ Congenital Rubella syndrome :
•PDA.
•deafness.
• cataract.
♣ Samter's trial :
• Aspirin sensitivity.
• Bronchial asthma.
• Nasal polyp.
♣ Osler's triad :
• Telangiectasis .
• Capillary fragility .
• Hereditary hemorrhagic diathesis seen in hereditary hemorrhagic telangiectasia.
♣ Bartter's syndrome:
• Metabolic alkalosis .
• Hypokalemia.
• Normal or decrease blood pressure .
♣ Weil's Disease:
• Hepatorenal damage.
• Bleeding diathesis.
• Pyrexia .
♣ Meniere's Disease :
• Vertigo.
• Tinnitus.
• Sensorineural hearing Loss.
♣ Melkersson Rosenthal Syndrome :
• Recurrent facial Palsy.
• Plication Of Tongue.
• Facial Edema.
♣ Parkinsonism :
• Rigidity .
• Tremor.
• Hypokinasia.
♣Cushing's traid :
• Bradycardia.
• Hypertension.
• Irregular respirations in increased intracranial
pressure.
♣Kartagener’s Syndrome :
• Bronchiectasis.
• Recurrent sinusitis .
• Situs inversus.
♣Hemobilia "Triad of Sandblom" :
• Malena.
• Obstructive jaundice.
• Biliary colic.
♣ Murphy's triad " in order" :
• Pain
• Vomitting.
• Fever.
♣ Whipple's Triad of insulinoma :
• Hypoglycaemia during attacks.
•Serum glucose <40 .
• Relief of symptoms when the glucose is
raised to normal.
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Cystic hygroma
🔹soft, painless, nonpulsatile and translucent mass
🔹70% associated with trisomies 13,18 & 21, Turner and klinefelter syndrome