BATCH 23 MEDICAL UST #دفعة الدكتور حسن العريفي
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Case 1:
Most likely bacterial meningitis
Case 2:
Most likely is craniopharyngioma because patient has a chronic headache,seizure about 20% on this disease.
Case3:
Most likely neuroendocrine tumor.
Case 4:
May be Hamartoma
Management of Diabetic Ketoacidosis (DKA) in Children
False ❌❌❌
Correct answer is ( B ) , Because this disease is vasculitis (IGa) disease, not genetic🤦♂
Put ✅ or ❌ and correct false answers?
1_What is Most common type of meningitis is septic meningitis .
2_Most common cause of meningitis on neonante is gram negative bacteria.
3_ most common cause of early neonatal sepsis is GBS ?
4_ neonatal meningitis developed signs &symptoms of ICP?
A 4 year old boy presented with left knee pain for one week associated with an abdominal pain and red urine, On examination he had a red swollen and tender left knee with limitation of movement he had also a truncal rash which was elevated from skin and non blanching with pressure and located mainly on the back
All of the following are CORRECT EXCEPT:
A_The rash is symmetrical
B_This is an autosomal disease
C_The arthritis is migratory
D_The prognosis is good
Case1:
A 5 year old girl presented with an early morning headache for 3 days with vomiting. On examination she had a high grade fever and one attack of convulsion ?
Wt is Ur dx?
Case 2:
A 5 year old girl presented with an early morning headache for 3 days with vomiting. On examination she had a high grade fever and one attack of convulsion?
Wt is ur dx?
Case 3:
A 5 year old girl presented with an early morning headache for 3 weeks with vomiting. On examination she had a sign of puberty?
Wt is ur dx ?
5 years old girl has headache for 3 weeks and red urine. On examination she was well, but her blood pressure was high Urine analysis showed cast red blood cell?
Wt is ur dx ?
Important note.
Marasmus & kwashiorkor occurs only b.w ( 6 to 60 months of life)
#What is your professional diagnosis?
GN
#What Invx you will do to the pt?
1.urine analysis :RBCs cast
2.ASO +ve
3.C3 and C4 decreased (but in postinfection C3 only decreased )
#What's the criteria of this cases?
1_haematuria
2_ hypertension
3_ edema
4_ Renal impairment
5_Oliguria
#What's the treatment? addmission:
1.observation and monitoring
2.ABX for eradication of infection (penicillin )
3.bed risk due to is risk for HF
4.ttt of odema: salt and water restrictions and diuretics fursimade (loop diuretics) 1-2mg/kg/day
4.ttt of HTN :diuretics, CCB as amlodipine, ACEI CI lead to decrease of Renal blood flow
5.ttt of oligouria :diuretics as lasix(bolus or infusion/hr ) follow up by urine output chart
6.ttt electrolytes disturbance :
hyperkalemia :ca glyconate to prevent arrhythmia, enter k to cells as...,k excretion as kayexalate.
hyponatremia :improve spontaneously after excretions of fluid
7.ttt of acidosis :NaHco3
#What's the complications?
1.heart failure
2.hypertensive encephalopathy
3.arythemia due to hyperkalemia
Repost from BATCH 23 MEDICAL UST #دفعة الدكتور حسن العريفي
سمنارات.pdf6.42 MB
أسئلة النماذج في مادة طب الأطفال.
#أطفال
#اللجنة_العلمية
#Pediatrics
Common Problem solving collection in pediatrics
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