Pediatric Tricks 🧑‍⚕️🩺

Treatment of complicated infantile hemangiomas with oral propranolol

Hypercholestremia

Lipid screening

🔸️Acute hemorrhagic edema of infancy ▪️ It is a benign, self-limited leukocytoclastic vasculitis that occurs most commonly in males. ▪️There are some criteria proposed to correctly identify this disease: 🔹️Age less than 2 years; 🔹️Purpuric or ecchymotic target-like lesions, with edema of the face, auricles, and extremities, with or without mucosal involvement; 🔹️Lack of systemic disease or visceral involvement 🔹️Spontaneous recovery within a few days or weeks.

✅️Case ▪️6-month-old, full-term infant girl was brought to the emergency department after 3 days of having an asymptomatic, large, purple-red bruiselike rash ◽️ The rash first appeared on the patient’s thighs bilaterally before spreading rapidly to her face, abdomen and lower legs. ◽️She had an episode of acute viral gastroenteritis that had resolved 1 week earlier, but she was otherwise healthy. ◽️An examination of her skin showed medallionlike, well-defined ecchymoses (2–3 cm in diameter) with surrounding erythematous edematous plaques affecting the face, periumbilical area and extremities ◽️Results from laboratory tests showed hypocomplementemia. ◽️ A biopsy of the patient’s skin found perivascular infiltrate with numerous neutrophils, some eosinophils, nuclear dust, abundant extravasated erythrocytes and hemorrhage.

Weight loss

Ataxia

Syncope

Vertigo

Adenoviral diseases according to patient population

Stages of acute acetaminophen intoxication

Acetaminophen poisoning

Acetaminophen metabolism

Insulin dosing in child type 1 Diabetes

🔺️Pediatric Most common 1️⃣ Most common  Congenital Pancytopenia = Fanconi anemia (spontaneous chromosomal breaks) 2️⃣ most common acquired cause of bleeding disorders in children is = thrombocytopenia 3️⃣ Most common hereditary bleeding disorder = von Willebrand Disease (vWD) 4️⃣ most common presenting sign  of  Hodgkin Lymphoma  = Painless, firm cervical or supraclavicular nodes () 5️⃣ Second most frequent malignancy in children; mortality 45% = Brain tumer 6️⃣ Most common Brain tumer =  Infratentorial Tumors (Classic site—cerebellum) 7️⃣ Second most common malignant abdominal tumor = Wilms Tumor 8️⃣ Most common site of Pheochromocytoma  = adrenal medulla 9️⃣ most common seizure usually present within 12–24 hours after birth= Hypoxic ischemic encephalopathy 🔟Most common Complication of bacterial  meningitis  is = hearing loss #Notes 📑

Lower gastrointestinal bleeding

Rectal bleeding

Obesity in children

Recommended antidotes in pediatric poisonings

Major causes of acquired aplastic anemia