LNN ACADEMY 🦠🩺💊

DMPA IM (Intramuscular) 🔹 Key Points 💊 Dose: 150 mg ⏱ Interval: Every 3 months (12 weeks) 📍 Route: Deep IM (Gluteal / Deltoid) 👩‍⚕️ Given by: Health professional ✅ Advantages Highly effective Long-acting contraception No daily compliance needed ⚠️ Disadvantages Requires clinic visit Injection pain possible Delay in return of fertility 🩺 DMPA SC (Subcutaneous) 🔹 Key Points 💊 Dose: 104 mg ⏱ Interval: Every 3 months (13 weeks) 📍 Route: Subcutaneous (Abdomen / Thigh) 👩‍🦰 Self-administration possible (e.g. Sayana Press) ✅ Advantages Can be self-injected Less pain More privacy & convenience ⚠️ Disadvantages Requires proper training Availability may be limited

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आजपासूनच

Developmental Dysplasia of the Hip (DDH) is a spectrum of disorders involving abnormal development of the hip joint, where the femoral head and acetabulum are not properly aligned. 📌 Definition DDH ranges from: Mild acetabular dysplasia (shallow socket) Subluxation (partial displacement) Dislocation (complete displacement of femoral head) 👶 Risk Factors Female sex (more common) First-born child Breech presentation Family history Oligohydramnios Tight swaddling practices 🔍 Clinical Features In Infants (<6 months) Barlow test → dislocates unstable hip Ortolani test → reduces dislocated hip (clunk felt) Limited hip abduction Asymmetrical thigh/gluteal folds In Older Infants (>6 months) Limb shortening (Galeazzi sign) Reduced abduction Delayed walking In Walking Child Limping or waddling gait Trendelenburg gait (bilateral cases) 🧪 Investigations Ultrasound (best in infants <6 months) X-ray pelvis (after 6 months) ⚕️ Management Birth – 6 months Pavlik harness (first-line) 6 – 18 months Closed reduction + hip spica

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