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Ten tips on sepsis_induced thrombocytopenia.

An 8-year-old girl is seen for a routine health supervision visit. She is new to the practice and has not had recent medical care. She has no symptoms of illness, but her mother reports that her daughter’s lips have looked bluish for more than a year.  On physical examination, the girl is afebrile and appears well except for mild cyanosis of her lips and earlobes. Her weight and height are at the 75th percentile for age. Her vital signs are a blood pressure of 80/45 mm Hg; a heart rate of 75 beats/min; a respiratory rate of 15 breaths/min; and an oxygen saturation of 80% in room air via pulse oximetry, which increases to 84% with 100% oxygen by nonrebreather mask. Other than moderate clubbing of her ngers and toes, the girl’s physical examination ndings are normal.  Chest radiography shows an ill-de ned density in the left upper lobe, clear lungs, and a normal cardiothymic silhouette.

Iv fluids In shock pt (Newborn population)

Mx of Cardiogenic shock in PDA: 1)Fluid restriction 2)Optimal ventilation 3) Inotropic agent(Dobutamine) 4) PDA closure

Physical maturity scoring of Ballard's score

Popliteal sign (knee joint)