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@Aroma_s1 كل من يرى هذه الكلمات أدعُ بصدقِ المخبتين المخلصين لأهلنا في غزة اللهم فرج كربهم وانصرهم خير النصر وأحسنه واخذل من خذلهم وباع قضيتهم؛ آمين.
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01 Media files | 173 | 5 | Loading... |
02 Red flags in the evaluation of infants with jaundice | 296 | 3 | Loading... |
03 Informative algorithm. | 345 | 6 | Loading... |
04 Phototherapy indications in full and preterm infants. | 340 | 10 | Loading... |
05 Arthrogryposis, also called arthrogryposis multiplex congenita (AMC), is a term used to describe a variety of conditions involving multiple joint contractures (or stiffness). | 343 | 2 | Loading... |
06 Media files | 435 | 2 | Loading... |
07 A 12-month-old boy is seen in the emergency department for cough, fever, and decreased oral intake for the past 2 days. He has had the normal number of wet diapers and no diarrhea. He has a history of hypoplastic left heart syndrome (HLHS), which was initially palliated with a Norwood-type repair and at 5 months of age with a bidirectional Glenn procedure (cavopulmonary anastomosis). The boy has been doing well since his last surgery and receives consistent cardiologic follow-up. The cardiologist had no concerns at the last clinic visit. His vital signs are as follows: temperature, 38 °C; heart rate, 170 beats/min; respiratory rate, 50 breaths/min; blood pressure, 95/50 mm Hg; and oxygen saturation, 67% in room air (average of 80%-85% since last surgery).
He is alert and interactive, with mildly increased work of breathing without acute distress. On lung auscultation, air movement is adequate and equal bilaterally, with mild wheezing and without stridor. He has well-healed surgical scars. Capillary re ll time is 2 to 3 seconds. The remainder of his examination ndings are normal. | 397 | 1 | Loading... |
08 #Prep_pearls
The rst line of treatment for preschool-aged children with attention-de cit/hyperactivity disorder is behavioral management. For those who continue to have a moderate to severe level of impairment with behavioral interventions, medication can be considered. | 412 | 1 | Loading... |
09 Age-Related Causes of Respiratory Distress. | 546 | 4 | Loading... |
10 Media files | 566 | 3 | Loading... |
11 The correct answer is pulmonary arteriovenous malformation
The girl in the vignette has asymptomatic cyanosis, digital clubbing, hypoxia, and a left upper lobe density on chest radiography. These findings are most consistent with a pulmonary arteriovenous malformation (AVM).
Chest computed tomography with intravenous contrast confirmed an AVM in the same area as the left upper lobe density.
All of the other response choices could produce cyanosis and digital clubbing, but they would involve additional signs, symptoms, or both. The girl has no chronic wet cough or diffuse radiographic changes to suggest bronchiectasis. She has normal growth and no symptoms of malabsorption or chronic cough to suggest cystic fibrosis (CF). Congenital cyanotic heart disease is unlikely with no symptoms of cardiovascular compromise, normal cardiac examination findings, and no radiographic evidence of a cardiac abnormality. | 718 | 1 | Loading... |
12 Nelson 22
We have a same concept in our Qur'an ❤️ | 589 | 4 | Loading... |
13 Pancreatic Insufficiency Differential Diagnosis:
• Cystic fibrosis
• Shwachman-Diamond syndrome
• Johanson-Blizzard syndrome
– Deafness – Imperforate anus
– Urogenital malformations – Dental anomalies
• Pearson syndrome
– Refractory sideroblastic anemia
• Jeune syndrome
– Anomalies of upper thoracic bones leading to respiratory compromise | 714 | 5 | Loading... |
14 Media files | 774 | 4 | Loading... |
15 Media files | 904 | 2 | Loading... |
16 Ten tips on sepsis_induced thrombocytopenia. | 818 | 2 | Loading... |
17 Media files | 745 | 2 | Loading... |
18 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. | 784 | 3 | Loading... |
19 Media files | 9 493 | 191 | Loading... |
20 Iv fluids In shock pt (Newborn population) | 933 | 8 | Loading... |
21 Mx of Cardiogenic shock in PDA:
1)Fluid restriction
2)Optimal ventilation
3) Inotropic agent(Dobutamine)
4) PDA closure | 926 | 6 | Loading... |
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Red flags in the evaluation of infants with jaundice
Arthrogryposis, also called arthrogryposis multiplex congenita (AMC), is a term used to describe a variety of conditions involving multiple joint contractures (or stiffness).
Of the following, the BEST next step in this boy’s management is:Anonymous voting
- blood culture and empiric antibiotics
- chest radiography
- peripheral intravenous saline bolus
- supplemental oxygen
A 12-month-old boy is seen in the emergency department for cough, fever, and decreased oral intake for the past 2 days. He has had the normal number of wet diapers and no diarrhea. He has a history of hypoplastic left heart syndrome (HLHS), which was initially palliated with a Norwood-type repair and at 5 months of age with a bidirectional Glenn procedure (cavopulmonary anastomosis). The boy has been doing well since his last surgery and receives consistent cardiologic follow-up. The cardiologist had no concerns at the last clinic visit. His vital signs are as follows: temperature, 38 °C; heart rate, 170 beats/min; respiratory rate, 50 breaths/min; blood pressure, 95/50 mm Hg; and oxygen saturation, 67% in room air (average of 80%-85% since last surgery).
He is alert and interactive, with mildly increased work of breathing without acute distress. On lung auscultation, air movement is adequate and equal bilaterally, with mild wheezing and without stridor. He has well-healed surgical scars. Capillary re ll time is 2 to 3 seconds. The remainder of his examination ndings are normal.
#Prep_pearls
The rst line of treatment for preschool-aged children with attention-de cit/hyperactivity disorder is behavioral management. For those who continue to have a moderate to severe level of impairment with behavioral interventions, medication can be considered.