stuff 🩷

2ABCD تسلسل 2NTL نتل كهرباء

Low set ears TNT 🧨 S2D مال راس الطفل عالمخطط

اذا نزلت نمونك لذني يفيدوكم؟

👑 Which syndrome is classically associated with a short neck? 🔹A) Klippel-Feil syndrome. 🔹B) Marfan syndrome. 🔹C) Thoracic outlet syndrome. 🔹D) Otofaciocervical syndrome.

👑 Very short fifth finger / clinodactyly is seen in all of the following EXCEPT: 🔹A) Down syndrome. 🔹B) Klinefelter syndrome. 🔹C) Turner syndrome. 🔹D) Marfan syndrome.

👑 Long neck could be seen in all of the following EXCEPT: 🔹A) Marfan syndrome. 🔹B) Otofaciocervical syndrome. 🔹C) Thoracic outlet syndrome. 🔹D) Klippel-Feil syndrome.

👑 A newborn is examined and found to have oblique palpebral fissures with epicanthic folds. Which syndrome is MOST classically associated with these findings? 🔹A) Turner syndrome. 🔹B) DiGeorge syndrome. 🔹C) Down syndrome. 🔹D) Noonan syndrome.

هسه عليمن البجي قابل اني حاطتها

🔹ICD = Inner Canthal Distance 🔹Distance between the inner corners of the eyes. 🔹OCD = Outer Canthal Distance 🔹Distance between the outer corners of the eyes. 🔹IPD = Interpupillary Distance 🔹Distance between the centers of the pupils. 🔹PFL = Palpebral Fissure Length 🔹Length of the eye opening from inner canthus to outer canthus on one eye. 🔹Quick idea: 🔹Telecanthus = inner corners look far apart → ICD increased, but the actual eye/orbit spacing is normal → IPD normal, OCD normal. 🔹Orbital hypertelorism = the whole orbits/eyes are truly far apart → ICD, OCD, and IPD all increased. هذي ممكن يجيبوها

🔹Tetanus toxoid / Td immunization schedule — easy note 🔹TT1 / Td1 → at first contact, or as soon as possible during pregnancy. 🔹TT2 / Td2 → at least 4 weeks after TT1. 🔹TT3 / Td3 → at least 6 months after TT2, or during a subsequent pregnancy. 🔹TT4 / Td4 → at least 1 year after TT3, or during a subsequent pregnancy. 🔹TT5 / Td5 → at least 1 year after TT4, or during a subsequent pregnancy. 🔹Important note: TT has recently been replaced by Td vaccine, with the same schedule. 🔹Easy memory: 🔹1st contact → 4 weeks → 6 months → 1 year → 1 year The second dose or any booster dose of TT can be given to the pregnant lady, if due, at least two weeks before delivery After delivery the remaining doses should be given as in the schedule

Minimum interval rule 🔹Between measles vaccine and MMR → at least 1 month. 🔹Between one measles/MMR dose and another measles/MMR dose → at least 1 month. 🔹Reason: severe reaction/side effects may appear around 2 weeks after vaccination, so we leave enough spacing. 🔹If child reached 12 months (his first birthday) and did not receive measles vaccine at 9 months: 🔹Give MMR, not measles alone. Any measles vaccine given before 9 months of age, such as during a campaign, should be repeated at 9 months of age.

rotavirus vaccine last does at 6 months any child older than this we dont give a dose of it

If birth weight is ≤2 kg: Postpone hepatitis B vaccine until baby reaches 1 month of age. Don’t start Rotavirus vaccine after 3 months of age. if baby older than 3 months and never received first Rota dose, do NOT begin the Rota series ❌

Child aged more than one year BCG vaccine ❌ مننطي

💎 Hepatitis B vaccine spacing — easy note 🔹Between 1st dose and 2nd dose → at least 4 weeks. 🔹Between 1st dose and 3rd dose → at least 4 months. 🔹Between 2nd dose and 3rd dose → at least 2 months. 🔹## Easy memory 🔹1 → 2 = 4 weeks 🔹1 → 3 = 4 months 🔹2 → 3 = 2 months 🔹## Mnemonic 🔹**“4 weeks, 4 months, 2 months”** 🔹Think:

4–4–2 rule for Hepatitis B doses.