أطفال عملي

Neubilizer Indication — introduced inhalations of drugs 1) bronchodilators 2) normal saline 3) adrenaline 4) steroids

Spinal neddle Indication 1- anaesthesia 2- therapeutic 3- diagnostic measures for CSF examination 4- drugs - chemotherapy (therapeutic) 5- relieve of high CSF pressure in pseudotumor cerebri ( therapeutic )

Cafe au lait spot >0.5 cm size >5 number Significant

Ricket Fraying Cupping Widening of joint space

Hypochromic anemia Polychromesia Cigrate sign

Pectus excavetum Due to chronic dyspnea

Opsthitnus posture Tetanus

Cntral pallor ماخذ اكثر من 1/3 Microcytic anemia IDA

Malnutrition Marasmus

Hyper segmented neutrophil Megaloblastic anaemia

Marfan syndrome Thumb sign

Unilateral brachial plexus injury سويناله مورو وهاي النتيجة

X linked recessive

AR

AD All affected Male and female

Pitot spot Vit.A deficiency

Head lag Hypotonia

Hydrops fatalis

Hirshurnburg disease Dilatation of colon Study — barium enema Presentation | 1-delay passage of meconium 2- abdominal distention 3- constipation

السلايد النورمل لازم بي لمفوسايت الـRBC تكون 1/3 من اللمفوسايت حتى تقارنون بيناتها ويكون الـcentral pallor هم 1/3 من اكثر hypochromic اذا اصغر من 1/3 من لمفوسايت نگول microcytic ———- هنا ماكو central pallor صايرة سفركل Spherocytosis