Pediatric 🩺(Batch 18)

Document from Al-najar

د/سالم الليشمانيا

د.جمال iron deficiency anemia.pdf

Thyroid screen for congenital hypothyroidism, nowadays, is universal in industrialized countries . It should be done at 3-5 day of life , not before that , due to transient neonatal hyper-secretion of TSH that mask high TSH level due to hypothyroidism .

بحالات ال IDA ، و بعد ما تنطي ال iron supplements لازم يصير reticulocytosis بعد اسبوع، اذا ما صار reticulocytosis ف لازم اتفكر ب — thalassemia minor — associated malabsorption syndrome that prevent iron absorption — occult GIT bleeding like ankylostoma duodenale

Case of diarrhea and vomiting After treatment : 1) if diarrhea persist and vomiting stop think about lactose intolerance. 2) if vomiting persist and diarrhea stop think about paralytic ileus due to hypokalemia. ★★★★★★♥★★★★★★

Triad: ♣ Triad of alport's syndrome : •Sensorineural deafness,  •progressive renal failure,  •ocular anomalies. ♣ Triad of Behcet's syndrome : • Recurrent oral ulcers.  •Genital ulcers. •Iridocyclitis . ♣ Beck's tried : •Muffled heart sounds. •Distended neck veins. •Hypotension. ♣ Charcot's triad : •Pain •Fever •Jaundice . ♣ Gradenigo's tried : •6 Cranial nerve palsy. •Persistant ear discharge. •Retro-Orbital pain.  ♣Triad Of Hypernephroma : •pain. •Hematuria. •Renal Mass. ♣ Hutchinson's Triad : •Hutchison's Teeth. •Interstitial Keratitis. •Nerve Deafness. ♣ Triad Of Kwashiorkar: •Growth Retardation. • Mental Changes. • Edema. ♣ Saint's Triad : •Gall Stones. •Diverticulosis. •Hiatus Hernia. ♣Trotter's Triad : •Conductive. • Deafness. •Immobility of   homolateral soft palate, Trigeminal Neuralgia. ♣ Virchchow's tried : • STASIS • Hypercoagulabilty.  • Vessel injury. ♣ Congenital Rubella syndrome : •PDA.  •deafness. • cataract. ♣ Samter's trial : • Aspirin sensitivity.  • Bronchial asthma. • Nasal polyp. ♣ Osler's triad : • Telangiectasis . • Capillary fragility . • Hereditary hemorrhagic diathesis seen in hereditary hemorrhagic telangiectasia. ♣ Bartter's syndrome: • Metabolic alkalosis . • Hypokalemia. • Normal or decrease blood pressure . ♣ Weil's Disease: • Hepatorenal damage. • Bleeding diathesis. • Pyrexia . ♣ Meniere's Disease : • Vertigo. • Tinnitus. • Sensorineural hearing Loss. ♣ Melkersson Rosenthal Syndrome : • Recurrent facial Palsy. • Plication Of Tongue. • Facial Edema. ♣ Parkinsonism : • Rigidity . • Tremor. • Hypokinasia. ♣Cushing's traid : • Bradycardia. • Hypertension. • Irregular respirations in increased intracranial pressure. ♣Kartagener’s Syndrome : • Bronchiectasis. • Recurrent sinusitis . • Situs inversus. ♣Hemobilia "Triad of Sandblom" : • Malena. • Obstructive jaundice. • Biliary colic. ♣ Murphy's triad " in order" : • Pain • Vomitting. • Fever. ♣ Whipple's Triad of insulinoma : • Hypoglycaemia during attacks.   •Serum glucose <40 . • Relief of symptoms when the glucose is raised to normal.

Cystic hygroma 🔹soft, painless, nonpulsatile and translucent mass 🔹70% associated with trisomies 13,18 & 21, Turner and klinefelter syndrome