QuickMed by Maemon

A 13-year-old boy with febrile illness develops acute confusion and circulatory collapse. Examination shows BP 74/32 mmHg, HR 156/min, warm flushed extremities, bounding pulses, capillary refill <1 second, and wide pulse pressure despite receiving 60 mL/kg crystalloid. Central venous oxygen saturation is 84%, serum lactate is rising, and bedside echocardiography demonstrates preserved biventricular systolic function with low systemic vascular resistance. Which of the following is the MOST appropriate next intervention? A. Start epinephrine infusion B. Start norepinephrine infusion C. Administer an additional 40 mL/kg crystalloid D. Start dopamine infusion E. Initiate milrinone infusion

A 17-year-old male is brought unconscious after being found near several empty medication strips. He is hypotensive (62/36 mmHg), bradycardic (34/min), and poorly perfused despite normal oxygenation. ECG shows sinus bradycardia with first-degree AV block and bedside echocardiography demonstrates diffuse myocardial depression. He shows minimal response after repeated fluid boluses, atropine, and initial vasoactive support. Which of the following is the MOST appropriate next intervention? A. Administer intravenous glucagon B. Give an additional 20 mL/kg isotonic fluid bolus C. Escalate to continuous epinephrine infusion only D. Start dopamine infusion E. Obtain urgent cardiology consultation

A 3-year-old boy is brought to the pediatric clinic because his parents are concerned that he is slower than other children in preschool. He can walk independently, run without falling, climb stairs with alternating feet, and speak in short sentences. He feeds himself with a spoon and can stack blocks appropriately. On developmental assessment, he is able to draw a vertical line but is unable to copy a circle or copy a square. Hearing and vision are normal, and neurological examination is unremarkable. Which developmental domain is MOST likely delayed? A. Gross motor development B. Fine motor development C. Language development D. Social and adaptive development E. Global developmental delay

A 38-week male neonate is noted to be jaundiced at 10 hours of life. The mother’s blood group is O positive and the infant’s blood group is B positive. Investigations show total serum bilirubin 21.5 mg/dL, hemoglobin 12 g/dL, reticulocyte count 10%, positive direct Coombs test, and findings consistent with hemolytic disease due to ABO incompatibility. Intensive phototherapy is started immediately. Four hours later, bilirubin rises to 23 mg/dL (rate of rise 0.4 mg/dL/hour), but remains below the exchange transfusion threshold of 25 mg/dL for age. The infant is hemodynamically stable and has no signs of acute bilirubin encephalopathy. Which of the following is the MOST appropriate next intervention? A. Continue intensive phototherapy alone and repeat bilirubin after 12 hours B. Administer intravenous immunoglobulin (IVIG) while continuing intensive phototherapy C. Proceed directly to double-volume exchange transfusion D. Transfuse packed red blood cells E. Start intravenous corticosteroids F. Stop phototherapy and reassess after feeding optimization

A 12-day-old neonate is admitted to the NICU with poor feeding, fever, irritability, and episodes of lethargy. On examination, temperature is 38.5°C, anterior fontanelle is full, and the infant appears ill. Lumbar puncture shows: CSF WBC 1200/mm³ (neutrophil predominance), protein elevated, glucose low. Neonatal bacterial meningitis is suspected. Which of the following is the LEAST appropriate intervention? A. Obtain blood cultures before starting antibiotics B. Start empiric IV ampicillin and cefotaxime C. Provide supportive management including fluid and electrolyte monitoring D. Administer IV dexamethasone with the first antibiotic dose E. Monitor for seizures and neurological deterioration

WIZARI A 4-year-old child arrives at the hospital in an ongoing generalized tonic-clonic seizure lasting 7 minutes. Intravenous access is failed. What is the most appropriate initial treatment? a. Intramuscular diazepam b. Intramuscular midazolam c. Intranasal phenytoin d. Rectal diazepam e. Intramuscular phenobarbitone

🔉رسالة الوصول السريعة لكل ما يخص الأطفال :- ١-الاسئلة الوزارية : اضغط هنا . ٢-اسئلة طب بغداد مقسمة : اضغط هنا . ٣-بنك الاطفال الكامل : اضغط هنا . ٤-ملخصات السستمات للمراجعة : اضغط هنا . ٥-شرح jaundice : اضغط هنا . ٦-شرح diarrhoea and dehydration : اضغط هنا . ٧-شرح جميع مواضيع الـ others : اضغط هنا . ٨-اسئلة ابن سينا مقسمة : اضغط هنا . Good luck and happy learning 🙏🏻🤍

السلام عليكم جميعًا ، أعلاه جميع مواضيع الـ others مع الملفات و الشرح ، شاركوها مع زملائكم الي لسة مقاريها واتمنى تكون بيها فائدة الكم ، اتوقع هذا آخر شي أشاركه وياكم بخصوص الأطفال نتيجة للالتزامات الي عندي وما اتوقع الحك اسوي محاضرات لان يحتاج هواية وقت ، ارجو المعذرة منكم جدًا 🙏🏻🤍 ادرسوا زين وتوكلوا على رب العالمين وان شاء الله الامتحان سهل وكلكم تجاوبون 🤍

🔉 Other Topics — Files & Videos 🚨 1. Shock 🎥 Video 📄 File 🛡️ 2. Immunodeficiency 🎥 Video 📄 File 🧩 3. Autism Spectrum Disorder (ASD) 🎥 Video 📄 File ⚠️ 4. Anaphylaxis 🎥 Video 📄 File ❤️ 5. Cardiac Arrest 🎥 Video 📄 File ☠️ 6. Poisoning 🎥 Video 📄 File 🫁 7. Emergency Pediatric Topics 🔹 Hypercyanotic Spells 🔹 Foreign Body (FB) Inhalation 🔹 Status Epilepticus 🎥 Video 📄 File 🦠 8. Sepsis 🎥 Video 📄 File