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  #11 (permalink)  
Old 12-02-2004, 06:32 PM
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Paediatric history taking

Paediatric history taking

· Begin with standard things: patient name, presenting complaint, history of presenting complaint and past medical history.
· Then ask BIFIDA:
Birth details and problems
Immunisations
Feeding
Infection, exposure to
Development, normality of
Allergies
· End by customary review of the rest of the standard things: medications, family history and social history.
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Old 12-04-2004, 10:27 PM
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Perez reflex

Perez reflex

Eliciting the PErEz reflex will make the baby PEE.
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Old 12-04-2004, 10:28 PM
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Septic Arthritis: most common cause

Septic Arthritis: most common cause

Staphylococcus Aureus is the most common cause of
Septic Arthritis in the pediatric population.
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Old 12-04-2004, 10:29 PM
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Short stature: differential

Short stature: differential

ABCDEFG:
Alone (neglected infant)
Bone dysplasias (rickets, scoliosis, mucopolysaccharidoses)
Chromosomal (Turner's, Down's)
Delayed growth
Endocrine (low growth hormone, Cushing's, hypothyroid)
Familial
GI malabsorption (celiac, Crohn's)
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Old 12-04-2004, 10:30 PM
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Guthrie card: diseases identified with it

Guthrie card: diseases identified with it

"Guthrie Cards Can Help Predict Bad Metabolism":
Galactosaemia
Cystic fibrosis
Congenital adrenal hyperplasia
Hypothyroidism
Phenylketonuria
Biotidinase deficiency
Maple syrup urine disease
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Old 12-04-2004, 10:30 PM
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Cyanotic heart diseases: 5 types

Cyanotic heart diseases: 5 types

· Use your five fingers:
1 finger up: Truncus Arteriosus (1 vessel)
2 fingers up: Dextroposition of the Great Arteries (2 vessels transposed)
3 fingers up: Tricuspid Atresia (3=Tri)
4 fingers up: Tetralogy of Fallot (4=Tetra)
5 fingers up: Total Anomalous Pulmonary Venous Return (5=5 words)
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Old 12-04-2004, 10:31 PM
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Cystic fibrosis: exacerbation of pulmonary infection

Cystic fibrosis: exacerbation of pulmonary infection

CF PANCREAS:
Cough (increase in intensity and frequent spells)
Fever (usually low grade, unless severe bronchopneumonia is present)
Pulmonary function deterioration
Appetite decrease
Nutrition, weight loss
CBC (leukocytosis with left shift)
Radiograph (increase overaeration, peribronchial thickening, mucus plugging)
Exam (rales or wheezing in previously clear areas, tachypnea, retractions)
Activity (decreased, impaired exercise intolerance, increased absenteeism)
Sputum (becomes darker, thicker, and more abundant, forming plugs)
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Old 12-04-2004, 10:32 PM
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Dentition: eruption times of permanent dentition

Dentition: eruption times of permanent dentition

"Mama Is In Pain, Papa Can Make Medicine":
1st Molar: 6 years
1st Incisor: 7 years
2nd Incisor: 8 years
1st Premolar: 9 years
2nd Premolar: 10 years
Canine: 11 years
2nd Molar: 12 years
3rd Molar: 18-25 years
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Old 12-04-2004, 10:32 PM
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Weights of children with age

Weights of children with age

Newborn 3 kg
6 mos 6 kg (2x birth wt at 6 mos)
1 yr 10 kg (3x birth wt at 1 yr)
3 yrs 15 kg (odd yrs, add 5 kg until 11 yrs)
5 yrs 20 kg
7 yrs 25 kg
9 yrs 30 kg
11 yrs 35 kg (add 10 kg thereafter)
13 yrs 45 kg
15 yrs 55 kg
17 yrs 65 kg
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Old 12-04-2004, 10:33 PM
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Rubella: congenital signs

Rubella: congenital signs

"Rubber Ducky, I'm so blue!" (like the "Rubber Ducky" song):
Rubber: Rubella
Ducky: Patent Ductus Arteriosus, VSD and pulmonary artery stenosis.
I'm: Eyes (cataracts, retinopathy, micropthalmia, glaucoma).
Blue: "Blueberry Muffin" rash (extramedullary hematopoesis in skin +purpura)
· Also, deafness, growth retardation, and some more.
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