BASICS Refers to pain in abdomen severe enough to interfere with normal daily activities It is diagnosis of exclusion (all other serious conditions should be excluded first) It’s called migraine after it was noticed to be common in families suffering from either an abdominal or a head migraine. Children with an abdominal migraine have a […]

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INTRODUCTION Refers to pain in abdomen severe enough to interfere with normal daily activities. This is a diagnosis when all other serious conditions are excluded. Called migraine after it was noticed to be common in families suffering from either an abdominal or head migraine. Children with an abdominal migraine have the tendency to develop a […]

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  ACNE Can occur in infants and during puberty. Most babies do not need any treatment. It gets better over 6 months time. If any s/o infections or suspicion in a baby, do a swab for culture/ sensitivity and start oral flucloxacillin ( or clarithromycin if allergic) for a week   MANAGEMENT Early treatment helps […]

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CAUSES   INVESTIGATIONS Complete blood count/ coagulation studies Liver/ kidney function tests Urine analysis Amylase/ lipase Calprotectin (IBD) / Beta HcG ESR/ CRP Chest / Abdominal X-ray Ultrasound (obstruction/ free air/ kidney and Gallstones)   MANAGEMENT Nil orally Analgesics/ Antibiotics Surgical/ Gynaecological/ GI evaluation    

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Features Constant Peri umbilical pain changing to Right Lower Quadrant pain Localised abdominal tenderness/ Rovsing (rebound tenderness) PAEDIATRIC APPENDICITS SCORE     Scores> 8 ( could suggest appendicitis) Investigations Complete blood count/ urine analysis Amylase/ Liver enzymes C reactive Protein Amyloid A protein Abdomen X-ray Ultrasound Treatment Fluid resuscitation (Airway/ breathing/ Circulation) Antibiotics – Unperforated […]

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FEATURES/ DEFINITION Apnoea Colour change Abnormal tone Choking DIFFERENTIAL DIAGNOSIS- * from Dewolfe CC: review Pediatr clin north Am-2005 HISTORY Description of event/Duration Awake or asleep Position (prone, supine, side) Location (crib, bed) Bedclothes, blankets, pillows Activity at the time: feeding/coughing/gagging/choking/vomiting Breathing efforts Colour: Pallor/Central or Peripheral cyanosis. Abnormal Movement or tone Observations – a […]

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Are nasopharyngeal lymphoid tissue consisting primarily of B cells Encircles pharynx and includes the lingual tonsil, faucial tonsils, adenoids, and lymphoid tissue on the posterior pharyngeal wall   Hypertrophy features Age of onset: usually >2 years of age      CLINICAL FEATURES: Mouth breathing Foul smell from the mouth Snoring   Obstructive sleep apnea Rarely […]

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RISK FACTORS Congenital Adrenal hyperplasia Hypopituitarism on replacement therapy Prolonged steroid therapy or sudden withdrawal of treatment Dehydration Infection/ physical stress Injury to the adrenal or pituitary gland Surgery/ Trauma SYMPTOMS Abdominal pain Altered consciousness Dehydration/ Fatigue Fever/ Headache Low blood pressure Nausea/ vomiting Tachycardia/ Tachypnea FEATURES a) Mineralocorticoid deficiency Dehydration Hyperkalaemia Hyponatraemia Pre renal […]

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EFFECTS OF DRINKING ALCOHOL DURING PREGNANCY Alcohol is considered dangerous to the growing baby when in your tummy. There are very little studies regarding how much alcohol significantly affects the growing child, hence best bet is to avoid it altogether. Alcohol is easily dissolvable and ends up reaching the baby through the umbilical cord. The alcohol cannot […]

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How can I help control my child’s allergic condition? Allergic conditions like asthma, allergic irritation of nose or allergic conditions of the eye are long-term problems that annoy children. Using medications to control these symptoms may be helpful in acute conditions but is impractical to use it for several years. The allergic conditions are generally […]

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