ADRENALINE Reconstituted in 5% glucose or 0.9% Sodium chloride 0.1 ml of 1:1000 = 0.1 mg adrenaline Central line: 0.05-0.5microgram/kg/min To make up infusion dilute 0.3mg/kg in 50ml. Run at 0.5 -5 ml/hr Peripheral line: 0.05-0.1microgram/kg/min To make up infusion dilute 0.075mg/kg in 50 ml Run at 2-4ml/hr AMINOPHYLLINE Reconstituted in 5% glucose or 0.9% […]
Read More →Types a) Classical Inheritance- AD Major features Skin hyperextensibility Widened atrophic scars Joint hypermobility Minor features Smooth velvety skin Molluscoid pseudotumors Subcutaneous spheroids Complications of joint hypermobility (sprains, subluxations/dislocations, pes planus) Muscle hypotonia Delayed gross motor development Easy bruising Tissue extensibility and fragility Postoperative hernia Positive family history 2) Hypermobility Inheritance- […]
Read More →HISTORY AND DIAGNOSIS INVESTIGATIONS EEG After the second seizure After a first seizure in prolonged or focal seizures Child with neurological regression. NEUROIMAGING CRITERIA Children < 2 years In whom seizures are not controlled with first line medication A new or changing neurological deficit Neurocutaneous syndrome Developmental regression Focal seizures Infantile spasms/Myoclonic seizures […]
Read More →Benign, self-limiting raised erythematous rash over the body of newborn It is an allergic response Features Ivory coloured papules surrounded by erythema Confluent lesions Pustules may be present Generally Starts from 2nd to 4th day of life Involves all chest, face, back Lasts up to 2- 3 weeks Investigations If the child is […]
Read More →ERYTHEMA TOXICUM NEONATORUM Benign, self-limiting raised erythematous rash over the body of the newborn It is an allergic response Features Ivory coloured papules surrounded by erythema Confluent lesions Pustules may be present Generally Starts from 2nd to 4th day of life Involves all chest, face, back Lasts up to 2- 3 weeks Investigations […]
Read More →Based on incubation periods and duration of infectiveness. Chickenpox 6 days from start of skin eruption E.coli enteritis 2 negative stool samples Fifth disease (parvovirus infection) None recommended Haemophilus influenza b infection 48 hrs after start of treatment Hepatitis A <5 yrs- 5 days >5yrs- none HSV (cold sores / stomatitis) None Impetigo 24hrs after […]
Read More →DEFINITION Any one of the following Body mass index for age less than the 5th percentile Length for age less than the 5th percentile Weight deceleration crossing two major percentile lines Weight for age less than the 5th percentile Weight less than 75 percent of median weight for age Weight less than 75 percent of […]
Read More →FEATURES One third recur – most within the subsequent 2 years. Febrile fits are not a contraindication to immunisation. No need for EEG in recurrent simple febrile convulsions. CRITERIA FOR THE DIAGNOSIS Between 6 months and 6 years of age Seizure lasting less than 15 minutes Non-focal, generalised seizure, involving all limbs No severe metabolic […]
Read More →Antifungal therapy Amphotericin 3mg/kg/day.(max 10mg/kg/day) Teicoplanin (10mg/kg 12hourly for 3 doses then 10mg/kg once daily.)
Read More →Feverish Illness In Children < 5 Year Fever with hemorrhagic rash Meningitis Meningococcal sepsis Dengue fever C.M.V infection Enteroviral infections Septicemia caused by Serious focal infections Acute haemolysis Consumptive thrombocytopenia DIC Septic shock Septic acute renal failure Toxic encephalopathy Sclerema Causes of Prolonged fever Infectious causes Bacterial Typhoid Brucella Leptospira Tularemia Listeria Tuberculosis Abscess like- […]
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