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Author13 Posts
  #1

-Surgery for cleft lip ; Rule of 10 (age10wks, weight 10 lb, Hb10)

-Tx for tet spell of TOF: Knee chest position, phenylepherine drip, oxygen

-To know if TOF pt is in trouble: check O2 oximetry (E.g., pH 7.38> ok, but if pt has metabolic acidosis> means not enough O2 to tissues)

-Normal newborn Hb is 50. Polycythemia >65. Conginetal cyanotic disease of polycythemia (twin-twin transfusion, Intrauterine hypoxia, DM infants) mostly asx but can get stroke. Dx : heel stick blood. Tx: partial exchange transfusion (taking whole blood out n putting in saline)

-Reactive Mantoux and positive CXR in 2 yr old, next step? Early morning Gastric aspiration to id acid fast bacilli swallowed at night.

-As a general rule gm-ve organisms need to be covered with 2 antibiotics. E.g, CF pt w/ pneumonia (suspected pseudomona infect) needs 2 IV drugs w/anti-pseudomonal activity like ceftazidime & tobramycin; an alternative combo is ticarcillin & tobramycin. Adjunctive tx w/chest physical therapy & bronchodilators is also used.

-Precocious puberty w/ normal ht & wt, next step? XR of head & wrist

-Tx of hypophosphatemic rickets: combined oral phosphate & 1,25-dihydroxyvitamin D3

-Short PR interval & delta waves w/ slow QRS upstroke : Wolf-Parkisnson-White syndrome. Tx: ablation of bypass tract

-Neuroblastoma: small round cell tumor w/ Homer-Wright Rosettes

-sickle cell pt w/ dilute urine & dehydration : think secondary enuresis

-Decrease C3: SLE, Membranoproliferative GN, Post strep GN

-Alport syndrome: X linked D, AD, mutations; biopsy> glomerular sclerosis, lamellation of basement membrane (onion layers w/breaks)

-Most common cause of non-anion acidosis in kids: diarrhea

-Bartter syndrome: (opposite of renal tubular acidosis type 4) hyper-renin, hyperaldosteronism, hypokalemia, normal BP, Jexta-glomerular apparatus doesn’t work, hypocholeremic metabolic acidosis

-Most common cause of ARF in kids: Hemolytic-Uremic syndrome

-No stool pass in the nursery: think CF, kid of DM (microcolon), Hirshsprung

-All kids w/ rectal prolapse should get a sweat chloride test

-Werdnig Hoffman : AR, survival motor neuron gene (SMN) 5q13

-Pes cavum: high arched foot, peroneal muscle atrophy, recurrent ankle sprains

-Allelic expansion ( I allele has too many copies) seen in Fragile X synd, myotonic dystrophy, Huntington’s chorea




  #2

YAR (yet another review) from you!
Gr8 job :!:


  #3

MOST OF THE REVIEW STUFF SEEMS TO BE ANSWERS OF THE QUESTIONS OF Q BOOK. aNYWAZ GOOD FOR REVIEW BUT NOT GOOD FOR PEOPLE WHO HAVEN'T DONE Q BOOK AND PLANNING TO DO IT NEAR FUTURE

"losergirl" wrote:
-Surgery for cleft lip ; Rule of 10 (age10wks, weight 10 lb, Hb10)

-Tx for tet spell of TOF: Knee chest position, phenylepherine drip, oxygen

-To know if TOF pt is in trouble: check O2 oximetry (E.g., pH 7.38> ok, but if pt has metabolic acidosis> means not enough O2 to tissues)

-Normal newborn Hb is 50. Polycythemia >65. Conginetal cyanotic disease of polycythemia (twin-twin transfusion, Intrauterine hypoxia, DM infants) mostly asx but can get stroke. Dx : heel stick blood. Tx: partial exchange transfusion (taking whole blood out n putting in saline)

-Reactive Mantoux and positive CXR in 2 yr old, next step? Early morning Gastric aspiration to id acid fast bacilli swallowed at night.

-As a general rule gm-ve organisms need to be covered with 2 antibiotics. E.g, CF pt w/ pneumonia (suspected pseudomona infect) needs 2 IV drugs w/anti-pseudomonal activity like ceftazidime & tobramycin; an alternative combo is ticarcillin & tobramycin. Adjunctive tx w/chest physical therapy & bronchodilators is also used.

-Precocious puberty w/ normal ht & wt, next step? XR of head & wrist

-Tx of hypophosphatemic rickets: combined oral phosphate & 1,25-dihydroxyvitamin D3

-Short PR interval & delta waves w/ slow QRS upstroke : Wolf-Parkisnson-White syndrome. Tx: ablation of bypass tract

-Neuroblastoma: small round cell tumor w/ Homer-Wright Rosettes

-sickle cell pt w/ dilute urine & dehydration : think secondary enuresis

-Decrease C3: SLE, Membranoproliferative GN, Post strep GN

-Alport syndrome: X linked D, AD, mutations; biopsy> glomerular sclerosis, lamellation of basement membrane (onion layers w/breaks)

-Most common cause of non-anion acidosis in kids: diarrhea

-Bartter syndrome: (opposite of renal tubular acidosis type 4) hyper-renin, hyperaldosteronism, hypokalemia, normal BP, Jexta-glomerular apparatus doesn’t work, hypocholeremic metabolic acidosis

-Most common cause of ARF in kids: Hemolytic-Uremic syndrome

-No stool pass in the nursery: think CF, kid of DM (microcolon), Hirshsprung

-All kids w/ rectal prolapse should get a sweat chloride test

-Werdnig Hoffman : AR, survival motor neuron gene (SMN) 5q13

-Pes cavum: high arched foot, peroneal muscle atrophy, recurrent ankle sprains

-Allelic expansion ( I allele has too many copies) seen in Fragile X synd, myotonic dystrophy, Huntington’s chorea



  #4

thanks. Keep em coming. I don't plan to do Q book.


  #5

thanks what else r u reviewing ?


  #6

Childhood Developmental Milestones -VIDEOS!
If you don't have kids of your own, check out these videos... They have a good description of month by month development.

http://www.babycenter.com/videos/view/#videoplayer
(Scroll down the video list -next to the player on the right to DEVELOPMENT)



  #7

I think bartter syndrom lead to metabolic alkalosis not acidosis


  #8

Mike99 wrote:
concur
hypokalaemia, alkalosis, normal blood pressues ,elevated renin and aldosterone.


BP in Bartter Syndrome is low or low-normal


  #9

well done
thanxxx


  #10

Great Review Forum Guru, Thanks !!!


  #11

dat was really gr888


  #12

'' no more a loser '' thanks a lot for such a nice post !


  #13

Good post "no more a loser"

To add to what DrVirgo mentioned, I would like to add the name of the cartoon book "Haikais in Pediatrics". I found that it made learning developmental milestones a breeze. This book is relatively new so I didnt get a chance to use it for Step 2. I found it absolutely fun sticking out tongue (those who read this book will know what I mean) and invaluable for Step 3 which I took recently. The cartoons kind of pops out in the mind while reading the questions making memorization kind of redundant. Its also very easy to read and repeat several times.

For those who arent into pediatrics I highly recommend this book.





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