Postagens do Canal Pediatrics "د.الجعكي "2024

Dehydration management (illustrated textbook)

The following is correet regarding toddlers diarrhea
a- More common in girls
b- Could be due to carbohydrate malabsorption
c- Associated with failure to thrive.
d- Presence of undigested food in the stool is helpful for diagnosis.
E- Specific treatment is available.
د عبدالرحمن الجعكي

. Regarding causes of bloody diarrhea; the following statement is incorrect:
a. Shigellosis.
b. Entamoeba Histolytica infestation.
c. Giardiasis
d. Cow's milk protein intolerance.
e. Campylobacter infection.
د عبدالرحمن الجعكي

#Pierre_Robin_sequence
is an association of
1-#micrognathia posterior
2-displacement of the tongue (#glossoptosis) and
3-midline cleft of the soft #palate.

#Associated problems:-
1-difficulty #feeding
2-as the tongue falls back, there is #obstruction to the upper airways, which may result in cyanotic episodes.

--->the infant may need to lie #prone, allowing the tongue and small mandible to fall forward.
#Persistent obstruction can be treated using a #nasopharyngeal airway. Eventually, the mandible grows and these problems #resolve. The cleft palate can then be repaired.
د عبدالرحمن الجعكي

A 4 weeks old baby boy presents with a history of vomiting after every feed. On examination the patient appears dehydrated.
. Which of the following is not suggestive of hypertrophic pyloric stenosis?
a. A palpable mass just above and to the right of the umbilicus on feeding test
b. Hypokalemic hypochloremic metabolic acidosis
c. Hypokalemic hypochloremic metabolic alkalosis
d. Projectile vomiting
e. Visible gastric peristaltic movement

#Infantile #pyloric #stenosis

• More common in boys and those with a maternal family history
.symptoms :Non bilious projectile vomiting-hungry after vomiting-signs of dehydration.

• Signs are: visible gastric peristalsis, palpable abdominal mass in the rt upper abdomen • •
• Associated with #hypokalaemic ,#hypochloraemic #metabolic_alkalosis•
* Diagnosis usually confirmed by ultrasound
• Treated by surgery after rehydration and correction of electrolyte imbalance

Duodenal atresia"
(1st day with bilious vomiting)

**Remember 4D's:-
1.Duodenal atresia,
2.Double bubble sign on Xray,
3.Asso. With Down's syndrome,
4.Duodeno-duodenostomy (urgent surgical correction)
د عبدالرحمن الجعكي

محاضرتنا اليوم المباشرة تكمله لمراجعه المواضيع المتبقية لشبتر respiratory ان شاء الله
Pneumonia-br asthma-cystic fibrosis.
من الساعة 8:00-9:30
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تم تنزيل محاضرة مراجعة respiratory الاولي .

اليوم ان شاء الله المحاضرة المباشرة لمراجعة شبتر : respiratory system
التوقيت: من الساعة 7:00-9:00 مساءً
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