Pediatric Tricks 🧑‍⚕️🩺

Treatment of complicated infantile hemangiomas with oral propranolol

Hypercholesterolemia

Lipid screening

🔸️Acute hemorrhagic edema of infancy
▪️ It is a benign, self-limited leukocytoclastic vasculitis that occurs most commonly in males.
▪️There are some criteria proposed to correctly identify this disease:
🔹️Age less than 2 years;
🔹️Purpuric or ecchymotic target-like lesions, with edema of the face, auricles, and extremities, with or without mucosal involvement;
🔹️Lack of systemic disease or visceral involvement
🔹️Spontaneous recovery within a few days or weeks.

✅️Case
▪️6-month-old, full-term infant girl was brought to the emergency department after 3 days of having an asymptomatic, large, purple-red bruiselike rash
◽️ The rash first appeared on the patient’s thighs bilaterally before spreading rapidly to her face, abdomen and lower legs.
◽️She had an episode of acute viral gastroenteritis that had resolved 1 week earlier, but she was otherwise healthy.
◽️An examination of her skin showed medallionlike, well-defined ecchymoses (2–3 cm in diameter) with surrounding erythematous edematous plaques affecting the face, periumbilical area and extremities
◽️Results from laboratory tests showed hypocomplementemia.
◽️ A biopsy of the patient’s skin found perivascular infiltrate with numerous neutrophils, some eosinophils, nuclear dust, abundant extravasated erythrocytes and hemorrhage.
🔸️ Dx acute hemorrhagic edema of infancy

Weight loss

Ataxia

Syncope

Vertigo

Adenoviral diseases according to patient population

Stages of acute acetaminophen intoxication

Acetaminophen poisoning

Acetaminophen metabolism

Insulin dosing in child type 1 Diabetes

🔺️Pediatric Most common

1️⃣ Most common  Congenital Pancytopenia = Fanconi anemia (spontaneous chromosomal breaks)

2️⃣ most common acquired cause of bleeding disorders in children is = thrombocytopenia

3️⃣ Most common hereditary bleeding disorder = von Willebrand Disease (vWD)

4️⃣ most common presenting sign  of  Hodgkin Lymphoma  = Painless, firm cervical or supraclavicular nodes ()

5️⃣ Second most frequent malignancy in children; mortality 45% = Brain tumer

6️⃣ Most common Brain tumer =  Infratentorial Tumors (Classic site—cerebellum)

7️⃣ Second most common malignant abdominal tumor = Wilms Tumor

8️⃣ Most common site of Pheochromocytoma  = adrenal medulla

9️⃣ most common seizure usually present within 12–24 hours after birth= Hypoxic ischemic encephalopathy

🔟Most common Complication of bacterial  meningitis  is = hearing loss
#Notes 📑

Lower gastrointestinal bleeding