SIADH Cerebral disease ( birth asphyxia and meningitis ) Respiratory disease ( pneumonia and pneumothorax ) Suspected clinically when decreased serum na and decreased urine output occurs Creteria include 1) low serum sodium 2) urine Na loss 3) urine osmolality >plasma osmolality and 4) normal adrenal and renal function Treatment Restrict fluid intake to (IWLContinue reading “SIADH”
Category Archives: Uncategorized
jaundice treatment in NB
Jaundice Expose max surface area of the baby Avoid blocking the light by large diaper or eye patch, tape ,electrodes etc Minimize interruption of PTx Ensure good hydration and nutrition of the baby Make sure that the light falls perpendicular if the baby is on incubator (if wt < 2 kg ) Temporarily D/c PTxContinue reading “jaundice treatment in NB”
Ambiguous Genitalia
Ambiguous Genitalia Look for hyponatremia hyperkalemia Chromosomadl analysis 17 OH progesterone 11 deoxycortisol USG Abd and the inguinal canal to see internal sex organ and adrenals hypertropy or haemorrhage Testosterone/dihydrotrsttostrone ratio Genitography MRI to visualise Wolfian and Mullarian structures
Normal wt , Ht , Hc , BP as per Age
Weight At birth -2.5 to 4 kg 1st 4 months Wt inc by 3/4 kg per month Next 4 months wt inc by 1/2 kg per month Last 4months. Wt inc by 1/4 kg per month > 1 yr wt = age in yrs *2+8 Length At birth 50 cm At 6 month 68 cmContinue reading “Normal wt , Ht , Hc , BP as per Age”
HYPOTHYROIDISM Primary hypothyroidism which has low T4 and high TSHThyroxine binding globulin deficiency with low T4 and a low TSH. TBG concentration measurement should be done in such cases.Hypothalamopituitary hypothyroidism, which has low T4 and normal TSH.
Eneuresis Protocol
Eneuresis simple behavioural interventions and reassurance, with encouragement of the child to participate in changing bedding. Not drinking 2 hours prior to bedtime and micturating just before going to sleep are techniques used as a first reponse to nocturnal enuresis. After the age of 7 years, if these behavioural techniques have failed, an enuresis alarmContinue reading “Eneuresis Protocol”
Nephrotic Syndrome. 1) steroid Resistant: No remission after 4 week of presnisolone2) Remission :negative urinalysis on first morning urine for 3 consecutive morning3) Relapse :3+ proteinuria on 3 or more consecutive first morning urine4)Frequently Relapsing > 2 relapses within 6 month of diagnosis or > 4 relapses/year
Introduction For Autism (ASD)
Autism spectrum disorder (ASD) is a complex neurodevelopmental disorder affecting around 1–1.5% of the childhood population [1]. It affects all ethnicities equally, but males are four times more likely to be affected than females [2]. The exact cause is not fully understood but it is widely agreed to be the result of both genetic andContinue reading “Introduction For Autism (ASD)”
ECG readings for Wolfe–Parkinson–White syndrome
W Wave delta P PR interval short W Wide QRS complex
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