Severity of Dehydration Other signs of dehydration • Sunken fontanelle• Dry mucous membrane Severity of Shock
Category: Paediatrics
History Taking Fitting Pre-ictal• ? Ictal• What are the ?• of seizure? • What did the care taker do to stop the seizure? Seizure aborted spontaneously?• How many ? Post-ictal• How was patient’s condition ? Other history • Any documented temperature?• ? Was was the last meal?• Reduced urine output?• Active? • Any ? • […]
Triaging in ED Primary triage • ? • The child is in / shock / life-threatening condition?• or non-infectious condition? =====💡 One the most important things at triage level is to determine whether the child is stable Differential Diagnoses Some common causes: Infectious:• Hand, foot and mouth disease • Measles• Herpes simplex virus infection • […]
Housekeeping • HO attempt for branula insertion / blood taking maximum is only 2. If unsuccessful, get help from MO (not another senior HO) Some Differences between Paediatric VS Adult Patients
Growth charts for boys Growth charts for girls
Warning signs • Lethargy, restlessness• Abdominal pain — abdominal tenderness & pain • Clinical fluid accumulation — pleural effusion / ascites • Liver enlargement >2 cm • • • Laboratory findings: Severity of shock CPG CPG Management of Dengue in Children (2nd ed, 2020) Take Home Message 1. Child must be touch touched, or else […]
Evaluation of background of newly diagnosed asthma Asthma control Severity of AEBA How to write diagnosis? Severity of AEBA + underlying for current AEBA ± background of asthma ± control of asthma Example 1Severe AEBA secondary to bronchopneumonia with underlying mild persistent asthma (poorly controlled) Example 2Moderate AEBA secondary to URTI with underlying newly diagnosed […]
Clerking a new case Admission ClerkingName + Gender Any underlying medical illness Any food / drug allergy Date of admission: ____Day __ of illness ===== Underlying Medical Illness1. ____2. ____ ===== Previous Hospitalizations1. ___2. ___ ===== History of Presenting Illness (HOPI) Any ? Any closed contact with COVID 19? Any recent traveling? – History of […]
Components of Neonatal Review in General ===== AgeGravidity + Parity + Gestational week HIV statusVDRL status ANC =====(Summary of) Birth History =====PROGRESS – Any fever / temperature instability?– Tolerating feeding? – Any vomiting? – – Other relevant questions to ask / check Examination findings =====PLANVentilation Feeding / Fluids Medications: Investigations: Other: Your Name & MMC […]
Vital Signs Heart Rate Respiratory Rate Blood Pressure Open BP Centile for Boys & Girls Blood Investigations • Full blood count• Renal profile