& oy) ( 2>yIl a_i foe (Jlabo cs Shaly Jcall) CSjbMnc Gms © <¢ TheKe. oppliGtion yg. 03 enh 4. Pediatric for Gp cithe z ; Se Wirikben by: Gel fod . Se e eS e € € € & € 6 s 6 « e= Antibiotics x All injection antibistics are vial Ges ciaonn) » All orl antibiotics ac Surpension (Gras ayo5:) » All injection antibiotics Can be given IV or IM except: + Amoxicillin . Clawboe CAvsmectic\} a) only > Ben2athine ¥ padain penicillin —» IM only * Not + Sive :- ~Tebracyclwe & chloramphenicol =p net. beflre ‘7 years Pl Calle Giga he gh » Quoolones =p Not before 16 Yeacs. oul hoe aa % Luretion ;( Resistance P. Be Ada: per Zola x pharya ides » Tonsillitis x Bronchitis + Gastoenhitis a» pneumonia. , x Sinuvitis + Ottis Media x Typhoid Fever. x Dose Bo: deo mg Kg Jay a a wlooblpal pose asy> (cose iar| utr a7 Sn A) Nasla ¥SG -ve & Gre: (ae lys Gale) abl be esl boGil (vegina anal Gnal. _mouth — nose -eye ) ew! elas (bronchitis. phacyagiis —toasillirs - SicuitisON) LRT Jy BG ve. > GE c UT Geiss eae & Gwe: Pneumones. oeeene& $ & & "oil: 375 __760.- \oo ng (Ho'em) Aey3] 1 150 rg Kg Icha Oral-|-p » Ast Generation Loucce ] CurisoRe “i {\2\hr sgl i950 - Goo ry mq, AgygJl: 25 5a me! Ky Iday % Azithromycin LxiPhron | Zismoin | 2ithronar | [ops Se Lc pl: Leo rag mg age)! : de Ig | doy Cust /4 J Q) 2 .. mL = a SrsIX dose x Jal Ceti A 5 aa Sem Tupper fea track tnPeckioa: Cpherjngiis = Tonsiltis — Sinusitis ort] [Iv] 5 Unictam [ Unasyn | [ Sulbia /12hr => =) =~) =) ~ =) > 2 > = > > » 5 = , )j (Sl wd, (3) els clube _ [ Hibistic —/ Augmnentio | Megamox | Curara] 3). 3 156 ei 2 ey am 457 Gt Dose. 245 bo mg ly Ido (8hr. ceo ggneretron (Ceclor) [\2 he. iz 125 . 260 m Bey} 20 - do mg/g Idox Lower reapiraby tack mieckon & Gashoentcitis « * rd Generabioa C EGofotx = xorin] /IDhe ¢ Leong! day. [Ceftriaxone =Cefaxone}] / Me ¢ Se mg Maldag. Salil 21 2512! 19ool alone Oral |__, + Suprax . sgl + doo mg aoy2)) B mg (Kg (day > /12he, ® — le XS OC SS.C.06 OO. 5.0 OFAS) olen : Une : son Biyall Clactthcamy Sees) Pneumonia. s eopecially Ast Year” + HH. pylori Iiew ciao mg 15 mg IK Ica(5) fever 8 fever allabcset Sree dal t 32>—7g aC? obec PSG sale gh 1) W Suckl.g power 5 Cows eye cel) do = 03) dS Avi bi 2G, 5 eal) Caan awicpaliy759 Clale y4a% gl — oc Appetite G Sie) dD Ackuity Scale spas cele 3) ys) oo clas ol ouall Peoctenol —_, _, orl slp ol NB: fever before 3 months js Seprtecemias dll Proved otherwise ——» Antibiabc » fevec gh. __, Aubieee ie Aatipyreti cs: Cpe) q Mpove_ 39° Cesrdlgée Below BIST BM coos oh te flee elon cALaill sjosl Geog! 2. oa = ie lg gg gg gg po EE KKEEKEREREREfeiss iy 2 a) Aes is rele + Corgallls Gadd) cx hel ky, Cell Yem — peal | CHasapy ; D paraceburel : [ pyral /abimel_/.Celal / Lemp acetaminophen ] UL6 faa Sles J) p shal aha: bully Ee e/a ee 3) (Ess Kgl!) al 12 {2 0) eee “for adult : (pecfelgan Vial doo rae u poser 2 (Wb pal I_joul i) Tbuprofen ( ygn— & » a1) ord. 8 ol 1 asl / Morcefea] _. coapillllins Ave Goa 2 also oo a = => = = = = > > 3 = > > > ) )(7) Gi pat JF Ge cyie B93 Es ge x Diclofenac No x DiclePenac K mataly aatipyrekic aly es —Welphin lam — Voltacia ie Gain Past ee a —Oflam 25 5 Seay _ Declophea aAMp- = a—ayJl /pel] Shai, ball fic fai ye oie ine, ( Aatiayretic >) pull. Pac 4 b> Odes Cie ST 4 Facacelamel Paacetamel. Parace barrel or or Bullen Bafen or DicdePenac Coie ny Ss. wal Wb rapemmert Sart. fol ad Kee fae Cg. , ge 6: 6S EGG EG AE RS KS SG:Febrile Faenrtl sio. eo Fever 4 Conuulsions— a (ears lend) aAcAsls> <— CUT 04 ange Gib 49 fs) a 5 Ey Ns ri pai dor (astalJis) ale asd BEG pes << Respiratory Systems d =p Common Cole vivus 4 Olaiol — ast tr - he (a Noe BN) dsl Tonsils be 6a) Teasils 5925 (al Blvs. pore Secrehions a (Congestion BN aos) Vicon ey a _rcse HAE UI Aragesic antipyretic + Denes ce pera ac es Paracetamel + BruPen + DiclsPenac NID cennesdaat local decongestant : fon b be ppt a8 aoe odWds —Obrivin boboy Saline — Otrivia _pecl. deops -alrivin adull dea ~_Solinex —Afida pec. deops -Afeta adultdeop eae ~thadin ped. doops (Ab te» Gelaylly 1 fs) cul Soc) Ci 5A oem poate li all aol as ol ape) Ia aes oe oral decongestant + — Congestal syup : ie up ss = — Delo 259 ee? tee I arene es MOAI asthma aaa hmv VCUOC SCC EC SUES© SaPe ftom ast d. -lelfast Claciti ne Syoup of fe n +@ctee drops \orakidane. Syeup Lsyeup ers fenistiL ie $s dio GS see Callow CRenisil Gere) Gy) Ys pol / ahs, bill 22 sp ; To Je Azali ee eee [J Nasol Gcbosteoids : PG 2 tpl gaa Bh *Becle nasel. Spray Pecans fel, d gan Glys acl IC / coil Boos K/ ae I] Most Cell stabilizer 3 NaSctal nasal dmps CVE lesloadas Bi Mic Risadis sk Co cul le Sp e > Cpt at Val Caer A p+ 2p Sa! By ee arigl Sab oe 3 ses Ce nas alee Post History galea top & Paaily History C5 pare Pi Pele jerk ala Sb oa) T Avoid Exposure 4 pds faders. a Gal o Katihistaminics 5 ae TS a enistil drops oe = iE st F P ¢ € ¢ é 6 € 6 6 6 € é 4 ‘ 4 ‘ a— . ~-~~"“**S8GGSSQECE => Sinusikis — a eh oll lad) tary momiaig 4 midnight 3 abtadks ae auth Mucepunbeat nasal dischage © posterior nanal_ di erry alangos deyortasoc 2+ (anhibbicic ELS) oars a eel PY) bs) sl Fever Jeel_ aie glia oA. Headache :a,5 5 ot Saat (G3) ssi Co es 2 ap (3) aa le bb all sl LH) Analgesic antioyrehic = €all [2] Deqagestaat Lord ¢, local 1 ee }_Ankibictic __,» URT (C@yr2) Li 5 a. WMucelylic. _C Altweat! «| Macesel._( asipect) at te eke Ex. potent ; to Kg @ Cough ¢ post. naral discharge Temp RSS KR, Dalphin suppository opt BIL patel Yl gel Re: obrvin ped. drops Pec Witter ttc, atilis Media Ee Jace hice Lae Tensilts cuTT c¢ OM.:P [elonle Gavulsions aN rt pa Woy cs bogey baulide G2 ws essGis) SoS }5 ap yoo History S fe 309 Crip ta Antibiotic CurT => G sue) a: Ell Gel | oto Ul ai) Te [Fal Analgesic. antipyrcbic Tl Decangestact Caral_g Local) €x: 12. Ka Ternp. 39,5 K 1 Voltarea amp. ¢ ¢ sag ad ie WY ee o Dolphin Supp is\_ i SN Gofal Rs Apia ped. anal deops es IA 9, ati eer ok f+ — Augmentin 60 vial. boo. = Be XI2_ Gey We, pest, eke acl_IO fay Aad) os R Aigmenkia 23a Suopeasica 7e.4 aS be pall fo Coon an. Typ) te=> Tonsilitis Nat before 4 year” _— ocala § theckecial oc Virol __j_ 1 Gry's Salaealg bacterial 27> Abockvity Glam & W appetite Guiles TTenqua dePrersoc : pur 9973 Se | Ag) obsdominal pain %& ranting EN op Bi laal ‘ pes ai azh ‘ Pea RX Gh | venpicclaes bsG~ lub col anieeleiee = Analgesic anhiayrekic <> Gaul LPLIN ob] Antibictte el & Ly. ff aD Ky fe Tonsilitis & pua | Temp. 335° Ru Brupen Syx o- SUL. 84 db extic Ry Durace) Surpension 250 mg Qa) ob Selo Kalb _eoo =p Adenoids : od 3 jarss oS POG, «. Nana olostruction... (ess Sole ¢ recurrenag\,505 6 Gi fen a eee oa pate ale ope ete Analgesic. anti bi gredic. eta Lecal Deca extant | Anti cdem Madilare Syrup Tt 0p=p Strider i i Tenqus Bzeect : So) are also « (epidbotts Jos Sad Sb. 642, pon inspidog Sound» Shock Jar oSe raspicakery & expiratory Arrest, M Assen Grade 1 = wilh exercise. DBs At rent TW: @ Reboction VN 3@ Cyanosis ER, Dea, (8mg fmt) _, IV. or IM. 23-26 mal Ky Single dose. oc_[- Lem /- 40 Kg J —» Inhalahion seks + Adrenaline (5 rng lity) cioalgcl case Celed pat] Poleicoct Ct Hgalt. Cal os Cell dpaty (5) Home treatment ; + If fever: _Antibiche LG sve] + —Predsol. ( et) ozs(tlo ab pe iilaml ane (ue a 2) 2d 53 Kl N ob NB: 5 tf bey history Fagen loaly idholation is Suopected or No renpoase to inhalation sets Cheat neil -> Recuneat Stedor __» \ontzed Gi or ENT rePer hl ln ew a ok } 6 66:4 BE 8.6 OE=> Acide epigletists 1) Severe. upper aia olostruction ; 2) High qacde Leer i 2) opentsg of madh ¢. profudad tongue ae Drppig ae Saliva A. leaniay fectierd.. AR: Ry Codicstemid ftv or. IM]: Dexa amp [tem / dag] Rt Adrenaline [inhalation Sek] amp | 2 cen Sabie Cpa §) adrenaline amp. p—o 9c Bceaes Gorn, ins, 5) pls fen No a alzS\ 25 GsyMNoes sols CSL pil sl ey 95 2) Home treatment : Ry _Antibitc Rr Precliol Ru. NapeZal | itheler — = aa ele pe So. cde pve [orbits — je) Goss ale Joints = = = = = = = ==p Bradys : ~ Fever = Cough — Vomitigg telated to Gogh azo Galas, o> Le ae Ae SidUnen Bolle l ale bape eee Sinuoibis) e211 YR PND ge Tongue deproor » = Byul) Ry Aralgeove oT > Balen GX paracetamol. tant] R, Pee CG +ve) Ri Cough 2? 2 Og 2 Produckive ¢ Herbal; Balsam Syeup smucglyhic + Expechorant: sah Gawafa Syup Alweatine! P / Sinawet & 2 Hera ugh Syup Sp ¢ Gor Alveolin syrup + brona hodilator + Bipectorant: ¥ EAS Sinady Syup “Ventolin | Bronchoveat (¢g Vij BroadhiGum Syrup Qyep oO Bus) Cough Sead suppositoas x brnchodilabor +Fxpedra ak a Yar hoes TC, Chemial; Selegon syupP Allwent _/ osipeck Silomot Syup Sywp pais Tuasilac Sy \5, pista: lolip ae Z calor Codilar Syrup Ts45 — Codaphea SyuP Tah\e Gy) 3 sigpasion oe ee Oo ee &Lig eo oe a ae 7 er hae (46) 2.5 Gall, Crea val yo Siar oh Hh @ Syne, | pul sjb s.obl yor 5 S ha 2 ae si] cso @ csi anger daltis SUo Bab Cabo pall a Sefton 5 Sallbulamel. _/ Sollbovent / vento Line . Ry Oral Gchicasteraid. Apidone eZ Edotios i] i phenaclonc | ae Vendexina— cy 12.9 produckive Gugh : fevec History : Gamo Cold. R, Cetal a cil AK db eat Duracef? suopension 250 mg ic - ° a ataie Beh pa RR, Alllweat - ell Vyas ble put ,_Selegon osike K a es ae Allveat caiy, Quccel C259 iT blo 3D Fug — Gt cag — Walls @ Zia Ry Solloukamd. Syrup clan § Plivenk Srg>52 0% JSothis Goiol, Re: A sdone. wp. ol. Lae : ii “ ome Calous Taal voice@7) => Bronchal asthma: we. Pi ie ee CBxj ww opup 2 csgSall oS hs Gl B22. ale Sly. FACIE err Weis rele. LL! (expiratory dyad) eG EG SE NEE, ER :_ ansen Respirakory Dishreas ; = ae ¥ q v 4 aL 4 oo we Tachypnea. Rebracton Geantiog Gyanosis Inhalation Sets aa + Ott} eb eashb Cb ope poly tle ay Galo Yon oss (Mex. bLbr) exbauls ob Gye J anpiratron ord San tslice Colulcll Gs daloyll ggrony kk No reapense : FoF Cpl del) Ine Sel BPS ell Salumedeal. 500mg [1mg/ kg! day] oye gilig tae) ( fo jal pro + [I oto fre SYS) peicakr nic. C7 ) ob. 5 lia [Monitor Hypotension](18) ee we eel Cee | ee ; Se a Double bronchedilator : Airony L Allveat epicaphylle [12h Ventolin Osip ect minapleflline Suppesi oa Jet x» Goaliceslecoid, predsel eae me, ss (cstwn 6) peealsa fete % Cee lo ob x Pabituosive Ta ? Lp Wet ? x Anti histamine Gf é Sneed: or Chinanth All <ém. 6en_y ty Diy. Levohistam drap Zyekee Sycup cobeuta (arc5/) Fy ys Ob oz ol Vaal fs paler foal js edybcle one} enna a) i\ 1 eonaee pelo = GN A heen c! Melle mecha Sey stdso all decHl Joo | Baalides Lisle fy2 12 aa off 5 fajlll sc ON Oe Mast cebl ic Peophylasts 8a) NB. 2.cneg DEE Acuke Bronctolshs ist attack wheet chest preceded by Common Cold. -ve family Hislory R asthmo Tlostly need admission an main treatment is: _» hospitals zation | > a: on. Ls, Hy rahion+ Grodes ab reopiratory Distrens: (Tray <6) Li Tachypnes. & working ala nani i Bi Rebraction [i sternal. < Suprastemal cinteccostal ] IS: Eppiratory Grating BW: Cyanasis | Distucbed Caoscieur level. Bee Rll ase Go. 1 BBs) re Yo 3 Ae ae Pewee Rempicadyry tact infechin: prundilo ames ~ Reapiratory pattern + Mill school age —» abdominal. ater School age —» Thema + Bronchopneumonia. > High grade fever | daxic Look. h bed genea) Gadition. |» tnvecled breath rythm > aunrcaltahion —» 4 aic entry L>Gosonating Crespitehon. L_» CxR : Consolidation patches. \ Ul Gente = + inhalation Sets only sf there’s usheeZe = by aus cubkation indicsting ‘oranchospapm.. [IT] Bed reat. High Plaid _- High protsin_diet. Antipyretic. — x Double antes sree y Broached:lator [LP bratchospasm] & Ardi_twosive.. e ie Ae Fl he (A aie entry) 5 2 &Jgae9) bao 55/9 9/leis pr 27 Cec a eee OC Oe UOT eer6 6 : as a re ee NB. Alyprcel or Agebrile Pneumonea> 6 am Exclurioa 2 Gps sis ‘ Azithromycia 4 Bacticlor rlpaes é 4 é « ( ¢ ( ( ( ‘ Wheev Cheat : Dffereakial. Diagnosis af Nost 4 Asthma + Eupicory Sound - a aL % Broncho peumenea : + ebba_ai) ab . 8. inhalation + ie au Gel, sG tae + History benchodibitocs 5) CM lo SAS haloes x Grdror anthma: Tachycardia + Tachyjonen + ealacged tender liver or ane -|Phes Dharouo ISCnv- a ER 7 4-Salivakion +Pinpeik popll 4 Vshudoed Gnsciowansas. |: 2) => Urinary tract tofecon : ete Sua be Se oe — 7 ane 4 fF t auss Cael) 3 Suprapubre pain pain ia the Planks = Dysurea / Urgency. Frequency shige grade Pewee % InGotiaeac, avomneliog =p Investigation: 4 Urine analysis 1 pus cells > 5 if > Qo 5 Unae Culture. s-_Kenal Culture, lultmsound. in Prolonged récurcat Caner. Boal tsn Ys Bayz) cone whey tt: CoPtriaxcn. injec VLir ab odio hsg — Syrup. so mg Zitat oc__Sepwtrin or _Septtole.__~ faboJtoleal Thi cok ane Si. We oe — Suprax Rekeinn => Enureois; —_sa\\ sl Jot 5 Normal _uptn Syead Presi d= analysis 1P normal ; Hk: — Uriban 25 sob TJ) 8 p53 ol pple = ci Navy oll tyne a sh) pe Astle asic, al fia oe cots Geli Sys Guyton Pi) fs Sos pGoe led cH eudsiGee =P ge hsbINslicc NN yall aie gale die PR ed» ocd Cah. | aah, cys) Viole was 009 Clostrum 98 SALUT gts 3 cel apy Ges) STN sil cto eons R, Baby drink (og) wie pall css R Wiorin eye drops Yodel at Gall ejb Re Alcshel for umbstiows ll cA 3,4) be caps oles p, Tohasen baby ol PMN Spe pl deolos m2 pecan legit Pell psp = sale View, as Vow opr esas5 + Glade - Balle io mv R, Lackmax Cap. 1X3! Phen ty 20 thea Ix} ih 0 elhe pe cialis. ARIZ Oe a K, _ NVdap BoBoll fe Ceosh : LBs oy9 Césip wy cojolh mira tung N70) spel) CHI uallon Of) ot Gls ¢€ : : + Ball GS Giese VS) gli jymteY dol . & idee ssaull call ee ¢ osu tgs 2 Bobelac 1 Lam Bebe lac. Prematue. Boke lac 2 5 6m Bebe lac CC Colic & Platule Babe lac > \y Bebe lac AR Geko) sa Boyan Bebe loc FL eb Hag ol cree(24) Vid lac cans + Sigel Gul - f alll po Ob Il ag PHN de GS» 5 ch > Foo vide Su Salon + | al pa lciee + et Nit D9 21> —esgish =p tow to do earning & food ischeme? 46 mg jp DL Mey —o cad ch asl Yb gba adh 2S yee Cpl sigh NO gh p52 Cryo yye = aye CtPlbs + can any ja no Giga @ a2) Gl» > pee BO? yp - Sogine AL yoo ba plea (NB) :. Bc fa ce allel, yp cle inale, ps) ake! ce eps phew - ep eID ole po JS 5, Suaglas Goh — Sto} Nghe gpd aLsly Sl Alo dsl Yeo - (OMS) Sopye ade: at dshO cab slls aithely Sul (en - Chae: jh Sa ee ( Bacteria Plo)=pGoakmentet tis ( Di ee = 2 © Asses dehydration » £ y t I t Dy Sunken __depreased delayed delayed Teague, Bye ant. fortadte. | Skin pach ee illaey IT aed GS cde capale 4 oliguca Inlravenoun Plaid Cpansol ) Eon een >on ala |i at 4 G0 wt X Zo Q trodemte D. wt x %o S| ass Severe D- | utx too Wt | 9592 / ad —— dikes ch WE fs ls Joc stale eee @ Ip é Vomiting peat pou! (22 Si NB;- In Gre of Satec Dehydration : % retrained Mec ING Ch 2 ARG oo etal — AP Signs of shock + + Hypotension rapid weak pulse ~Cyanosis _Csld extem. «Gp. rebiys 7 (2oml/Kq) Saline every to min util pulse, Aitetele [Mox. > Go ml 73 1 PeL. History : @) Search for the Came: Ly Stool analysis. = a ete. OT, s . y, Y inPeckious Naon_iafectious | oy een Porcatral Feeding ankibidien 55 andy te efor gs ele outside git. ull Bacteria Flor. cele al als [ SIL lS .a STH, Botterial, a aed % High geacle fexer low grade fever No + greenish offensive. Sheol Watery Yelloauith ARPensive. mucoid. * pus or Blood (Aralys) x Arnocha (aol) abd. paia an all. pain * Fatigue eee ae [ Hydeacebe Sach.) Rehydaa / Rehydrozinc] PASI larg colaat¥) Wun a2 plow too Gems ony to aii Gow sla pom doo cle fs EE al lal 2,2 Js Re Zine origin omg > = =) = > o> . > = 3 2 > 2 a , > ) ) )(27) R Manatoxide © Atisephic 4 Ankiprolszal™ < bm. fourdice Jars gone 6m._—ly 2,5 Gm /12 he. (Lio rv ab aly 5om_ J 12 he flo y ab RB hideasec (lormy) Sach. (T Gasishency of Stool» dose: 1.5 mg /Kg / dose Ds tli pat ciin/ Job bos she pole lot TP bactecial 2? —, Add G-ve antibiotte Gol; Supax Rice ont, Iv : 3rd genemdion iP Peobol + o Amocba — flagyl 125 - Zoe mg Ny TA Entrobrus ae. bela. Qo Cr Single dase. pete lig Gog solo V yp ik ( ple Y cas MU eGo zal) NL I Le) eee ae OhEREEEEEEREEERRRE (NB) Gorection oP metabolic acdosis ta Cane of) GE» Meeicoge cals |: CWt X deficck x +37] L(28) _. Cpa gc! lola! az_i1gy Ky Simetheone _/ Disfelotyl | Baby vest deps _ KR, Visceralgen Syup Cale blo Ke R, oo deops Ldap / Ky! dose Ry Grip water Aqua baloy | Aquavera. CAN al. lp js ak. 7 ~~. => > > > > . > » J ; tS ec\, 5 po) / Shes Blea) ays aby iy) oo, coltl Oy gZl Bl oi 4 =Vomitiag x with feven2e = GES Gigrus 01% Jol & 75s) J | __Tonsillthis eee Lous Jst\ Go szail gs | eit Fever 4 Dysurca (moreia 2 ) x Without fever 2» Intestinal obs. § Flakus 6 Mud abdiy (29),0 Upyea bn wo Cod) Ue tle Gada Ly Cns projackle vomiting ee \ecttotion Sigas Jess, over feeding G25) te Vax Ge viol abd> L > GERD $b pls, dea! Gatral vornitiag : Prefactile vamiting aaa cll (555 de HET esth Sa Ul leh el oS alata tes(2s) RK, Domperidone syrup 1 mg / ky I day BL ay aslo!) Js cil 18K RK, Cortigen Be 7» 5omg | < by. Ea“ Joo my > 44. a Sem eal eee(anset. G22 365) 41cm | Kg | dose A => GERD Fever Crisis Oo GERD .— Jao sl. ozs cb dJLI Vache «doy th GS ad dosed cand Ie Chroace. Cough —p Recurent attacks of aothmo pemiRecnceat ead. infection —» Aspiration. > 2ralle a pal elt Lb. Yk apy cs bi Goly + LePl Bs drpiloos is eructation wa) apps bi Fy y K; Gant -req Syrup demi kg id ut_on es Ry Nacagel syrup eS AY cde a ee ee ee ee oe Pe me le,(30) = ee white Coaded tongue, Glalll te Gray ao } or Geoqaplic Tongue i Cebt S's Gu) Poor suckling dete piles Ds Candida Ase P Grates y Cardida fa Goins) tongue dep rcasar 2 abt Jol, Ry Myslabin drops | Mycostatia drops + Gaal ct bh AY GL oS pal Shas or Ry MiccnaZle oral « [Hic , Oakaria oral gel] oe Jib, cuaiss (> Salli de Gis scales Guo SAL Ges lyeY CLS ws Cow tbl de Salat G2 a5. chel Sop en! -odlepln (IY sab aa) NB If Serum (K) ¢ 2,5 in Gn of GE: (need shock theapy KS) Ly dose 5 25 4 meq / Ixg | dose or (wk /2) 3 yf5 boll wee Tet WW stato Eo 304 etampl + Child ut do kg with Kk 52,4 will ced. ( SGm 4 D5Cm) aaty ter apo npne pele G bh=> Bloody Diahvrea : (0 Bld. Salhuascephea ‘ fallewsed by Gnshipation. ns — Screaming alttacks B Exchde Haemol pic Uremic & (CEU) s anemi& “4rehic hs By Cac uth Rekic. GB Exchide any bleeding Tendency : PE Bee ue eae aN [a] Exclude Salmonella or shegella « IES By Stool. Gnalysis _- pus Pleo L, 111 RBC Lp Hiskry ;- Sudden stoppage ef diahmea Ly Investigabea “Tagget Signo me — ._. . 2 & & 68.6 6 OC8 CES 6 Oetyphi (o) Ag > 360 NB Blood. Urine, Stool Culture. GWCeyjabl A Cobos o> ot cone Gflriacone lofeckian (15 rng / kg) [L) do ob =p Haematemeris =p Typhoid Fever. i Fever Remiel "abdominal pain > Tdays Be) Spleenomeyally a@igcs: leucopenia with relative lympphoogtosis ~ Widal Test : e = > ~~ w o » > [iGaci Sica 57 Spaigel Geen 3 » ) ) | then alate ag oe | 1 panto. Yom heal) Bleed:~4 Lom/ de kg Dicynons Says lo pdh7 ena. 4 CydoKaprone | Lem! als vit IK Sx Lo jSel> po. a \ Mie CoocNtahicn hemelet oy & hepatslegy.(33) =p Convulsions nM ne Cc ie Dicwoy — Breathing Cireudotion > LL lateral position Oy monk Cannule x Vials 5 Témperchire 8. Random Blood Suga _ a cum [Mediathebic] pW Simglml ay Aly 2 of kg | close C2. ND pre ea Ss pod? BUS oy 9 JS prs Ua cysl ux «cap - Reaponse >) = SEpaantine (Sheaytoid] Ja: 250 mg/SmL Zsy3) 2 Zo. mg! Kg Idose + 5o Cm gedsls (loading dose ) + bu csuyy telicols jh as «2P No Ren Ponse CHalP Dose. Y domg /Kg /dese +50Cm eiadte “IF No Response + Thiensive Gre Unit Need Oormicum infurioa + possibilty of Hv aeae ke hie be 6 6446644648664(34) Cpa) , Pecardij 4o Coune :_ a OD febcile Gavulsions +, [Control fever + actibiatic] v ea q 4 Oma. _ Sy GTc Single ducing <\5mia Some Pebrile. illners x, EEG done ofler 7 Lo d. post Ga [al Electrolytes __[14ypecabcemic.] Tonized G** aoe ynmel. | L intravencus Ca gluconate Lo pp ST 4 cals) pall ozl Beli Leg g 2h oy, 3/6 \\- ne Cas) jie ¥ ce. PB tobaceonial. Haemonnge. —» fecal Goauulsions e History of trauma & Bleeding tendency Soe Giese vara. G@) Metabolic [Hypoglycemia] RBS < Ho : Cit x 24 o/al ide y [160 jhe Sil 4 fe jelly aS © J I ars sem (5 islam) e Fie dh —hySoets LP co. css chp)15} Cus infection : ad = Sees PB meningison — Aonoemal. or bizane L beh ~ High grade ner mostly ee 0 Gee em with GE \ q - ee = ipre't 4 4 ; ‘ eee >> (ante Pl) = Calley 5 (Lymphooiis) 4 Potéa TT Glucose WW WB Any Cure with fist attack Gavulsianss Mg /onized G™ / Nad kK / ABG Succ fis Any fecol Gnvulsions _» CT Brata except P dleadly epilephc. ( DeL 4 Diskicbed Grscioun Level) eG SG & © © © © © OHHH MGS=p Diskicbed Guasciour Level Ee ini. iB History Cris rnfecks Endephalstis a History of Genmon Gld % Initabilly + Flachsotion of Gasciows level. 5 CsP

Fixed > unequal] Hypecdeace. ~ Haemerage ~ CalciPicabsan Ca.\(37) 5} Davy Intalte [oxidelogical Core] (By History © Clph invests.) eg: Organophesph. Poisenicg . T SeceeHonS ee Brody cada. (6) Metabolic _ DKA RBs 2 ABG : — Uremio.—_» Urea 6 Creatine i — Metabolic diseane —» ABG, Na. Ammonia — Hepatic Gmo. =b Investigations foc Dstudbed Conscious Level : -~ABG RNG Ky cl” — Anica gap JI ca -RBS SS Se@Ke — Urea & Creatininve Bees) —= meningitis oc encephal: kis mae —> Braia lesion. — Urine owhpub iS — Seam amrmonia 5 te exdude mebubolic cliseane or hepatic encephalopathy ‘ a Niver Puachon “Est -pl_= pm & Diabelic Kelo Acidosis : Ok A o . IAT i , PHS eS ae a Reeders > aS er ne Clinical: + Acidetic. Breathing CKauomall. breathing) x Alodomiadl pain + persistent vomiting GP Piest attack) ROsGee alee ce saved cla selel sou ccauelan esha wap) ahcady dichdic- BeneeeeeARC: Na, kK + Urca , Creabtaine a Hb Ric GP fist chegnosts) Invev}: Examinalion: 5 Shocked or_not ? Cshock Ht ) > Conscioun eel 9 Cexclude brain edema) > Sigas R dehydeahoa? + Bp ? Management: —s RBS —> Uriae Sample > IVE (saline) |= X 2,5 X \5os | ee i a oS Oleg. BSA [Body Suace Arca] = wtx4) +7 Wh + 90 at lb asad / boi ve Jase abl ced iocdl _ costal tal aol aus Uo 3 ce anan Snail ed — DKA Wahc JCI 34 J Seca abs psd Milt ahs Tntensive Care. Unit=> Nephrotic Syademe: Clp presented by geneal:ted edema. — Stack in face (maly pePfieces of eyed) es pitts edema cote Lane analysis Se ee ears eau a —» CxR (bo exchde pleural ePparion AP Y air enby by Ee, el lavest Ald. us iC aaelwnOl tie yen call ncaa protein | Cecatiane Raho CDtagnostic) => Nephritic Syndome; Cle preseated by reducae + cliqueee uith history oP upper reapiraday tract nPeckon. F ¢ ¢ raay be wath (pulPineas oP egelic) a Inenki. —y Urine analysts (RBC P lao) + Renal fuachen Liaw ¢ G 6 s 6 € Giteda of. Gdmissiea? > Hyperkasrea. Ly Impaiced renal Fuackiens. = NB In Gre of Hypoglycemia » + ¥ Acute Haceralytic Anemia : sci EE ee Chiaccal.: A: Pallor c eund:ce < WBediicno Dee Tnverhi gations CBC with Retic. —» Mormecybic armachromic anemic. 4 es rebiculocytosis ee Eromination: Exclude Signs a? Pnemic. Head failuze. — CTathycardla ¢ Tachypnen < Enlarged fader Liver) ath History off (Fever 8 vorniisg) @ pate io Rt hypachondsu —HAV1gN 4p exclude HAv Masagemect: packed RECs LC deml/kg1 Ecosiii\ Jol on ti fas Js flit coed £ BL a 2 GerO HeLc aan osete dene — Pa ) Test ees —— CLS Ser isto 2k Faenly Heenclyic, preices History oneian) > > > > > e 2 > > > > > , ? , ) y deed — tras ) ) (NB) IP anemic Heo Failure: = Pe Caiceies) EN ister posing +p Denk f ty | dose piel. fe i me poi pl Lok Nl atizet es ei abis ena eae ia ev CAD fis Lo Gl Sle=> Ton Deficiency Anemia Chnscal Wa x: palpitalion + Headache ean] faliguabliily Breath holding Spello » PICA pajiie Ont So) Justo) eye che ¥L OI CBe.: +> Microcytic Hypechromic,_Anemio tNeu UMCH Vb ROw tt (516) > May teachive_ thromlsocytosis @ Serum ferritin Jy _( ¢35 ng/ml) B) Stool analysis (with occult loacl 1a stool) Management (4) Diet | IES eee eee (2)_ fe —> ferrose ( 50 mg) 6 mg /k3/O o1Beydh asin Aexbx5 6 cen once daily (3)_Vitactel (C)_ sack Dsl cal cols roan aelee dll, Loy INGE, oD ods) NL SIS ome peat Feccitia js. ai wieris Clweur-vr ein (WS é Mb » Aqm Ju a e 4 \ «dips euo 5 5 5 4 -v oS TLKg. feo SC sshask ee S{oebonized AF =P Suorn Ventricular Tachy Cocke (SVT) eS —eee (HR) DMs | punPack 3.20! Bp mia. 3 EOE Nolsett P wave L» Child 9180. Bp min, Macagemect : Q) ES is_nsboble or Stable + seca fie See Hypotensive Cold Siges of extremelies Veott failure {2mia Aj/ Kg [amin S kg Q) Cone is stable: Carskcl Woasoe = (@)_vagal stimulation << Cotd packs + face. = Sidbges Cas. aby (5) Aati_acytneie daags = [Cardarome]—» K channel blockec = (50 mg/ml) x Doses 5.7 mg_1 Kg / dose. oadiiag dose ™ > Yb Siro Balch yl nd te (oe yelale tas lane = » Maintainance dose +o i 2e Mie /Kg/ mia 3 tut x dose x Go X24 1a any 3 236. od a 2 — yp tbh 2/08 Sacre s be Too JES ghaoull Af » =p Investigation ; x ABG a , acNo/i& / toniZed Cas / Mg . er KCPK eTeperin H (exclude viralinnC43) => Heat. failure: * incall iD [Tactypnea ¢ Tachycrdia ¢ enlacged tender bed) al Sahl GS dcoli Xe 2cSe RE or (E Side DP failure sy crs & © — Congested neck veins ~ pallor — lower mab edema ~ Suiealing —Ehlaged tender twee _ hypotension. a eany fabguabilhy — Galle Management ; lasix _(Homg/4 ml) dose > {1-4 mg /Kq | olose) Oirect_Iv- or 4dm/ to ky dls, Ling / Kg I dose NB: atall 2 trPusion chit cu 1 ab Sel onj OL Ather digs : (b's ajo all) Ly Llanexan | ¢ Digitalis) Bl ICH Micah as FL xt Ly Capoten (ACE) dose + -(,3--55-mg/ Kg) DK fey x myst bn, (ln olf vas Lasix —p mainly ia Rt side C? failure tuith lung Congestion. q& Capéten —p mainly in be side follure. as tts VO. —» Ld after load.c44) ( Gogenital ©) Oiseaner) + Comenon_preaeetation Ia * Fottot a) Gyaratic Spells ot ame, \ x VSD_5 Ut side Heact pailue + Chest infeckoa. x ASO —» cheat infechon 4 SVT 4 paradoxical emboals => Cyanotic spells; [in patents with Cyaootie heact disease) = a = T depth of breath. TTachypniea ABG_ i metobelic aciclosis x Investigation: _ABG _¢ CBc x Management : _—_Squottiag position. — oxygenation _ Hydration. (Saline 140 cc/ Kq)_max. 3 times a pediament Jo «then __I _ Nabicords (Limb / kg [dose) > SAN Ged 4079 Sedation (Dorm Cur) Snag mb aide = say, dda Ja Ta, svt yo Bp (MB). Qyonae P_Dos — > Sear A ‘palmonay Slteaia —_—_—“Trtauappid abe>i > (vg)_c- 8c» __E_Hct i 5 EZ