AGNIVESH PG ENTRANCE CLASSES

BY-- Dr.Riteshramnani--09782269989,09414906622
dkSekjHk`R;
v’Vkax vk;qosZn esa dkSekjHk`R; dk LFkku &
1-dk”;i & 1 2- okXHkV & 2 3-lqJqr & 5 4-pjd & 6
jkek;.k o osnksa esa Hkh dkSekjHk`R; dk o.kZu gSA
dkSfVY; vFkZ”kkL= esa f”k”kqdY;k.k izdj.k dk o.kZu gSA
dkSekjHk`R; ra=k.kka vk|eqP;rs A & dk”;i
dkSekjHk`R; ds izkphu xzUFk &
1-ckyrU= & dY;k.koS|
2-dqekjra= & ;kfeuhHkw’k.k -
3-ckydqekjra= &jko.k
4-dqekjlEHko & egkdfodkfynkl
5-f”k”kqj{kkrU= & i`Fohey
6-Books of children –Thomus phair (first book in English 1953)
izoZrd rU=] ca/kd ra= fgj.;k{k ra= ]dk”;Ik lafgrk dkSekjHk~R; ls lEcfU/kr xzaFk gSaA

fu:fDr & dqekjL;Hkj.kaf/kd`R; d`ra dkSekjHk`R;e~ A ¼pdzik.kh ½

ifjHkk’kk &
dkSekjHk`R;a uke dqekjHkj.k /kk=h{khjnks’kla”kks/kukFkZa nq’VLrU;xzgleqRFkkuka p O;kf/kuka mi”keukFkZaAA
lq-lw- 1@13
gkfjr & xHkksZidzefoKkua lwfrdksidzeLrFkk A ckykuka jksx”keuh fdz;k ckyfpfdRlre~ AA
gk-l-iz- 2@17
gkfjr us xHkksZidze foKku lwfrdksidze foKku ckyjksx”keu dk o.kZu ckyfpfdRlk ds vUrxZr fd;k gSA

vk/kqfud erkuqlkj xHkkZ/kku ls ;qokoLFkk rd ¼embryo to teen age½ ckyd dk iks’k.k o jksxksa dk Kku pediatrics
ds vUrxZr vkrk gSA
o; foHkktu &
1-pjd
1-ckY;koLFkk & vifjiDo /kkrq 1 ls 16 o’kZ o foo/kZeku /kkrq 16 ls 30 o’kZ A
2-e/;koLFkk & 30 ls 60 o’kZ A
3-o`)koLFkk & 60 ls 100 o’kZ A ¼pjd us ije vk;q 100 o’kZ ekuh gSA ½
2-lqJqr &
1-ckY;koLFkk & {khji & 1 o’kZ ] {khjkUukn & 1 ls 2 o’kZ ] vUukn & 3 ls 16 o’kZ
2-e/;koLFkk & o`f) & 16 &20 o’kZ ] ;kSou & 20 & 30 o’kZ ]lEiw.kZrk & 30 & 40 o’kZ ]gkfu & 40 & 70 o’kZ
3-o`)koLFkk & 70 ls e`R;q Ik;ZUr A

3- okXHkV & cky & 16 o’kZ ] e/; & 60 o’kZ ] o`) & 60 ls e`R;q i;ZUr
4- dk”;i &
xHkkZoLFkk & tUe rd
ckY;koLFkk & 1 o’kZ
dkSekjkoLFkk & 1 ls 16 o’kZ

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;kSoukoLFkk & 16 ls 34 o’kZ
Ek/;ekoLFkk & 34 ls 70 o’kZ
Ok`)koLFkk & 70 ls e`R;q Ik;ZUr
5-Hkkoizdk”k &
Ckkyk & 16 o’kZ rd ckyd & dkSekj & 0 & 5 o’kZ
r:.kh & 16 ls 32 o’kZ rd ikSx.M & 5 &10 o’kZ
izks<k & 32 ls 50 o’kZ rd fd”kksj & 10 & 16 o’kZ
6-ikjk”kj &
xkSjh & 8 o’kZ
jksgh.kh &9 o’kZ
dU;k & 10 o’kZ
jtLoyk & 10 o’kZ ls mij
ckY;koLFkk ds mioxZ &
1- Ckyk ¼xksjh jksfg.kh dU;k ½& 10 o’kZ & lokZxh.k “kkfjfjd fodkl &dQo`f) ,oa okr fiRr {k;
2- dqekjh ¼jtksn”kZu dh iwokZoLFkk ;k eqX/kk ½ & 10 &12 o’kZ & Lru o ;ksfu o`f) & dQo`) fiRr e/; okr {k;
A
3- jkthefr & jtksn”kZu izkjEHk & dQ fiRr o`f) okr {k; A
Age devision in pediatrics -
Division Subdivision Age
1 Prenatel A.fertilized ovum(zygote) 0 to 14 days
B.embryo 14 days to 3 months
C.foetus 3 months to birth
2.Natal Early neonate Birth to 7 days
Late neonate 7 days to 1 month
Infant Up to 1 year
Todler Up to 3 year
3 School age Preschool age 3 to 6 year
School going age 6 to 10 years girls
6 to 12 years boys
4 Adolesence age 10-12 to 16 -18 years

Tkkrek= & tUe ds Ik”pkr thou dh lcls igyh o NksVh voLFkk A

l|kstkr & tUe ls ysdj ukfHkuky dkVus rd A
uotkr & ukfHk uky dkVus ls nwljs ls pkSFks lIrkg rd A
Three terms of baby –
1. Preterm – Immature early born or premature .before 37th week ( gelatinus skin /lenugo
hair )
2. Term baby – 37th week to 41 week
3. Post term baby – After 41th week ( pealing parchment skin )
tUe dky ij f”k”kq ds y{k.k &
1. Avg. weight – 2.5 to 3 kg or 6 pond
LBW -2500gm according to WHO
LBW – 2000gm
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 2. Avg. length – 50cm
3. Head circumference – 35 cm
4. Chest circumference – 31cm
5. Pulse rate - 140/min
6. Res. rate - 40/min
7. B.P. 80/50 mm of hg ( 60/ 40)
8. Temp. 970 f (36.50c) mouth, (Rectal 37.20c Axillary 35.50c)
( after 6 years mouth , till 1 year rectal , 2 to 6 year axillary )
9.Blood volume - 80ml/ kg body weight
10.Hb 18 to 20 gm%
11.Brain weight – 250-300 gm
12.New born head : body 1:4 adult 1: 7
A new born requires 100 cal / kg body weight
No. of ossification centres at birth 5-6
No. of fontanelle at birth – 6
vkS’k/k ek=k Kku ( posology ) –
1. pjd & vYi ek=k esa vkS’k/k iz;ksx e/kqj nzo;ksa ds DokFk esa nw/k feykdj vkS’k/k nsuh pkfg, A
2. lqJqr & {khji & vaxqy ioZ};A {khjkUukn & dkSykfLFk A vUukn & dksyor A
3. dk”;Ik & tkrek= ¼uotkr ½ ds fy, foMax Qy ek= vuqiku e/kq o ?k`r ds lkFk A
f”k”kq dh o; c<us ij vkS’k/k ek=k c<rh gS ysfdu vkeyd Qy izek.k ls vf/kd ugh nsrs gSA
12 o’kZ ls de ds ckyd dks vkS’k/k ,dkUr :i ¼fujUrj ½ ugha nsrs gSaA D;ksafd vk;q o cy dk uk”k gks tkrk
gSA
8 ekl ds ckn ikuh esa ?kksydj vkS’k/k nh tk ldrh gSA
100 o’kZ ls vf/kd o; okys O;fDr esa {khjkUukn ckyd ds leku vkS’k/k nsrs gSa A
1-?k`r dh ek=k &
tkrek= & dksykfLFk
5 ls 10 fnu & dqN vf/kd
11 ls 20 fnu & dkSyk/kZ
1 ekl & dkSy
2 ekl & dqN vf/kd
3 ekl & 2 dkSy
4 ekl & “kq’dkeyd
5 & 6 ekl & vknzZ vkeyd
7 & 8 ekl & dqN vf/kd
2-pw.kZ dh ek=k &
nhiuh; & vxz vaxqyh ioZ
thouh; rFkk la”keuh; & 2 xquh ek=k
oeu rFkk fojspu & 1@2 ek=k
3- DokFk dh ek=k &
oeu fojspu & 1 izl`r
nhiuh; la”keuh; & 2 izl`r
nks’kuk”kd & 2 izl`r ¼”kdZjk o e/kq feykdj ½
4-dYd dh ek=k &

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 nhiuh; & 1 d’kZ
thouh; la”keuh; & 2 d’kZ
oeu fojspu & 1@2 d’kZ
4-“kkjaX/kj o ;ksxjRukdj &
izFke ekl & 1 jfRr e/kq ?k`r nqX/k “kdZjk ls
f}fr; ekl & 12 ekal & izfrekl 1 jfRr dh o`f)
1 o’kZ & 12 jfRr ¼ 1 ek”kk ½
16 o’kZ & 16 ek”kk
16 ls 70 o’kZ & 16 ek”kk A ;s ek=k pw.kZ dYd o voysg dh gS DokFk dh ek=k blls 4 xquk crkbZ gSA
5-fo”okfe= &
tkrek= & foMax ds leku
{khji & dkSykfLFk
{khjkUukn & mnqEcjQy ds leku
6-Modern –
f”k”kq ¼2 o’kZ rd ½ Ckyd ¼2 o’kZ ds ckn½
1.Clark rule – 1.Young rule –
weight x Adult dose Age x Adult dose

150 Age +12

2.Frieds rule – 2.Couling rule –

Age x Adult dose Age x Adult dose

150 24

3.Diling rule –
Age x Adult dose

20

laLdkj & fgUnq /keZ xzaFkks esa tUe ls e`R;q i;ZUr tks fof”k’V deZ fd;s tkrs gSa mUgs laLdkj dgk tkrk gSA
laLdkjks fg xq.kkUrjk/kkue~^^
dqy laLdkjksa dh la[;k 16 gSA
xHkkZoLFkk ckY;koLFkk ;qok o izks<koLFkk
1-xHkkZ/kku ¼iq- 25 o L=h 16½ 1-tkrdeZ 1-lekorZu
2-iqalou ¼xHkkZoLFkk ds 2 ekg ½ 2-ukedj.k 2-fookg
3-lheUrksu;u ¼4 ekg ½ 3-fu’dze.k 3-okuizLFk
4-vUuizk”ku 4-lU;kl
5-pwMkdeZ 5-vUR;sf’V
6-d.kZos/ku
7-miu;u
8-osnkjEHk

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 1- tkrdeZ & tUe ds mijkUr izFke A
pjd & ?k`r e/kq o Lo.kZ A nf{k.k Lruiku A
lqJqr & “khry ty ls A e/kq Lo.kZ ?k`r vukfedk vaxqyh ls A
okXHkV & iztkiR; fof/k ls A
2- ukedj.k & 10 osa fnu pjd o lqJqr ds vuqlkj A 10 osa ;k 12 osa fnu okXHkV A
pjd ds vuqlkj ckyd ds firk }kjk 2 uke j[ks tkrs gSaA 1 vfHkizkf;d uke 2 uk{kf=d uke
3- fu’dze.k laLdkj & 4 ekg A lwfrdkxzg ls ckgj eafnj es ys tkdj ?kj esa izos”k A
okXHkV us x`g fu’dklu dky 1 o’kZ crk;k gS vFkkZr ckyd dks pedhyh oLrq,s auk fn[kkbZ ns A
4- vUuizk”ku & lqJqr o okXHkV us vUuizk”ku dky 6 eghus crk;k gSA tcfd dk”;Ik us Qyizk”ku dky 6 eghus
o vUuizk”ku dky 10 eghus crk;k gSA dk”;I ds vuqlkj 3 ls 5 ckj vaxq’B leqfnr Hkkstu ckyd dks nsuk
pkfg, A
5- pwMkdeZ ;k eq.Mu laLdkj & 3 ls 5 o’kZ A
6- d.kZos/ku laLdkj & j{kkHkw’k.kfufeRra ckydL; d.kksZ fo/;rs A lq- lw 16
lqJqr o dk”;i ds vuqlkj d.kZos/ku laLdkj 6 & 7 ekg ds “kqDy i{k esa fd;k tkrk gSA
okXHkV ds vuqlkj d.kZos/ku laLdkj 6 & 7 & 8 ekg esa d.kZos/ku fd;k tkrk gSA
ckyd esa izFke nf{k.k d.kZ dk os/ku rFkk ckfydk esa izFke oke d.kZ dk os/ku fd;k tkrk gSA
7- miu;u o osnkjEHk laLdkj & 5 o’kZ A
8- v{kj ys[ku laLdkj & 5 o’kZ A
9- mios”ku laLdkj & dk”;i & 6 ekg A okXHkV 5 ekg A

uotkr f”k”kq ifjp;kZ &

pjd lqJqr okXHkV
1- 1-mYok ifjektZu 1-mYok ifjektZu
2-rkyq vkS’B d.B ftOgkifjektZu 2-lS/ko lfiZ ls eq[k fo”kks/ku 2-lSa/ko lfiZ ls eq[kfo”kks/ku
3-f”kj%Lrkyq dkikZl ihpw /kkj.k 3-?k`r dk ihpw czEgkja/kz ij /kkj.k 3-Lusg ihpw /kkj.k
4-ukHkhuky Nsnu 8 vaxqy 4-ukHkhuky Nsnu 8 vaxqy nwjhij 4-ukHkh uky Nsnu 4 vaxqy
5-tkr deZ e/kq lfiZ ls 5-“khry ty ls tkrdeZ 5-tkrdeZ iztkiR; fof/k ls
6- & 6-e/kq o lfiZ ls Lo.kZizk”ku 6-e/kq o lfiZ ls Lo.kZ opk
ekf{kd gjM izk”ku
7- & 7-cyk rSy ls vH;ax 7-cyk rSy ls vH;ax
8-Luku izd`fr dh leh{kk dj 8-Luku {khjh o`{k d’kk; 8-Luku dh fof/k;ka lqJqr ds
loZxa/kksnd :I; gse izrIr ty leku dkS’.k ty dks NksMdj
dfiRFk i= d’kk; o dks’.k ty

 Ikzk.kizR;kxeu &
1- pjd ds vuqlkj & v”euksla?kV~Vua d.kZ;ksewZys A
“khrsu m’.kksndsu eq[kifj’ksd A d`’.kdikfydk “kwisZ.k pSue~ AA
2- okXHkV ds vuqlkj & v”euksokZnua pkL; d.kZewys lekpjsr~A nf{k.k d.kZ esa ea=kspkj.k A
 xHkksZnd oeu & pjd o okXHkV ds vuqlkj xHkksZnd oeu lS/ko o lfiZ ls djkrs gSaA
 Luku gsrq {khjh o`{k ¼oV ihiy iyk”k v”oRFk mnqEcj½ o loZxU/kksnd ¼prqtkZr diwZj dadksy dqDdqHk yoax ½ dk
o.kZu gSA vlko/kkuh iwoZd Luku djus ls “kksFk ;qDr pDrs gks tkrs gSA ftUgs Erythmetous rash dgk tkrk
gSA
 ukHkhukyNsnu & v)zZ/kkj ;a= ls A

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 pjd ds vuqlkj vlE;d ukHkh uky Nsnu ds QyLo:Ik fuEu fodkj mRiUu gks tkrs gSaA
1- mrqf.Mrk & ukHkh eksVh o ckgj fudyh gqbZA
2- fi.Mfydk & fi.Mkdkj xksy o dfBu A
3- foukfedk & fdukjksa ij “kksFk A
4- fot`fEHkdk & ukHkh dk ckj ckj ?kVuk ;k c<uk A
v’Vkaxân; ds vuqlkj vlE;d ukHkh uky Nsnu ds QyLo:Ik foukfedk o fot`fEHkdk uked jksxksa dh mRifRr
gksrh gS rFkk v’Vkaxlaxzg ds vuqlkj vk;ke o O;;ke jksxksa dh mRifRr gksrh gSA
vlE;d ukHkhuky Nsnu ls mRiUu jksxksa dh fpfdRlk esa pjd ds vuqlkj ykS/kzae/kqdfiz;axqlqjnk: gfjnzkdYd
fl) rSy ls vH;ax rFkk okr fiRr “kked fpfdRlk dk o.kZu fd;k gSA tcfd okXHkV us dq’B rSy ls vH;ax crk;k
gSA
vlE;d ukHkhuky Nsnu tU; fodkjksa esa ukHkh dq.My dk o.kZu jl jRu leqPp; us fd;k gSA
 ckyd dk j{kkdeZ & vknkuh [kfnj ddZa/kq ihyq i:’kd lwfrdkxkj ds pkjksa vksj yVdk nsa A
l’kZi vrhl r.Mqy lwfrdkxkj ds pkjksa vksj fc[ksj nsa rFkk lwfrdkxkj ds }kj ij frjNh ewly dk iz;ksx djsa A
 /kk=h & lekuo.kkZ ;qok Lru LrU;lEir A laJqr ds vuqlkj “;kek /kk=h A okXHkV 2 /kk=h A dk”;Ik ds
vuqlkj 3 /kk=hA
 LrU; & {khja thouh;kuke~ A p- lw- 25
okXHkV & ekrqjso ficsRLrU;a r);ya nsgo`);s A
dk”;Ik & {khjlkRE;a fg ckykuka {khja thoueqP;rsA
 pjd ds vuqlkj L=hnqX/k & thoua :{k.ka lkRE;a Lusgua ekuq’ka i;%
ukoua jDrfiRra p riZ.ka pkf{k”kwfyuka A p-lw- 27@224

 lqJqr ds vuqlkj & uk;kZLrq e/kqja LrU;a d’kk;kuqjla fgee~AuL;k”P;ksru;ks iF;a thoua y?kq nhiua A lq-lw- 45
 okXHkV ds vuqlkj okrt fiRrt dQt vfHk?kkrt vf{kjksxksa esa riZ.k vk”P;ksru o uL; gsrq L=hnqX/k iz;qDr
gksrk gSA
 LrU;iku & pjd izFke fnu Loikf.kry ek=k esa A lqJqr rhljs ;k pkSFks fnu A
 Ekrk ds nqX/k ds vHkko esa vtknqX/k xksnqX/k ;k “kkyi.khZ ;k i`”uhi.khZ lkf/kr nqX/k dk iz;ksx djrs gSA
 LrU;o/kZd nzO; & lh/kw dks NksMdj vU; e| A fl)kFkZd “kkd dks NksMdj vU; “kkd A ojkg o ekgh’k ekal
dks NksMdj vU; ekal A y”kqu o iyk.Mq LrU;o/kZd gksrs gSA
LrU;o/kZd nzO;ksa esa “krkojh Js’B gSA
 eqLrkfn gfjnzkfn opkfn & LrU; “kks/kd x.kA
LrU;nks’k & pjd ds vuqlkj LrU;nks’kksa dh la[;k 8 gSA
1- okrt & oSjL; Qsula+?kkr jkS{; A
2- fiRrt & oSo.kZrk oSxU/;A
3- dQt & fifPNy xq: vfrfLuX/k A
gkfjr ds vuqlkj {khj nks’kksa dh la[;k 5 gksrh gSA ?ku m’.k vEy vYi {kkj A gkfjr ds vuqlkj e`nq nqX/k lq[kdkjd
gksrk gSA bl izdkj gkfjr ds vuqlkj 6 izdkj ds nqX/k gksrs gSA
o.kkZuqlkj xkSnqX/k ds xq.k nks’kksa dk o.kZu gkfjr us fd;k gSA
1-d`’.k & okr”kked
2-ihr & okrfiRr “kked
3-“osr & dQdkjd
4-f”k”kq uk gks & f=nks’kdkjd A
vtknqX/k xzkgh A ekgh’k nqX/k vfHk’;fUn A xksnqX/k jspd A
LrU; ds o.kZ dk ckyd ij izHkko & dk”;Ik A
rSyo.khZ & cyoku A ?k`ro.khZ & egk?ku A /kweo.khZ & ;”kLoh A “kq) & loZxq.kA
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rSyo.khZ cyhrqY;k ?k`r o.khZ egk?ku% A ;”kLoh /kweo.ksZ rq “kq)s loZxq.kksfnr%A dk-lw- 19@3
L=h nqX/k dk fof”k’V xq:Ro 1027 & 1034 gksrk gSA
nUr
dk”;Ik nUrtfUed v/;k; 20 & lw=LFkku A
la[;k & 32
vfLFk & :pdkfLFk
laf/k & myq[ky
Hkko & fir`t
“kkjaX/kj & vfLFk dh mi/kkrq A
dk”;Ik & nUrksRifRr jDr /kkrq ls A
okXHkV & nUrksRifRr vfLFk eTtk /kkrq ls A
dk”;Ik ds vuqlkj nUrksn~Hksn dh 3 voLFkk,sa gSaA
1-fuf’kDr & xHkkZoLFkk esa nUrkadqj A
2-ewfrZeku & nUr nUrkadqjksa dk :i/kkj.k A
3-mn~Hksn & nUrkdqj dk elwMksa dks fofn.kZ dj ckgj fudyuk A
izR;sd ekl ds vuqlkj nar dh fof”k’Vrk & dk”;Ik] okXHkV A
1- prqFkZ ekl & nqcZy] vk”kq{kf;.k ]vke; cgqyk A
2- iape ekl & g’kZ ;qDr ] L;Unu ]vke; cgqykA
3- ‘k’Ve ekl & izrhi¼Vs<ses<s½ ]ey;qDr ] foo.kZ ]?kq.knUrk A
4- lIre ekl & f}iqVk] LQksV;qDr ] jkfteUr ] [k.M :{k fo’kemUur A
5- v’Ve ekl & loZxq.klEiUu A
iz”kLr nUr @nUr lEir 10 & 1 iw.kZrk 2 lerk 3 ?kurk 4 “kqDyrk 5 fLuX/krk 6 fueZy
7 fujke; 8 fdfUpr mRrjksUurrk 9 nUrca/kukuke~ p lerk 10 fLFkjewyrk
viz”kLrnar & 5 ghu mYo.k flr vflr izfoHkDr nUr ca/ku A
v”kqHknUr *& 8 & 1 lnUrtUe 2 iwoZmRrjtUe 3 vf/knUr 4 ghunUr 5 djkynUr 6 fojynUr 7 foo.kZnUr 8
LQqfVr A
nUrHksn & nUrHksn 2 gksrs gSaA
1-ld`Ttkr & dsoy 1 gh ckj mRiUu 8
2-f}t & nks ckj mRiUu 24A
nUr izdkj & 4
1-jktnUr 4 central incisior - drZu ¼ifo= nar ½
2-oLr 4 letral incisior - drZu
3-na’Vªk 4 canine - dfBu nzO; drZu & “khou dhYd A
4-gkuO; 20 premolar &molar - poZ.k A
dk”;Ik ds vuqlkj ftrus le; ¼ekl ½ esa nUr fuf’kDr gksrs gS mrus le; ¼ ekl½ esa QwVdj ckgj fudyrs gSA
ftrus ekl esa nkar fudyrs gSa mrus o’kksZ esa fxjdj iqu% fudy tkrs gSA
mRifRr ds vk/kkj ij nUr ds izdkj & 4
1-lkeqnx & {k;t & ckj ckj VwVdj fxjrs gSA
2-lao`r & v/kU; nUr & ey;qDr
3-foo`r & gksBksa ls <ds ugha gksrs eSy;qDr A
4-nUrlEir & 10 xq.k ;qDr A
yMdksa ds nkar & nsj ls & ?ku o fLFkj A
yMdh ds nkar & tYnh & e`nq o lqf’kj A
m/oZ Lruh & djky nUrk A
yEcLruh & “okl vojks/k ls e`R;q A
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fod`r nUrksRifRr esa ek:frbf’V ;K djkrs gSa A
ghukax o vf/kdkax esa LFkkyh ikd iztkiR;; bf’V ;K djkrs gSAA
nUrksn~Hksn dky & dk”;i us 4 ls 8 ekl crk;k gSA okXHkV us 8 ekl crk;k gSA
Milk Teath – time of origine
1.Lower central incisior – 5-8 month
2.Upper central incisior - 8 – 12 month
3.Lower letral incisior & upper lower first moler - 12 – 14 month
4.Canine - 16 -22 month
5.Second moler - 24 – 30 month
Permanent Teath –
1.First moler 5-7 years
2.Central incisor 6-8 years
3.Letral incisor 7-9 years
4.First bicuspid & second bicuspid 7-11 years & 10 -12 years
5.Canine 11-14 years
6.Second moler 11 -14 years
7.Third moler (wisdom teath) 16 -21 years

nUrksn~Hksn dkyhu O;kf/k;ka &

nUrksn~Hksn”p loZjksx vk;rua A okXHkV
Toj f”kjksfHkrki”p r`’.kk Hkze vfHk’;an dqdq.kd iksFkdh oeFkq dkl “okl vfrlkj foliZ A
nUrksn~Hksn tU; jksxksa ess v- â- us dk”;Ik ?k`r dk o.kZu fd;k gSA
nUrksRifRr esa iz;ksT; ?k`r opkfn ?k`r A
cPpksa esa nUr jksxksa esa Js’B vkS’k/k & ddZVJaxh A
nardMeMh & “ys’et d`fe ds dkj.k gksus okyk jksx HkS-j- fpfdRlk ddZVJaxh fl) ?k`r A
nUr”kCn & v-â Bruxism guq vkfJr okr ds dkj.k A
fpfdRlk & dsdMs ds iSj ls {khj la/kku djds nsuk gSA
ifjHkk’kk,sa %&
1XkHkkZ”k;kUrje`rxHkZ% %& xHkkZ”k; ds vUnj e`r A
dkj.k %& ekufld ;k vkxUrqt dkj.k ¼dzks/k vkfn½ &pjd o lqJqr
dk”;Ik & 2 & tkrgkfj.kh & 1 dkyjk=h 2 LrEHkuh dks vUre`rxHkZ dk dkj.k crk;k gSA
1- dkyjk=h & lEiw.kkZx ;nk xHkZ gjrs tkrgkfj.kh A dkyjk=h lk izksDrk nq[kkr~ L=h r= thorhA
2-LrEHkuh & ;L;k u LiUnrs xHkZ LrEHkuh uke lk Le`rk A
xHkkZ”k;kUrje`r xHkZ ds dkj.k & xHkZ/kkj.ktU; ] ekr`t ]xHkZt dkj.k A
2-e`rtkr & izlo dky esa xHkZ dh e`R;q A
dk”;Ik ds vuqlkj ukfduh tkrgkfj.kh ds dkj.k e`rtkr xHkZ mRiUu gksrk gSA
tk;rs rq e`r fuR;a ;L;k uk;kZ A
dkj.k & 1- ekr`t & Anemia ,high BP ,Low weight .
2-vijktU; dkj.k & le;iwoZ vijkikru ]izloiwoZ xHkZL=ko ] xHkkZ”k; fdz;k”khyrk esa vfu;ferrk A
3- ukfHkuky tU; dkj.k A 4- xHkZ tU; dkj.k & vkafDltu dh deh gksuk A izlodkyhu vk?kkr
3-tkrek= xHkZ & izloksijkUr uotkr dh e`R;q A
dk”;Ik ds vuqlkj fi”kkph o iq.;tuh tkrgkfj.kh ds dkj.k tkrek= dh mRifRr gksrh gSA
fi”kkph & tkra tkra viR;a rq ;L;k l|ks fou”;fr A fi”kkph uke lk ?kksjk% A
iq.;tuh & tkra tkreiR;a rq ;L;k”p fez;rs fL=;k% A
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{khjkUukn dkyhu O;kf/k;ka &
1- dqdq.kd &
dk”;Ik lqJqr okXHkV
1-funku & HkqDrokHkqDrokfnok”ksrs 1-funku & 1-funku &
folaKk p cq/;rsA ekrk ds dqiF; LrU;izdksi ls nUrksRifRr tU;
vEy yo.k ds vf/kd lsou djus
ls
2-nks’k & dQ jDr 2-nks’k & f=nks’k jDr &&& &
3-y{k.k & vka[kks ls fujUrj ikuh 3-y{k.k & lw;ZizHkk u 3-y{k.k & dwtu
vkuk ] eu izlUu jguk] ukd lârs]vf{kdwV yykV
dku dqjsnuk] yykVa vf{k uklk elyuk]us=d.Mw ]oReZ”kksFk A
p ifjenZ;fr ] us=d.Mq ]
oReZ”kksFk ] izdk”k vlârk

gkfjr ds vuqlkj dqdq.kd {kkj jl nqf’kr LrU;iku ls gksus okyk us= jksx gSA
2- mRQqfYydk & ¼Pnumonia)-
;ks-j- & okrfodkj & “okl] noFkq A
fpfdRlkn”kZ & jkts”oj nRr “kkL=h & okrfiRrksYc.k lfUuifrd Toj A
fpfdRlk & i`’B o tBj ij fcUnq vkdkj dk vfXudeZ djrs gSA
vfXuukeLosnrsokf∙Ik A
3- [k.MkS’B & okrt ¼okXHkV ½A
4- [k.Mrkyq & okrfiRrt ¼lq-½A
5- Rkkyqd.Vd & okXHkV & okrt A lqJqr & rkyqikr & okrt
6- ifjxfHkZd @ifjHko @ifjHkok[;@nqX/kdqV~Vk @vfg.Mh & xq: o fifPNy nqX/k ds lsou ls A xfHkZ.kh ekrk
dk nqX/k lsou djus ls A dkl ]vfXueka| ] oeu] rUnzk ]dk”;Z ] v:fp ]Hkze A
fpfdRlk & nhiu A
7- QDd & dqiks’k.k o {kh.krk tfur jksx A ,d o’kZ i”pkr ckyd dk uk py ikuk a A
Ckyk loaRljk iknkH;ka ;ks u xPNfr A l QDd bfr foKs;LrL; o{;kfe y{k.ke~ AA
QDd jksx 3 izdkj dk gksrk gSA
1- {khjt & “ys’enq’V LrU; & QDd nqX/kk A
2- xHkZt & ekrk “kh?kzxHkZofr gksus ij nqX/k lw[k tkrk gS ^^d`”;rs e`;rs ok^^ A
3- O;kf/ktU; & Toj vkfn ls “kjhj “kq’d a
fpfdRlk & dY;k.kd ?k`r ] ‘kV~iy ?k`r ] ve`r ?k`r & 7 fnu Lusgu A
f=o`r {khj & “kks/ku & 7 fnu ckn A
czkEgh ?k`r ]jktrSy ] f=pdz jFk A
8- vfgiwruk & jDr dQt nqf’V tU; O;kf/k A
Ik;kZ; & iz’Bk:] ekr`dknks’k ] vukfedk] xqndqV~V ] iwruknks’k A
Ekykojks/k ds dkj.k xqn izns”k esa d.Mq nkg ]:tk] o fifMdk mRifRr A
fpfdRlk &fiRr o oz.kuk”kd ] /kk=h LrU; “kks/ku ] tykSdkopkj.k A
9- i”pknzqt & HkS-j-
funku & nq’V LrU;tU; ] fod`rkUuikutU; A
tykSdksnjlfUuHka oz.k A xqn izns”k dk jksx A ijenk:.k A
10- egkin~ed & f”k”kqfoliZ & f=nks’kt & ek/ko A
“ka[kkH;ka ân;a ;kfr ân;k}k xqna oztsr A ek/ko

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 yky dey o.kZ A
izdkj & 2 1- cfLrt & ân; izns”k ls xqn rd A
2- “kh’kZd & ân; izns”k ls “ka[k rd A
fpfdRlk & foliZ ds leku A
11- “kS¸;k ew=rk & loZizFke o.kZu & “kkjax/kj A
Okr nks’k ls mRiUu gksus okyk euksjksx gSA fpfdRlk vfgQsu o fcEchewy Lojl gSA
12- ifjnX/k Nfo @jkftdk & okXHkV Birth mark
phamphigus neonatorum – staphylococcus infection .
fiRr izdksi ls gksus okyk fodkj gSA ?keZ Losns ifjrs∙xsfifMdk l:tks?kuk A
fpfdRlk & ewokZ “kdZjk ] d.Vd”kdZjk o nqX/k dk ysi A
13- ew=k”ej h & ckydksa esa dsoy okrt]fiRrt ]dQt v”ejh gksrh gS “kqdzt v”ejh ugha gksrh gSA
14- cky”kks’k & okXHkV & dQt A
y{k.k & vjkspd ]izfr”;k; ]Toj] dkl ] eq[kus= fLuX/krk ] Ropk “osro.khZ A
fpfdRlk & L=ksrks”kks/ku ]/kkrqiks’k.kA
Kwashiorkor -izksVhu dh deh ls gksus okyk jksx & Moon face .
Kwashiorkor – word of Ghana country
Disease of deposed child , flag sign , Angular stomatitis ( chilosis or kelosis).
Marresmus – Nutrition dh deh ls gksus okyk jksx & Monkey face
Marresmus –silver wasting of muscles . acidic micturation , diarrhoea
“kkfjfjd fodkl dh vis{kk ekufld fodkl vis{kkd`r vf/kd gksrk gSA
15- {khjkyld & okXHkV & f=nks’kt LrU; nqf’V A
nqf’pfdRL;@vR;;@vfrnk:.k
y{k.k & fot`fEHkdk ] vaxHkax ] dwtu ] vkenqxZaU/k;qDr Qsfuy ukuko.kZ fofo/k osnuk ;qDr eyR;kx A
fpfdRlk & /kk=h o ckyd dks oeu A
16- mYcd @vEcqiw.kZ jksx & v-l- A Aspiration pneumonia
xHkksZnd iku ls gksus okyk jksx A
y{k.k & ân;jksx ]”okl] dkl-Toj vk{ksid vkfn A
bl jksx esa Luku o vH;ax dk fu’ks/k gSA
fpfdRlk & fcYokfn ?k`r ] vtkew= ] rIr ykSg dks rSy esa cq>kdj rSyiku A
17- xHkZ”kks’k & HkS-j- & okRk izdksi ls xHkZ “kq’d A
fpfdRlk & e/kq;f’B o xaHkkjh fl) “kdZjk ;qDr nqX/kiku A
18- vEcq”kh’kZ @”kh’kkZEcq & HkS-j- & ukHkhuky drZutU; fodkj A
ty”kh’kZ (Hydrocephalus ) – Flag sign
19- mi”kh’kZd & okXHkV okfrd
dikys ious nq’Vs A
fpfdRlk & okrO;kf/k uk”kd A iDo gksus ij fonz/kh uk”kd A
20- ukfHkrq.Mh & lqJqr & ok;q ds dkj.k ukfHk dk Qwy tkuk o osnuk gksuk A bl jksx dk o.kZu ukfHkdq.My ds
uke ls j-j-l- us fd;k gSA
21- Erbs peralysis /Brachial palsy –
Due to damage of c5 – c6 nerve ( upper part of brachial plexus )
Police man hand / tip
22- Cerebral palsy / Littles disease
On the name of john little .
Non progressive disease . disease of upper motor neuron.
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 Scizzors leg.
23- Klumpkke peralysis –
C7,C8 & T1 damage . claw hand ( ulner nerve palsy )
24- eU;kLrEHk ( Torticolis ) – Involuntry contraction of cervical muscles .
25- Tetanus neonatorum – anerobic ukHkhuky Nsnu ds 10 ls 15 fnu ds chp
26- Kern icterus – cPpksa esa gksus okyk jaundice
27- Vit. A deficiency – Toad skin , bitots spot
28- Vit. D deficiency - Rickets , craniotebies ( thining of cranial bones ) pigeon chest etc
Ckkyxzg
xzgck/kk ds dkj.k &
1- fgalk dh vkdka{kk ¼vlk/; ½
2- jfr dh vkdka{kk ¼d’Vlk/; ½
3- cfy dh vkdka{kk ¼lq[klk/; ½
xzgck/kk ds iwoZ:Ik & lrr jksnu o Toj dh mRifRr A
xzg dh la[;k & lqJqr ] Hkkoizdk”k ] ;ks-j- ] ek/ko & 9 A
dk”;Ik & 10 ¼jsorh iz/kku 20 Ik;kZ; ½
“kkjaX/kj ] okXHkV ] jko.k & 12
lqJqr us 3 iq:’k xzg crk;s gS rFkk 6 L=h xzg crk;s gSA
okXHkV us 5 iq:’k xzg crk;s gS rFkk 7 iq:’k xzg crk;s gSA
Toj jfgr xzg & LdUn]”koxzg]iwruk] “khriwruk ]”kq’djsorhA

xzg Modern Xak/k lqJqr okXHkV

1-LdUn Hemiplegia {krt xa/kh “kwuk{k]Lru}s’kh]odzkL;] ,du;uL=koh]f”kjksfo{ksi]
with facial &lqJqr mf}Xu] eq[kodzrk]Lru}s’kh]
peralysis olk∙l`xxa/kh & vYijksnh]xk<eqf’BopZ] m/oZfufj{krs] nUr[kknh]grSdi{kLrC/kkax
okXHkV ,dus=i{egr ]lajDrksHk;ykspu

2-LdUn Epilapsy Ikw;”kksf.krxa/kh dHkh laK dHkhfulaK] Qsua Ckkj ckj laKkuk”k ]ds”kyqapu
viLekj & okXHkV izl`trh ]fo.ew=sl`trh ]Qsuks}eu]eqgqeqZg ewPNkZ]gLriknHkzwurZu]
]djpj.ksu`R;rho] LruftOgkna”k
3-uSxes’k Collapse Oklkxa/kh & Qsuoeu]fouE;rs p vk/eku]ikf.kiknLianu]NfnZ
due to lqJqr e/;s]lk}sxfoy;fr] QsufuxZe] vfrlkj]LojnSU;]dwtu]Toj]
dehydration cLrkHkxa/krk & m/oZn`f’V]Tojizrre~] dkl]fgDdk]ewPNkZ ,duS=”kksQ] vkS’Bna”k
ok- fulaKksHkofr ]m/oZn`f’V
4-“koxzg Tetanus, foV~laxxa/kh & dEiu] gf’kZr jkseRoa ]/kkoua]
hydrophobia ok- & d.Bdwtu]cfgjk;ke]
ftOgkna”k] dzks”kua”okuor
5-fir`xzg Cholera “koxa/kh & ewgqL=kal]lglkjksnua
okXHkV & ]Toj]dkl]vfrlkj]oeu
vaxfo{ksi]foo.kZrk]eqf’Vca/k]
t`EHkk]jkseg’kZ A
6-“kdquh Pelagra fogaxxa/kh & ;ks- L=Lrkax]Hk;pfdr] L=Lrkax]vfrlkj ]Hk;pfdr]ftOgkrkyqxys
j- laL=kohoz.k]lEiw.kZ “kjhj esa oz.k]Toj nkg] :dikdklaf/k’kqA
“kdquh xa/kh & ij nkg;qDr LQksV
ok- lqJqr
7-iwruk dkdrqY;xawww.agniveshpgclasses.comPage
/kh L=Lrkax]foMHksn] 11 Okeu]dEi ]rUnzk]L=Lrkax]fgDdk]vk/eku]
Epidemic
 diarrhoea vfrlkj]r`’.kkyq ]ckyd vfrlkj]fiiklk]ew=fuxzg]
fnu esa lksrk gS jk=h esa jk=htkxj.kA
ugh
Choleric olkorfoL=xa/kh Mf}XuHkz”ke~]dEiu] dEiu]jksnu]fr;Zdn`f’V]r`’.kk]
8-“khriwruk diarrhoea & okXHkV fcNksus ij fyiV dj vka=dwtu]vfrlkj],dik”oZ
lksrk gS]vka=dwtu B.Mk nwljk ik”oZ m’.k A
]vfrlkjA
9- va/kiwruk Bacilary vEyxa/kh & Lru}s’kh]vfrlkj] NfnZToj]dkl]funzk]foMHksn]
dysentery lqJqr Dkl]fgDdk]NfnZ]Toj]lrra oSo.;Z] nkSxZU/; ]us= esa vfr:tk d.Mq
okXHkV v/k% “k;frA iksFkdh]Lru}s’k Lojrh{.krkA
10- & ew=rqY;xa/kh & lq:fpUikf.kiknoD=ksdqyq’k Ikk.khiknje.kh;rk] Toj . vjkspd
eq[kef.Mdk lqJqr fljko`r ]vaxXykfu] mnjd`’.kfljkvksa ls vko`r A
xksew=lexa/krk
& okXHkV
11-jsorh Pernicious cLrxa/k & Ekq[k yky gfjr “;kouhyRo]Toj d.kZuklkvf{kenZu]dkl
anemia okXHkV ey]vfrik.Mqnsg] fgDdk] vf{kfo{ksi]
iadxa/kh & ;ks-j- d.kZuklke`}kfr A iqjh’kgfjrnzoe~A
12- Marasmus x`/kzxU/kRo & dzekr~ lokZx{k;] ds”kikr]ukuko.kZ dk
“kq’djsorh okXHkV eyR;kx]vUu}s’k] LojnSU;]foo.kZrk]
mnjxzafFk]nh?kZdkykuqorZu]fTkOgkfuEurke/;s
“;korkyqA

lqJqr ds vuqlkj xzg fpfdRlk &

1-LdUn & okr?u nzO;ksa ls pkSjkgs ij Luku A
2-LdUnkiLekj & okr?u nzO;ksa ls pkSjkgs ij Luku A
3-“kdquh & osrl ]vkez ]dfiRFk DokFk ls cxhps esa Luku A
4-jsorh & nks unh;ksa ds laxe ij Luku A
5-“khriwruk & tyk”k; ds fdukjs Luku A
6-eq[kef.Mdk & xkS”kkyk esa Luku A
7-uSxes’k & cjxn ds o`{k ds uhps Luku A
xzg nwf’kr LrU; &
1-“kdquh & frDr]dVq 2- iwruk & e/kqj ]dVq A
Vaccination
Time Vaccination Dose
1.Birth B.C.G 0.1 or 0.05 ml.(Intra dermal
(bacillus calmette guarine) left deltoid)
O.P.V. -0
2. 6 wkth D.P.T.-1 , O.P.V.-1 0.5 ml intra muscular
10 wk
th D.P.T.-2 , O.P.V.-2
14 wk
th D.P.T.-3 , O.P.V.-3
3.9 mnth
th M.M.R. 0.5 ml subcutaneous
4.16- 18 mnth D.P.T. (Booster) O.P.V-4
5.5year D.T. ,O.P.V. (Booster)
6.pregnancy.6 & 7 month
th th T.T. .5ml,2 Dose in 4 wk interval
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Refluxes –
1.Stepping -6th wk
2.Placing -6th wk
3.Moro reflux- 3 months
4.Palmer grasps- 6 months
5.Planter grasps – 10 months
6.Sucking & rooting – 4-7 months

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