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---
mingitis
④
④ "
Predominant
· protein
mphocyte
TB
Gedivated
=
+ +
+ ↓
⑭mal
+
rxn
Pandy
-
& Abnormal
A Protein 40 -
60
Predominence
.
Lo -
50
Lymphocyte
-
-
④
terial
130-180
40-60 ④
meningitis
④
Lymphocyte 90-100
% Neutrophie predominat
⑳
0 25
: -
-
0 -
32
⑭
tax e + C
Normal
*
ornal for
days
child 2 old .
20-80
up80 -
up to
anein
f
(Increase)
④ in protein in Esf
Rentrophil predominant
G
O Leukernia
curmig
s
-
Chronic
i alls.
-
N
Beast cell<est
Hi
Neutrophilia
Modamin and Microcytic *
19 %
Lennyfosis &
to B it
↳ i -o -
·
· ⑳
and
O
Lamiene tom
⑭ ⑭ ⑭
Rade
ASO ⑳
Mesenchymal Syndrome - O
-
④
-
Could be
. Acute Rheumatic Fever
#Erythrocytopenia
-
④
up to Loomal
rato Anemia
Beficiency
solbumine : Globulin
on
④ · .
Canemia ⑭ ④
-
Mild
④
Meschymal Syndrome
⑭ ⑭
⑭
Junile
could
I
·
Idiopathic be - -
Raumatic arthritis
-
avemi
Negatic
& yndrome of Cytolysis ④
④
E
⑭
Cholecystasis o ErO-
ythrocytopenia ④ ⑭ ④
? 28t
-
sil
Cholecptasis
.
④ ④
⑭
Why - -
-
-
No > Its
- Physiological
Taundic
↑
O
in
Con by
Hemolytic disease of date
④
④ ④ ④ ④ Iron deficiency
anemia anemia
-
newborn. f
⑭ ④ It ⑭ Rex
- -
Allergic via
④
zosinophe
05-lif -
-
go 27B/ 320-360
-
-
EryCrecytopenia
Anemia
②
C -
Hb Mild
Leukemia
Leukocytopenia
⑭ ⑭ ④
avenia ④Q · O ⑭ Chronic
Mild
-
M
N
-
Severanema Neutrophil -
s
- & queal
predom
-
its
Neutrophilia
- At think Anemia Luckto
Lymphocytosis
3-1 %
②
Hypoplastic -O Monoy↳
- ~
78 %
20
-
%
-
L
-
nopti-004-9
·
Os
.
N
Leukocyte
-
cell i
& quamous epithelial
irthritic
Polymorphic
=>
Cystific
Renal Cell
Kidney
=
(Pyelony hit
is
D
2) T I
Urethritis .
LITE
Pyelonephritis
2/T
Cystitis
150
-
-
Coco
⑭ time
Thrombin
4 min ⑭
2
-
-
II-17
see
⑭ APTT
-
time
0 . 3-0 5
.
⑭ casting
3
- 6 see
④
I
15-3054 ④
12-ste
80-100 %
60-120 see
⑭
Hemopte
2 -
49/4 ⑭
5-10
min & ④
-
N
N
⑭
N
N
④
④
②
~
⑧
④
v
It
I
④
d
N
Blood
Prothromin
index
Q
emophilia
④ TT
it
⑭
④
APTT
=
N
&
⑭ ⑭
· ⑭
- -
-
- -
- - -
-
⑭ -
⑭
④
⑭
-
-
④ ⑭
⑭ ⑭ ⑭
Obstructive jaundice .
soften that it
60-809/2
⑭ ↑G is Nconate :- 0 .
2-0 8 .
⑭
After that in 0 4-0 9
④
: :
↳ quecasei Neonates : 1 :
6-4
⑭ ⑭ Breasfelding: 2 :
8-44
⑭ ⑭ Pre-school-School - 3 .
3-5 5
.
light
④ ⑭
· Ca = 2 25. -
25 :
Elevated ⑭
k = 4 - 5 .
3
⑭ ⑭
⑭ Na = 135 - 150
9970 Unconjugated
arid Hemolytic Jandice
-
Bile
elevated Both
Slightly Darnchymadow" =
AST ACT
Hypubilimbina Only conjugated
,
Obstructive"
Conjugated : girinosis
It Thymol test 12
Liven
Jame
-
Obstructive
L
& Muscullar fibus Creatorheq
None
Connectivet issue
-
of bile
giardia Lamblia
I
thre
of protozo -
Pinwarm, stsca
Esq o Helminthe
Elastane infic g
iii
' e ? ·
Pre-hepatite
④ ④O
④ (2 , <unit)
=
④O
&
⑭
k
O> -
inflammation Normal Liver enzgue
120 Prehepation
⑭i
L
⑭
ALT} markely
⑭ Hepate
x
x
x
945- moderately
Y
A2P =
moderately
we
(133)
Obstructin
:Br 3 moderately
I
⑭
O
Hormat
ant
O ↳
oo
-
Gritis
-
- -
As -0
-
Cardity
Feller
Rummatic
imed Rheumatic fever
.
Ho
>
-
accte tonsillitis
↓ > Conf
check ASO-900 -
-
-
Migratory· Rely
arthitic
Joint involvementie
Heart involvement
Rash-Erythema marginatur
↓
D =
Rheumatic fever .
.
2 weeks
↑ a
Strict
is bed rest for
Penicillin I 250mg
o
4 times/day X to
days
.
sollergic
-
to Penicillin =>
Eryromycin
250 mg
4
time/day x10
days
.
steroids
-
>
- Oral Predinisolone
(2mg/kg/day) For 3 weeks
Taper over
quRs .
JIA.
Oligarticular
I
↓ Pxi
(2 Rheumatoid Arthritis
& &E .
NSAIDs Bataminophen
This -
indone
Intra-articular Reoida
DMADS => *
MT : -10-15
mq)m2/weekaly
④ Humolytic anemia >
Sickle cell anemia I
=
= .
Px
② alo of travelling to
African Elaydraho transfusion
Clinical
presentation
>
-
roxy
ne
Lunar Lordosis,
excluded dossal
Kypnosis ,
Reticulo cytosis
Pokilocytosis
Presence of dark Urine &Urinobilinogen .
①pi ban
Pneumonia
Pneumonia
& diplococci
:
Streptococus .
Gram the
⑳ In hapital Tx
.
Generat Cepalosporin
-
&
ceftriaxone
·e IgIV daily
IV
or
Azithromycin
50
ng luloral daily
Oxygen therapy
.
& DX:- Status Asthmations .
close Salbatamel
.
that is unresponsive to high
rate indicate
expiratory from
Deding
Peak
of asthma
worsening
.
disters
Child in
respiration
air
⑳
frest mark
.
Provide
through tall
theraphy
Oxygen 15-esinging
Inj Hydrocortisone sing does
salbutand mg)
35
Nebulised
Cosingi
Oxygen
.
in
bromide
Ibratropiam
(5mg)
Zalbutamol
naHail
any gen schau
·
f
&
intubation
Et
·
PX Nutritional Rickects.
& Maternal Strict
Vegan
diet .
exposure
.
Insufficient
zun
Mit D Therapy
duration or
⑳ Low dose ,
Long
12 .
weeks
2000-600010 per day
corrected
Montanence - Aftu
deficiency
400
I day
Calcium
Ermg/kg/day
=> 50 -
follow up at 4 weeks
& Px : Pathological
Jaundice (lemelytic)
Indirect bilirub
⑳ in
Appear on 1
day.
daundice
DPX : Hanolytic
&
2
Neonatal hepatitis
disorder
Metabolic
.
↳
Crigzer Majjat
Libert Syndrome
of
bilimbin
Exchange tranfusion if sign
encephathy
or
Failure of phototheaky
-
&On Quodenal Ulcer .
Caused
by
H
Pylori infection
.
· -
days bid
1 conoprazole zong
② -
soomgbid-1gbid
z
500mgtid-
long storgdinonobraz
ve
Escorg bid
Long .
I' think
&X-Myocarditis
did-Endocarditis
Pericarditis
Pancarditis
dineretics
Eurosemide)
RX-
dopamine
= Amiodarone
coubio
CAMP
Calcium & PON T
& Hit D Samm
Neuronal excitability -
Hypocalcemia
Seizures
.
Tetany
to
corted
& Ex : I Calcium gluonate
Hypocalcemia level
.
to
closely
en
Monitor
Hypercalcemiasupplementation
.
prevent
UI &
2
Calcium
Oral Stabilize
once diarepan
with
control
Science
&
&
↳ Anasarca
Kidney Injury/AKI
Acute
Complication is
· GR
Infections :
Thrombosis
Diuretics : Furosemide
-
=
&tenosis
O
.
upright
heart .
Diuretics Eurosemide 0 1 to 0 a
mg/kg/h.
.
4
.
Continuous
resign
in -
- Imodilators is Mitroglycerin . 0 5-20
mg/kg/min
.
Fever , Cough ,
Breathing muscles in
respiration
Participation of accessory
Tachypnea ,
Fine inspiratory
crackles
,
Expiratory Wheezing
.
hyperinflation
.
be
Chest :
X-ray may
small airways ,
Fluids
-
inhalation
.
Moist Oxygen
2 5 6 hour
.
Salbutamol . I
my
.
-
- -
(Nebuliser
-
-
.
rash
① skin manifestation
like itching ,
ling
I
Fever ,
Swel
wheezing Coughing,
Diffeult breathing ,
Symptori
,
Rupiratory
SOR -
Tachycardia >
- lead to dizziness
,
cardiovascular " =
- Hypotension
Consicousness
Light
,
headness las
of
Abdominal
GI System
:
Nausing Homiting
, ,
diarrhoea
.
cramps ,
ronxiety-
TX i
-
I
Dx
Meningitis
--
Cephalosphorin
ix : 200 Generation
I vancomycin
ceftriaxone ↳ Somg/kg/d
↳
somglkgld
days
.
to 14
10
for
Prophylaxi
-
influeza
: Hemophilus
Uncination I 'neumococal
,
-
) Meningococcal Meningitis
Conclusions.
Complication !
-
L Infection
Control
I
↳ Isolation of patient .
a piration
environment pervent
.
to
safe airway
E Ensure open position
Maint
are
place
in
Lateral
(01mg))
kg
Lorazepan
C
-
Midle i Vital
sign
care
2) Supportive
↳ Hud Resuscitation
antibiotics
3) Cmpirical
.
mg/kg IV 342
ceftriaxone of 80-100 every
and Monitor
4) Reass
Respiration
Pulse
BP
caleration
Oxygen
: Status Asthmations
Dx
air
fresh
.
Txie Provide .
mark
through tar
Oxygen theraphy
Enj Hydrocortisone
ifa
15-esing
Salbutand
35
mg)
Nebulised
Oxygen
(0 5 eng)
+
.
in
bromide
.
Ipratropiam nebulised
salbutamol (5mg)
Oxygen-
in mechanicalTy talk.
&
above
E
intubation if
vemulation
.
shock
Dyi Anaphylactic
Ensure patient saftely suposure
Txit ↓ ability ,
Asses Cirudation
Braking ,
Airway ,
↳ help
capipen)
for
sall
do
Adernaline -
M go
1 :I
00 Airway
O
long/kg
-
Creedel(Breathi
l's ng3
de way zoml/Rg
.
air
Establish influsion
.
orgen
Monitor flow ~
crptalloid Slow
zeorg
IV
high d
e
close
Publ ↑
the single
Ge
orimetery hydrocortisone
·
· BP
· Vitals ,