D O C of Absence 53

Ethosuximide Courtside India

2ndchoice sodium Valproate
Alc diarrhea
Rx WHO 0125
Zinc
No Antibiotics diarrhea
reov in
conditions were antibiotics should be give
D Diarrhea with dysentery Cbbod while passing stool
ii SAM
Iii Rice watery stool Cholera

Zndose CGmonth 10mg

6month 20mg
Tenesmus in complete evacuation of bowel alwabd
while passing stools
cramps pain G pain
passing fresh blood in stool lower 91
bleed
Hematochezia
Malena Black TarrySupper 41 bleed
o Deonarcation
of Upper 91 Lower 41 Ligament of
Treitz
Frothy diarrhea e personal excoriation LACTOSE
INTOLEREN
a
Rx 0CTopical Zn
MCD bacteria virus coursing diarrhea
la la
E Coli Rotavirus

M of diarrhea I
Composition of ORS
Nat 75m05MIL
g a composition
glucose 75 mosm L
k't 20 mosm L
Cl 65 mosm L
Citrate 10 mos.vn L

Total osmolarity 245 mosm L

Types of E coli causing diarrhea E Toxigenic Traveler's

diarrhea
E Invasive
E HEC
E pathogenic

D THUMBS19N

AleEpiglottis
Rx Antibiotics CEFTRIAXONE
 STEEPLE SIGN

Croup Laryngiotoachesbronchitis
Rx Dexamethasone
i Adtrenaline Nebulization
y
i

Apnea of Prematurity more the baby premature more

the babies respirative drive
is not taking place

Temporary cessation of breathing for 20 see with without

cyanosis
Doc Caffeen citrate

cholera
MOT Fees oral route
DO C Doxycycline
Gyre Azithromycin macrolide
Congenital Adrenal Hyperplasia

Rxoc Hydrocortisone t Furdro cortisone

Foreign Body Esophagus
Foreign body
D

Blunt Mon Blunt

to ta
Endoscopic Removal wait for
24 hr
f Hb
If any Endoscopic
removal
 my
Breat feading No food or drink unless medically
indicated medicine Breastfeeding
started from Ihr of life to Gmonths
Normal vaginal delivery Breastfeeding initiated ASAP
SCS B F after 3 hrs

CII of B F Absolute
nun l Glactosemia

Relative
in chemo Radio
y Mother
3 Active untreated TB
3 HIV
GALACTOSE METABOLISM

In galactosemia more
and more B F Rr
baby
Left
Harmful galactose
accumulate in thebody
cataract
Hepatic damage
microcephaly
cause of
Hypoglycemia
death

Non classical Galactokinase delebiciency

GALACTOSEMIA cataract tie
 Hemorrhagic disease of Newborn
Dlt to uit K deff
Rx
wit K inj
1mg IM STAT
anterolateral aspect ofthigh
to
Anterromedial not recommended
to prevent injury to
Femoral vessels

Neonatal Jaundice
more and more jaundice more g more hemolysis
courses
un

b Rh incomparability
ABO is

3 Hemolytic anemia
isHypothyroidism
546 PD debb Eenzymopathy
Eg Elipbseytosis
membranopathy
Pykanocytosis

Rux Phototherapy
exchange transfusion
Red Box
9 IF 26 22 Neonatal Sz

MD type subtle Sz
DOC Phensbarbitone
GIF 27 so Neonatal S3 Loadingdose 20mg1kg
Maintenance 5mg
 ag

Neo s
resonate O 28 days of Life
I
Eady Late
O 7d 7 284

Infant 28 d Iyo
Toddler I 3yr
Pre School 3 6
School going period G 12 yr
Adolescent 10 19 yr

1 tiddleYate
end
10 Bys
Doc Antibiotics
cause of neonatal sepsis
WORLD
Hospital E coli
overall Group B streptococci
INDIA Acinetobacter Klebsiella
Hospital
Gold Std lux0C Blood culture
Neonatal sepsis
Enteric fever

Nephrotic syndrome i

Periorbital swelling

Facial puffiness

ANASARCA
mm

Rx Prednisone
2mg

kg1dayx6wkfffbPrednisobne1.5ng1kg

day x 6W
DID A Anasarca b Anemia RAF
CCF Raised JVP tender Hepatomegaly
ascites scrotal edema 131L
pittingedema
L HF Bk crepitation
3 PHTN
kwashiorkor
5 Malnutrition
Nephrotic Sx

DDC
de
la
steroid dependent steroid Resistant
nephrotic syndrome N S

CYCLOPHOSPHAMIDE to Cyclssporin
LEVASMISOLE Tacrolimus

D SYNDACTALY
Ab fusion of
digits

Polydaetily 35finger
Brachidactily Ab stubby fingers
Sli Achondroplasia

Arachnodautily Long slender finger syi MARFANS Sx

 MANDIBULAR PROGNATHISM
Sli Kruzon Syndrome

Micrognathia
Glossoptosi's
PIERCE ROBBINS s
cleft palate
Yshaped

Difficult Bag and mask

ventilation

Polydactyly

Prost
Axial
Pre axial central
common
ulnar side
Less
Thumbside
 Brachydactaly

Nocturnal
ummm
Enuresis
ummm

Baby passing urine who is 5yr of age is 10nocturnal

enuresis
18month
Milestone Dry by day
36 month
Dry by night
P never bn Dry by night
Types
20 Gmonths
But by night
now wet
12 0 c motivational therapy 1 conditioning therapy
D o c 2nd line but not curative DESMOPRESSIN
ADH
3rd line 1mi promine ETricyclic Antidepressant

NMn.li kets

Bowing of legs
swelling of wrist
STOSS THERAPY single bit Ding 6 Lakh IU IM
or
60,000 IU cholecalciferol sachet today
Potus is

HYALINE MEMBRANE DISEASEi

deff of surfactant

White out Lung

Air Bronchongram

9mF Grunting forced expiratory sound against a

partially closed epiglottis

Defence mechanism to maintain the FRC
sci preterm

Surfactant 28 wk Amniotic fluid

1 UL
35 wk a mature level of surfactant
UL in the lungs
Rxoci Surfactant
CPAP
 Meconium Aspiration Sx
a N Gtube
Lungs are overinflated with
coarse opacities throughout
the lungs

Scurvy
Vit C is given
CIF psuedoparalysis of limb
dlt excrutinating pain injuts
so the child refuse to stand
and mistaken to be case
of AFP

WESTSYNDR OME

GIF 50 15 west syndrome

Triad
err
of west syndrome
mm

infantile spasm Rx ACTH

EEG Mental retardation

I
Hypsarrhythmia
 K F ring

Sli WILSON Dls

panda sign
p s cu
b ta s ceruloplasmin
ATP FB gene mutation
ATP7 A gene metutation
Sli Menke's dis

Gene of some dis

ATP 7 B Wilson dis
ATP7 A Menke's dls
EGFR3 Achondroplasia
FGF R2 Crouzon Syndrome
JIPMER19
FBN I Marfan Syndrome
PTPN 11 Noonan Syndrome

MARFAISX
MVP
AorticDissection
Retinal detatchement
Fibrillin I deff
i Arachinodactyly
ve nitroprusside test

Supero lateralsubluxation Homocystenurio Intero

medial subluxation
Gold standard h.mx of Wilson dis Hepatic cu dy live
Biopsy
Rg i Cn chelating agents
ii Linc

Iii Ammonium trilhyomolybdate Ctrientine

Radiological signs in Pediatrics

Boot shaped
mm
heart
la
Sli 1 OF
dit ventricularhypertrophy

Triology of Fallet
RUH
ASD
RA LA ps
Z Teratotobgy A Fallet
Ikram RUH
a
q I f Ps
vsD
overriding ofAosta
PDA 3 pentobgy of Fallet
Rutt VSD
Ps
congentinal heart dis
D

Plethoric p blood RN
Oligenic lung b blood
field RV hug field
ps ASD
pAtresia to VSD
fs PDA
T Atresia
Ebsteins anomaly

Hearing loss
Distinctive hair colouring White forlock
Heterochromia bidis

Turners Syndrome 45 0
Female with weberd neck
widely spaced nipple
12
Amenorrhea
Streaked ovary infertile
FSH G LH
CHD Bicuspid aortic valve
correlation Aosta
 o
Noonausynd rome
karyotype is
Male with webed neck
CHD P S
Fertile but delayed puberty
Mental oetardation
Both sex
EDWARD syndrome

RockerBottom Feat
digits
overlapping
cardiac defect
Kidney dis
low set year
Mental Retardation

Trisomy 13chromos Patan ASD 3USD

Trisomy 18 chrom Edward vs D ASD
Trisomy 21 chromosome Downsyndrome
CHD ostium primum ASD
most specific Endocardial
cushion defect
ASD ostium secundum ASD
 p v
PI p
O

RA LA
111 11

RV LV
thanks p s Hasan

Noonan syndrome Pulmonary Stenosis

Turners Syndrome Bicuspid Aortic Valve
William's Syndrome supravalvular aorticstenosis
Infant of DM mother VSDcm c
Most specific TGA
anomaly CHD
M neurological anomaly NTD
specific anomaly caudal
regression
syndrome
mother Hyperglycemic
Pederson hypoth
Baby Hypoglycemic
Down Syndrome Ostium Primum ASD
Overall ASD Ostium secundum ASD
Patan ASD
Edward VSD
Garctation of Aosta

Figure of 3 sign
Discrepancy in upper 3
lower limb B P

coardation of Aorta

Reverse 3 sign 1 E sign

Figure A 8 sign Supra cardiac TAP VC

Endocardial cushion defect

G I ab in downsyndrome Duodenal atresia

double bubble sign

single bubble sign Pyloric stennis

Double bubble sign Duodenal Atresia
Tripple bubble sign Jejunal atresia

pastial Anomalous Pulmonary venous connection

 TG A

Egg string appearance

on

Rxoc Arterial switch

amoliartdis
TOF
TAPVC
TGA
TA
Ekstein Anomaly

Bronchiectasis
TA Pvc

Sli supracardiac TAPU

TAPvc Supra figure of 8 snowman

cardiac
intracardiac whiteout hug

Ebstein Anomaly

Li taken by mother
Box shaped heart
Astialization of
R A
k r

a
IN s

Lv hypertrophy Himalayan Pware

oligenicc hug field cyanosis
Left ventricular enlargement
schmoo sign
B

Wilson
ummm
dis
un

Panda sign
 Pericardial Effusion
MoneyBag 1 water
bottle shaped heart

steam primum ASD LUH

ostium secundum ASD RUH

ACHONDROPLASIA

Achondroplasia

Trident Hand

Short limb dwarfism

 Intussusception i

Palpable mass
pain abdomen
Red current jelly stool

Kartagener Triad
ichronic sinusitis
3 Bronchiectasis
3 Situs inverses

image based discussion

Rickets

cupping
fraying
splaying

widening of wrist
Rg Vit D 60,000 101day x today
or

stoss therapy lug Vit D 6 lakh IU singledose11M

tis
N liziy.eu
NEC Stage III
pneumatosis intestinal's
portal vein gas
Football sign

abdominal 141T emergency of newborn or

preterm
NEC
Thalaseonia
Hair end appearance
on

p S microcytic hypochromia ameni

DID s sideroblastic anemia
1 Irondeff anemia
T Thalasmia
A Anemia of 4ed Is
 Iron deff Anemia Thallesemia Anemia of 4C Its

S Ferritin to 9

Tl BC 9 to

Hb unchanged changed unchanged

1 29 20 Blood picture repost of microcytic hypochromia

anemia

Moyamsya Disease

Puff of smoke appearance

 Bitots pot
Build of keratin located
superficially in the
conjunctiva of human's
eye dit wit A defficiency

Blue sclera e recurrent

fractures
He
Osteogenesis Imperfecta

Joint hypermobility EHLER DANLOS Sx

MARFANS Sx

9113 1 33 07 Gover's Sign Sli Duchenne MD

Valley's sign
 Rachitic Rosary Scorbutic Rosary

Vit D deff Vit C deff

Pain less Pain full
Roud and beaded pointed

Pellagra
Niacin crit 133 defficieney
4D's is Diarrhea
Ii Dementia depression
iii Dermatitis
Iv Death
Drugs given intratracheal i
i Naloxone
is Atropine
iii surfactant
Iv Afrique
Atropine
9 Lignocaine

BP of 4 yr old 90thpercentile of BP

systolic 90 agex 2
diastolic 55T age x 2

Slp a 98 63

nes

Tripod 6months
sitting without 8months
support
standing with 9 months
support
standing without 12months
support
Walk with 12 13months
one hand held

Independently walk ismonths

Runs 18months
 Climb stairs with two feet in each step 2yr
with alternate feet 3go

Comb downstairs 4 yr

kick a ball
2
More backward yr
Handedness come
3yr
Toilet alone 4yr
knows full name age
g sex Zyr
Temp
36.5 37.50C

mild hypothermia 36 o 36.5

Rx Warm chain
moderate 32 36
Severe 532

Hypothermia 37.5

WARM CHAIN i

worm delivery room 22 26 C

2 warm resuscitation corner

3 immediate drying
4 skin to skin contact
5 Breastfeeding
G Bathing postponed
Appropriate clothing

qn.am#BstosekgqgpBBfgggpg
8
9
professional alertness
warm transportation

SOTO's Syndosome
Prominent forehead

flushed cheek

Pointed chin

Macrocephaly
premature eruption
8 teeth
LGA
goth Large for gestational
eight Aga age
10th

xSGA

Age

Large Gestational Age Tse chance of Wilm's

tumour

Soto's syndrome yes

To
omphabeele

Beckwith Wiedemann syndrome macroglosia

DM microcephaly
c
3 infant of Hemi hypertrophy
is Erythroblastosis foe this with one side of

wood
Wilner's tumour Hw i Dennis Drash Sx
Ii Beckwith wiedemann S
iii wager syndrome

Telephone reciever femur

I
THANATOPHORIC
DYSPLASIA Type 1

GIF 1 48 00 HOLOPROCENCEPHALY

waving byebye 9month milestone

Joubert syndrome Molar tooth sign

PHAN pentothenate kinase Eye of tiger sign

associated neurodegeneration 1
Haltervorden spatz syndrome
 Troma track sign
It
Ns sturge weber syndrom
Etack
eye optic nerve memingioma
respiratory Bronchiectasis
chest
cardiogenic PE
Abdomen NEC

Kidney MPGN type't

B M duplication
under lightmicro
scope

mammary gland duetectasia

mammography

GASTROSCHISTS

No covering over intestine

intestine is out

Rx Cover the exposed intestine

with guage soaked N s
 MPHALOCELE

intestine out
covering is

ophalocele
intestine out
covering

Geographic tongue
I
follate or uit B12 deff
 pan digital clubbing

Grades of clubbing
Grade 1 Nail bed functuation
Grade 2 obliteration of Lovibond angle
Grade 3 parrot beaking
Grade 4 Hypertrophic osteoarthropathy c Hoa

I
Dimension
shape visible

GIF CTE V 1 56 00
 Malar rash

SLE

World Autism Day 18th June

Breastfeeding week 1st wk of August

Blood report 1 58 26 comment

AM A baby had change in voice a nasal twang and

was noteating anything from 5days
Xray done shows a coin in throat
1
MI Endoscopic removal with 24 hr

Dose of Adrenaline in neonatal resuscitation

N S
1 I 000 is 1 10,000
to give 0 1m11 kg
Ibuprofen
use fever
pain
JRA
cystic fibrosis
PDA
migraine
Dosage P O

PDA Iv initial dose of 10mg1kg

Hb
24 hours interval
by two doses of 5mg1kg
911 3 2 06 11 Jargon 15months
making incomprehensible
sound

cupping
RICKETS
fraying
splaying

3months of age
3mih 2mn11s
T T
s
Syr 4yr
9113 2 08 00 Drawing t
Of milestone
Tyr sup

GIF 2 08 45 unidexfsars 6months

transferring N object G 7 months

mouthing 5moths
bdextrous 4 months

9113 2 09 17 Handshaking t independently standing

12 months
independently walk 12 13month
one hand held

what is the weight of a sachet of ORS

sd 20 5gram
 9 IF 2 12 44 milestone Run 18months

GIF 2 13 27 which procedure is done on this child

cleft lip repair
GIF 2 13 47 sitting without support 8months

GIF 2 14 28 Mansurer Hip and knee flexed to 900

and on hyperextension child
vinces with pain and pt
tells pain in the hamstring
muscles
I
KURN19 s sign
signs of meningitis
b Kurnig's sign
4 Brudinsky sign
Neck
3
rigidity
911 3 2 15 53 arch of boot is lost
Flat footipes planus
IF 2 16 22 Jaundice
unto
upper bulbar conjunctiva
is appreciated
 Jaundice
1
pre hepatic hepatic post hepatic
11 I 1
Hemolytic anemia obstruction
cirrhosis

typ evay.net
Dose Route Site Age

IM Anterolateral aspect 9 12 months

05M
Booster

2gr.AU
of High
vaccine usually stored under 2 8 C except oral
polio vaccine z 20 C
National immunization doesnot include Typhoid vaccine

It is a part of IAP

9153 2 19 29
Bowings
courses is Rickets
osteogenesis imperfecta
3 Pbl R poisoning
Fracture unhealed
5 Blount's dis
b Bone dysplasia
 congenitaldiaphroynnatichernia
Bowel sounds in the chest
Scaphoid Abdomen
Respiratory distress
Bagand mask CII

type Posterolateral type

BOCH DALEK hernia

GIF 2 21 50 microcephaly
a low set ears
Global development
squint
delay
spina bifida tufgtwsyhbaiag.sn
the
oculta
Microcephaly C 3 SD
head circumference
Macrocephaly y z gp

GIF 2 26 00 assymetrical MORO reflex

Erb's palsy 9
other causes of 4L russo reflex u

b clavicle 5 shoulder dislocation

3 Brachial plexus injury

3 Erbes
palsy
4 congenital hemiplegia
 Mongolians
location is lumbosacral region
Bluish black well demarcated areas
of pigmentation seen on the
buttocks and back

small capillary hemangioma over

nape of neck upper eyelid and
forehead

Hr
stork bite salmon patch nevus simplex
They are capillary hemangioma
located at nape of neck
upper eyelid
forehead

GIF 2 28 55 contractureIweakness

Vaccine Vial Monitori

OPV 20 C storage foozen

14113 2 33 32 wides showing swelling of joints

Joint no involved arthritis

11
Mono septicITB
3
Joint
a
small Large
I 11
Rheumatoid Rheumaticfever
arthritis arthritis
P
migratory
arthritis

Ee Night cry and bony tenderness o Leukemia

911 3 2 36 29 inspiratory sound baby

stridor
laryngomalacia
2 ML V C
palsy
3 laryngealstenosis
laryngeal web
 what are the conditions in newborn which looks
ab but are normal
i Milia
ii vaginal bleeding Day 3 of life
Iii Physiological weightloss
Iv Physiological phinrosis
u Subconfuctival H'moye
vi Erythema Toxicurn
vii Mongolian spot
viii Peeling of skin
ix salmon Patch
Neonatal pustular melanosis
Xi Acne Neonatosum

PHOCOMELIA

dit thalidomide mother during pregnancy

Mother Baby
abortion
Antimalarial Deafnes Thrombocytopenia
misoprostol Mobius 5 3 cranial neuropathies
Alcohol Fetal alcohol
Sx
Carbamazepine spina
 b
carbimoyote scalpdefect
chsanal 3 failure to pass N 9 tube
atresia but easy to pass 0.4 tube
Esophageal
atresia Tracheo esophageal fistula
cocaine microcephaly IN
Difficult to pass both
Domoyd Virilization N 940.9 tribe

Lithium Ebstein
anomaly
macrosomia

Phenytoin Fetal
hydatoin Sx
neuroblastoma
wit K deff
statins VACTERL
anomalies

Tetracycline Yellow
teaks
cataract

uit D Hypercalcemia
Supravalvular William Sx
A's m congenital HD
Elfin faces
warfarin fetal bleed
Hypoplastic
nasal structu
Troussau sign Hand adopts a characteristic posture
spasm when the sphygmomanometer
cuff is inflated above the systolic
B P within 5 minutes

It is a test for neuromuscular

excitability which helps in detecting
latent tetany
GIF 2 48 51 Chvostek sign

the twitching of the facial muscles

chastely is
in response to tapping over the area of the facial
Nerve

911 3 2 49 40 Allen's fest

I
make sure the collateral
circulation is
present
during kidney dialysis
Treacher Collin Syndrome
A D
antimsngoloid slant
deafness
cobboma lower eyelid
micrognathia
under developed cheeks
TCOFI gene mutation

Col obama

Treacher Collin Syndrome

 Monfarissyndromets
Arachinodactaly
Wrist sign
Thumb sign

Pectus Pecks
excavatum corrimatum

He a
Indented protruding breastbone
breastbone

Fragilexsymdrome
Mental retardation
A R
Delayed milestone
mandibular prognathism

S3
 p Triple nucleotide repeat mutation
defect
course of mental retardation down syndrome
2nd cause is fragile X syndrome
Reversible preventable cause mental retardation
congenital Hypothyroidism
Hypertrophic pyloric stenosis

Projectile vomiting
voracious appetite after
vomiting
ought bss
diarrhea
Non bilious
vomiting
2 6 wk of life

Hypertrophicpyloric stenosis
 strawberry multiple sebaceous cyst
Anand
pediatrics scrotum
pg mp
strawberry cholestrolssis
gallbladder
STRAWBERRY strawberry Antenal USG in
skull Edwards

BtrawberryTongue Kawasaki

strawberry vagina Trichomoniasis

strawberry Gingiva Wegner's Granillo

natosis