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Easy Guide in Pediatrics
Easy Guide in Pediatrics
A/
Measuring
drug doses in pediatrics
B/
Management
of most common diseases
in pediatrics :
Gastroenteritis
Common Cold
Tonsillitis
Chest Examination
Bronchial Asthma
Bronchiolitis
Pneumonia
URTI
Stridor
Fungal Infections
Other abdominal disorders
Nice Times
!!
resistance
:
:
suspension
syrup
congestive tonsillitis
Curisafe suspension 250 mg
( )
:
:
ventolin
salbutamol
sutrim suspension
sytron syrp
orazone syrp
paramol syrp
: :
1/
Gastroenteritis
%
stools
fluidity
Volume
Number of motion
Normal habits
fluidity
stools
liquid or semi liquid
diarrhea
well formed
diarrhea
stools
exclusive
stools
semi liquid
diarrhea
number
fluidity
:
infectious diarrhea
viral
60 %
rota virus
bacterial
20%
shigella
E cloli
parasitic
15%
E histolytica
parentral
infection
tonsillitis
otitis media
:
/
motions
fluidity
/
dehydration
, persistent
/ stools
dysentery
/
motions
/
dehydation
/
:
dehydration
general
:
dehydration
watery stools
%
dehydration
sunken eyes
:
umlicus
anterior superior iliac spine
slowly
very slowly
general conditin
irritable
lethargic
dehydration
severe
moderate
mild
skin pinch
fontanel
:
dehydration
No dehydration
some dehydration
:
:
(
)
) )
reasses
dehydration
some
no
severe dehydration
severe dehydration
some dehydration
pansol
saline
some
30 ml / kg in 1 hour
ORS
Metabolic acidosis
Vomiting
dehydration
severe
30 ml / kg in 1 hour
40 ml/kg in 2 hours
30 ml / kg in 1 hour
:
Hydrosafe
Motion
Vomiting
:
& paracetamol
Ibuprofen
Paramol
severe
Marcofen supp.
:
Domperidone
Motelium
Motinorm
Farcotilium
=
:
:
vitamin B6
-Metoclopramide
extrapyramidal manfestaions
antidote
:
Aquaream Zn
villi
Antinal
Nifuroxazide
spectrum
organsim
viral
bacterial
shigella
shigella
nifuroxazide
shigella
Normal flora
course
Smecta
Kapect
Kaolin
Pectin
infection
drainage
infection
Imodium
Lomotil
antimotility drugs
paralytic ileus
Acute urine retention
: dysentery
stools
bacterial/parasitic
infection
stools analysis
blood
Shigella
Sutrim
Septrin
Septazole
-ceftriaxone
Rocephin-Cefaxone-Ceftriaxone
-cefotaxime
Cefotax-Claforan
Entamoeba histolytica
vegetataive forms :
Flagyl-Amrizole-Intophar
-
Cystic form :
Furazol
Dilozole
Dimetrol
2/
Common cold
running nose
nasal obstruction
low grade fever
sneezing
mild cough
disturbed feeding
chest examination
free
transmitted sound
:
Allergic rhinitis
No fever
Itching
+ve FH
1-Nasal decongestants
Lyse drops
Otrivin babay saline drops
vasoconstrictor
atrophy of nasal mucosa
+ antihistaminic
drops
Triaminic drops
1 drop / kg
Rhinostop drops
irritability
syrup
Sine-up
Actifed
Congestal
Sudophine
Balkis
propyphenazone
intracranial hge
Rhinomol
Pararhinol
Vegaskine
herbal
Guava
Herbal Bronch
Balsm
Broncare
empirical
3- Antipyretics
paracetamol
Paramol syrup
Cetal syrup
cetal
paramol
Cetal drops
Pyral drops
2 drops / kg / dose
Ibuprofen
10 mg / kg / dose
100 mg /5 ml
Brufen syrup
Ultrafen
Marcofen
Marcofen supp.
combination
Megafen
Cetafen
Diclofenac
Cataflam drops
2 drops / kg / dose
3
1-3 mg / kg / day
Dolphin supp.
Baby relief supp.
paramol syrup
Marcofen supp.
acetyl salicylic acid
vegaskine ped supp
Reye syndrome
( )
hypersensitivity reactions
antibiotic
viral infection
3/
Tonsillitis
fever
sore throat
cough
dysphagia
abdominal pain
vomiting
fever
common
viral
antibiotic
streptococcal
chest
free
cervical lymph nodes
enlarged tender
mouth examination
tonsils
enlarged congested
pus
tonsillitis
streptoccoal
%
throat swab
pus
streptoccal suppurative
congestive
/
/
Congestive Tonsillitis
1- amoxicllin
antibiotic abuse
ampicillin
amoxicllin
resistance
2- amoxicillin-clavulanic acid
Augmentin
suppurative
:
Magna-Biotic 312 sus.
Curam 312 sus.
Hibiotic 312 sus.
Magna Biotic
3-Cephalosporines
injection
oral
resistance
curisafe
severe
Magna Biotic
Suppurative tonsillitis
Rheumatic fever
Pencitard Vial
Retarpen
saline
saline
, forearm
intradermal
indurated
induration
redness
erythromycin
erythrocin 200 sus.
4/
chest examination
Inspection
chest indrawing
intercostal retractions
suprasternal retractions
pneumonia
chest indrawing
History
Examination
Investigations
...
:
respiratory rate
periodic breathing
cut off point
:
:
transmitted sound
:
wheeses
expiration
:
crepitations
inspiration
basal
chest
heart
congenital
VSD
recurrent chest infection
5/
Bronchial Asthma
1
2 3
4
5 6 7
8
:
1
asthama
bronchiolitis
attacks of wheesy chest
bronchiolitis
2
acute attack
chest infection
chest examination
tachypnea
retractions
severe
wheeses
Nebuliser
2
wheeses
solucortef
aminophylline
arrhytmia
ventilator
orazone syrup
3
2ry Cushing
Medical Guide
Mucophylline
empirical
4
chronic treament
Mild intermittent
Fixotide inhaler
Ventolin
6/
Bronchiolitis
viral infection
RSV
respiratory distress
severe
respiratory failure
tachypnea
chest indrawing
intercostal retractions
wheeses
? Asthama
attack
bronchiolitis
recurrent attacks
asthma
asthma
fever
asthma
family history
asthma
wheeses
bronchiloitis
ashma
bronchiloitis
? pneumonia
pneumonia
toxic
high fever
crepitations
chest x-ray
pneumonia
bronchiolitis
CXR
lung hyperinflated
normal
7/
Pneumonia
toxic
toxic
infection
crepitations
back
bilateral & basal
secretions
CXR
white patches
fungal
diflucan
corticosteroids
8/
URTI
cefotax
tachypneal
retractions
upper respiratory tract infection
bronchitis
pneumonia
CXR
1-antipyretics
2-antibiotics
viral
oral
curisafe
3
Mucolytic
secretions
mucolytic
neonate
Ambroxol drops
Bisolvon drops
Bronchopro drops
Solvin drops
Cough expectorant
cough reflex
immature
Toplexil syrup
All-Vent syrup
Bronchophane syrup
Avipect syrup
Bronex drops
antitussive
suppresion
cough center
Tussilar
Silomat
Selgon
Natural
9/
stridor
mist therapy
hypersensitivity reactions
orazone
10/
oropharngeal candidiasis
thrush
moniliasis
white plaques
tongue depressor
neonates
fungistatin drops
nystatin drops
mycostatin drops
infants & older children
miconaz oral gel
11/
apthous ulcer
bbc spray /
jogel gel /mundisal gel
12/
regurgitation
expulsion of contents of stomach
vomiting :
effortless
contraction of
abdominal muscles
nausea
" "
physiological
happy spitter
:
flat
) )
eructation of air
pathological
gerd
hiatal hernia
achalsia
esophageal atresia
1 2 regurgitation 3
investigation
13/
vomiting
differntial diagnosis
vomiting
exclude
meningitis sensorium
lethargy
fontanell
fever
signs of meningeal irritation
intestinal obstruction
distension
vomiting
symptomatic
vomiting
vomiting
gastroenteritis
diarrhea
vomiting
acute
overweight
pansol ge
: :
extrapyramidal
motinorm syrup
1 4/
abdominal colics & distension
neonate & infants
percussion
umbilicus
hyperresonant
non specific
symptomatic +
obstruction
abnormal
severe
organic
pyloric stenosis
us
:
aqua-vera syrup
gripe-wate syrup
nonoo syrup
aqu-cure syrup
aqua-baby syrup
spasmotal drops
paralytic ileus
dentinox drops
baby rest drops
simethicone drops
15 /
intussusception
telescoping
distal
1-dehydration
2-abdominal distension
3-abdominal mass
abdominal pain
+ red stools
history
examination
pr
red stools
target sign
conservative
reduction
bariumsaline
reduction
obstruction
reduction
reduction
obstruction
stools
dehydration
aware
16/
malasbsorption
stool analysis
undigested fibers
digestin syrup
visceralgine syrup
17/
abdominal pain
acuta abdomen
us
intussception
strangulated hernia
testicular torsion
appendictis
blood glucose
dka
recurrent
1
parasites
giradia
parasites specific
stool analysis
2
uti
suprapubic pain
3
acute hepatitis a rt hypochondrial pain
+ fever, malaise
jaundice
mild
change of color in urine & stools
4
empyema
irritationdiapgragm
chest
pain chest x-ray
5
henoch schonlein purpura
purpura
6
irritable bowel syndrome
( functiona (non organic
investigations
assurance + symptomatic treatment
18/
constipation
infrequent passage of hard dry stools
infrequent
-
-
laxative
difficulty
nelson
functiona
organic
assurance
:
orange juice
bran tab.
5- domperidone ( motilium )
organic
1- obstruction
hirschsprung
intussusceotion
2-anal
anal fissure
perianal dermatitis
3-neuro
cerebral palsy
spinal cord lesion
4-endocrine
hypothyroidism
5-hypotonia
down
6-drugs
organic
history
examination
investigations if needed
history
1 meconium
hirschsprung
2
obstruction
3
examination
1- wt
2- pr
intussception
3-abdomen
masses
functional
organic
us abdomen
normal
ba enema
colonoscopy
:
/
:
/ dr_hero
:
/