Severity of Dehydration Other signs of dehydration • Sunken fontanelle• Dry mucous membrane Severity of Shock
Categories
Category: Paediatrics
Categories
Febrile Seizure
History Taking Fitting Pre-ictal• ? Ictal• What are the ?• of seizure? • What did the care taker do to stop the seizure? Seizure aborted spontaneously?• How many ? Post-ictal• How was patient’s condition ? Other history • Any documented temperature?• ? Was was the last meal?• Reduced urine output?• Active? • Any ? • […]
Categories
Fever & Rashes in Paediatrics
Triaging in ED Primary triage • ? • The child is in / shock / life-threatening condition?• or non-infectious condition? =====💡 One the most important things at triage level is to determine whether the child is stable Differential Diagnoses Some common causes: Infectious:• Hand, foot and mouth disease • Measles• Herpes simplex virus infection • […]
Housekeeping • HO attempt for branula insertion / blood taking maximum is only 2. If unsuccessful, get help from MO (not another senior HO) Some Differences between Paediatric VS Adult Patients
Categories
Rekod Kesihatan Kanak-Kanak
Growth charts for boys Growth charts for girls
Categories
Dengue (Paediatrics)
Warning signs • Lethargy, restlessness• Abdominal pain — abdominal tenderness & pain • Clinical fluid accumulation — pleural effusion / ascites • Liver enlargement >2 cm • • • Laboratory findings: Severity of shock CPG CPG Management of Dengue in Children (2nd ed, 2020) Take Home Message 1. Child must be touch touched, or else […]
Categories
Asthma (Paediatrics)
Evaluation of background of newly diagnosed asthma Asthma control Severity of AEBA How to write diagnosis? Severity of AEBA + underlying for current AEBA ± background of asthma ± control of asthma Example 1Severe AEBA secondary to bronchopneumonia with underlying mild persistent asthma (poorly controlled) Example 2Moderate AEBA secondary to URTI with underlying newly diagnosed […]
Clerking a new case Admission ClerkingName + Gender Any underlying medical illness Any food / drug allergy Date of admission: ____Day __ of illness ===== Underlying Medical Illness1. ____2. ____ ===== Previous Hospitalizations1. ___2. ___ ===== History of Presenting Illness (HOPI) Any ? Any closed contact with COVID 19? Any recent traveling? – History of […]
Categories
Review / Clerking – Neonates
Components of Neonatal Review in General ===== AgeGravidity + Parity + Gestational week HIV statusVDRL status ANC =====(Summary of) Birth History =====PROGRESS – Any fever / temperature instability?– Tolerating feeding? – Any vomiting? – – Other relevant questions to ask / check Examination findings =====PLANVentilation Feeding / Fluids Medications: Investigations: Other: Your Name & MMC […]
Categories
Normal Values in Paediatrics
Vital Signs Heart Rate Respiratory Rate Blood Pressure Open BP Centile for Boys & Girls Blood Investigations • Full blood count• Renal profile