Pediatrics

• TX: in the following order • Benzamycine: bezoyic + erythromycine gel. • minocycline or doxycyline: should be used for 6 ms • Retenoid local: Retin-A; Differin. Dovonex is vit D local, • Retenoid PO: Accutane is new one can be given to women in child bearing age as it says in the system only 1 m •

• protopic: local tacrolimus (prograf) immunosupressant for severe atopic eczema for few weeks

abnormal finding on exam : • Achondro plasia can be subtle presenting only as inpropertionate length • Midline structural abnormalities can be subtle like flat nasal bridge

• baby grows 15-30gm/day • the normal newborn should double wt @ 5ms and triple @ 1 yr • wt gain: 0-3 months: 15-30 gm/d; 3-6 ms: 15-20 gm/d; 6-12 ms: 10-12 gm/d; after 1 yr: 6-8 gm/d.

• the hight increase by 50% @ 1 yr and double @ 3 yrs • the veocity percentile shifts in the first 3 yrs and stabilizes 3-9 yrs

• HC: 0-3 month: growes by 0.5 cm/w; from 3-6 months grow: 0.25 cm/w ; then 6-12 ms: grow 0.125 cm/w

• 1 gm glucose or protein ==> 4.5 kcal • 1 gm fat ==> 9 kcal •

• normal feeding 60% carb, 10% protein, 30% fat • requirment: prot 2-2.5 gm /kg/d, • requirment: fat 1 gm/ kg/ d • to gain 1 gm wt: you need 6-7 kcal • daily need are 100-140 kcal/kg/d • daily 100 kcal: 50 BMR, 20 growth, 15 tmp, 5 stool/urine. •

• regular formula are 20 kcal/oz. special formula can be 22, 24, 28, 30 • calories intake must be increased in: 20% for resp or cardiac , 50% for infection, 100% for burns.

usually visilble only on one projection; either PA or lateral. unlike pneumonia

language is the most predictive of developmentscreening tests measure current status only and are not predictive of future developments

try to speak in sentense but makes non sense

pronouns can be used wrong

speech without articlespronouns are correct

speech understood by strangersage divided by 4

Wechsler test

Total IQ is normalIQ performance >> IQ verbal skills

WRAT: Wide achievement Range Test.

tests reading, writing and mathematic scales.the most reliable predictor for school performance in first 3 yrs is Language.

for children with MR to test the daily living skills

Conner's test

the lack of any of these fingings:

shaking head; bye bye

• vocalized normally even if profoundly deaf • look like they hear b/o responce to visual clues

• all MR children have delayed expressive and receptive language • can be the first presentaion for MR

all children with delay

• evoked acoustic emission

• can present any age • can have normal newborn screening first

• with normal IQ. more in boys • outgrow by adolesents but can still have reading difficulties

abnormal if • started > 5 yrs or lasted for > 6 ms • associtaed with pausing and stresss

• not gradual loss like autism

• the count of words of both languages is normal.

like hypotensive shock with low BP and tachycarida but characterized with good peripheral perfusion

large heart and liver on examif not sure try fluid bolud first, if it got worse it's likely cardiogenic

30mg/kg bolus then 5 mg/kg/hr

• if < 4 joints and with systemic findings it's likely from other etiologies: infections..

• in the oligo joint form.

• sever in the systemic form and mild in the multi joints form. absent in the oligo joints form.

• RF : negative except in multi joints format: 10% pos. • ANA is 40% pos.

only after 10 yrs.

from previous UTI and urinary reflux.

neonates