this 12 months old child has stridor with suprasternal and subcostal resession and also pectus excavatum.differentials anyone?
dr fadzil said, she'll have this condition until april next year.
hint hint die masuk PRO xm haha.
..................................................................................................................................
Everyday, the usual cases include bronchopneumonia, bronchiolitis, exacerbations of asthma or hyperactive airway.
Febrile fits are quite common. meningitis and cerebral palsy once in a while.
There are always several nephrotic syndromes and acute glomerular nephritis.
Acute gastroenteritis cases are in abundance.
There have been many cases of snake bites and hornet stings too. selalunye bermusim.
Once in a while we also see congenital heart diseases such as tetralogy of fallot post blallock taussig shunt and ventricular septal defects.there's still one congenitally corrected transposition of great arteries with VSD and pulmonary atresia
Other cases include:
Dysmorphism with vesicourethral reflux and failure to thrive
Poorly controlled epilespsy with right-sided hemiparesis
Herpes zoster
Kawasaki disease
Scarlet fever
Scabies
Meningomyelocele with urinary & bowel incontinence and bilateral congenital talipes equinovarus.
Peritonitis in a child with end stage renal failure
Biliary atresia post Kasai operation
kalau ada patient suspected to have menigitis requiring a lumbar puncture, parents usually refuse. jarang sangat parents bagi. terpaksa hentam those microorganims blindly with broad spectrum antibiotics. nanti develop resistance to antibiotics, derang gak yg susah.
seronok buat developmental assessment kat budak2 because its usually very correct.
a few patients asyek masuk keluar ward especially bronchiolitis or hyperactive airway disease. dah build rapport with the moms.
i'm in my last week of paeds. next week is the end posting exams. there's still lots i dunno about paediatrics...
please pray that i can do well inshaAllah.
2 comments:
DDx: croup, bronchiolitis
itu aje. hahaha! i need to go and study more. asthma less likely with that age. is Hib/epiglottitis common over there still?
fallots common eh kat sana?
sad abt the lumbar puncture isn't it. i think sebab org kita have a phobia towards it. sort of like a death sentence.
my placement was at the children's hospital so i saw a lot of uncommon cases (which is a bit useless at this level, i think) e.g. intestinal lymphangectasia (!?!?!)
but we did have ED shifts so that was useful kot.
current history revealed no fever, cough or runny nose.
she presented to the GP at 2 months of age with stridor and symptoms of respiratory infection.
she was found to have a systolic murmur and an ECHO was done revealing a PDA and sth else i cant remember.
she was treated as bronchiolitis and given salbutamol but the stridor worsened.
she was referred to a tertiary centre for laryngoscopy/bronchoscopy which revealed LARYNGOMALACIA :)
she also has pulmonary flow obstruction.
and yep, TOF common gak kat sini.
Post a Comment