OSTEOARTHRITIS IS LEAST LIKELY TO BE ASSOCIATED WITH by mikesanye

VIEWS: 10 PAGES: 100

									        usmle
    Dr.Danil Hammoudi




1          Sinoe Medical Association
    OSTEOARTHRITIS IS LEAST LIKELY TO
    BE ASSOCIATED WITH:


       ULCERATIVE COLITIS




2                            Sinoe Medical Association
    OSTEOARTHRITIS
    ASSOCIATED WITH
       GOUT
       HEMOPHILIA
       WILSON’S DISEASE
       EHLERS DALOS SYNDROME




3                               Sinoe Medical Association
    AMBIGOUS GENITALIA
       ADRENAL HYPERPLASIA




4                             Sinoe Medical Association
    EYES MUSCLES ABDUCTING
    EYEBALL
       INTERNAL RECTUS




5                         Sinoe Medical Association
    EXTRINSIC EYE MUSCLES AND
    ROLE
    MUSCLE             INNERVATION        MOVEMENT
    LATERAL RECTUS     ABDUCENS [VI]      LATERAL

    MEDIAL RECTUS      OCULOMOTOR [III]   MEDIAL

    SUPERIOR RECTUS    OCULOMOTOR         SUPERIOR AND
                                          MEDIAL
    INFERIOR RECTUS    OCULOMOTOR         INFERIOR AND MEDIAL

    INFERIOR OBLIQUE   OCULOMOTOR         SUPERIOR AND
                                          LATERAL
    SUPERIOR OBLIQUE   TROCHLEAR [IV]     INFERIOR AND
                                          LATERAL

6                                                  Sinoe Medical Association
    EXTERNAL MUSCULATURE OF
    THE EYE
       LEVATOR PALPEBRAE SUPERIORIS
        MUSCLES OPEN THE UPPER EYELID
       ORBICULARIS OCULI, A SPHINCTER
        LIKE MUSCLE, CLOSE EYELIDS




7                                Sinoe Medical Association
    STAPHYLOCOCCAL FOOD
    POISONING:



       2 TO 4 HOURS




8                      Sinoe Medical Association
    KRABBE’S DISEASE
       GLOBOID CELL LEUKODYSTROPHY
       ONSET IN INFANT WITH RIGIDITY
       TERMINAL BLINDNESS
       DEFICIENCY OF BETA
        GALACTOSIDASE
       ACCUMULATION OF
        GALACTOCEREBROSIDE.

9                                Sinoe Medical Association
COBALT IS AN ESSENTIAL
COMPONENT OF:
    CYANOCOBOLAMIN [B12]




10                          Sinoe Medical Association
 HIRSUTISM ARE ASSOCIATED
 WITH
    ADRENAL TUMOR
    HYPOTHYROIDISM
    DANAZAL THERAPY
    CYCLOSPORINE THERAPY




11                          Sinoe Medical Association
INCREASED IN VMA IS
USUALLY SEEN IN :

    NEUROBLASTOMA
    PHEOCHROMOCYTOMA




12                      Sinoe Medical Association
LANGHERAN’S CELL
HISTIOCYTOSIS CLINICAL
FORMS
    LETTER SIWE DISEASE
    HAND SCHBLIER CHRISTIAN DISEASE
    EOSINOPHILIC GRANULOMA
    HASHIMOTO PRITZKER DISEASE



13                            Sinoe Medical Association
 HISTIOCYTOSIS, LETTERER
 SIWE DISEASE

    ONSET IN THE FIRST YEAR
    HAVE SEBORRHEIC RASH
    OTITIS MEDIA
    LYMPHADENOPATHY, PURPURA ANEMIA,
    HEPATOSPLENOMEGALY
    EXTENSIVE LYTIC SKULL LESION =RAINDROP SKULL
    UNKNOWN ETIOLOGY
    WORST PROGNOSIS




14                                           Sinoe Medical Association
 HISTIOCYTOSIS X
    INTENSE PROLIFERATION OF
     RETICULOHISTIOCYTIC CELLS
              EOSINOPHILIC GRANULOMA
              HAND SCHULLER CHRISTIAN DISEASE
              LETTER SIWE DISEASE




15                                               Sinoe Medical Association
     EOSINOPHILIC GRANULOMA: EG
          -60-80% OF HISTIOCYTOSIS X
          -AGE 5-10 YRS MOST COMMON
          -BEST PROGNOSIS

     HAND SHULLER-CHRISTIAN DISEASE
          -AGE 1-3 YRS

               LETTERER SIWE DISEASE
        -AGE 0-1YRS
        -WORST PROGNOSIS : MORTALITY 70%]
        -=MALIGNANT FORM OF HISTIOCYTOSIS
16                                          Sinoe Medical Association
 HAND SCHUELLER CHRISTIAN
 DISEASE
    1-3 YRS,
    MOST COMMON HISTIOCYTOSIS FORM
    SKULL – MANDIBULE LESION SEMILAR EOSINOPHIL GRANULOMAS
     BUT MORE NUMEROUS
    GEOGRAPHIC SKULL “FLOATING TEETH”
    ADENOPATHY
    HEPATOSPLENOMEGALY
    SKIN LESION
    DIABETES INSIPIDUS
    EXOPHTALMOS
    LUNG DISEASE




17                                               Sinoe Medical Association
 LETTERER SIWE DISEASE
 SYNONYMS
    ACUTE DIFFUSIBLE HISTIOCYTOSIS
    ACUTE INFANTILE
     RETICULOENDOTHELIOSIS
    ACUTE RETICULOSIS OF INFANCY
    GENERALIZED HISTIOCYTOSIS
    NON LIPID RETICULOENDOTHELIOSIS


18                            Sinoe Medical Association
CURLING ULCER OF THE
STOMACH /MARJOLIN OF THE
SKIN ARE CAUSES BY:
    BURNS




19                 Sinoe Medical Association
 CEREBROSPINAL FLUID IN
 VIRAL ENCEPHALITIS SHOWS:

    VARIABLE PLEOCYTOSIS
    DECREASED SUGAR LEVEL
    INCREASED PROTEIN LEVEL




20                             Sinoe Medical Association
    MORE COMMON IN WOMEN THAN IN
     MEN
    ASSOCIATED WITH PRURITUS,
     JAUNDICE,XANTHOMATOUS LESIONS
    INCREASED ALKALINE PHOSPHATASE
     AND CHOLESTEROL
    MITOCHONDRIAL ANTIBODIES AND
     INCREASED SERUM IgM.

21                           Sinoe Medical Association
SABER SHIN OCCURS MAINLY
IN CHILDREN WITH:

    CONGENITAL SYPHILIS



22                         Sinoe Medical Association
 THE MOST COMMON
 INTRACRANIAL GERM TUMOR



    GERMINOMA




23                 Sinoe Medical Association
 GERMINOMAS
    HIGHLY RADIOSENSITIVE




24                           Sinoe Medical Association
 TYPES OF GLIOMAS
    ASTROCYTOMAS
    EPENDYNOMAS
    GANGLIOMAS
    OLIGODENDROGLIOMAS
    MIXED GLIOMAS



25                        Sinoe Medical Association
 CHILDHOOD GLIOMAS
    ASTROCYTOMAS
    EPENDYMOMAS
    GANGLIOGLIOMAS




26                    Sinoe Medical Association
 GERM CELL TUMORS [CGTs]
    GERMINOMAS
    TERATOMAS
    CHORIOCARCINOMAS
    ENDODERMAL SINUS TUMORS
    EMBRYONAL CARCINOMAS
    MIXED GCTs


27                         Sinoe Medical Association
 PINEAL PARENCHYMAL
 TUMORS
    PINEOBLASTOMAS
    PINEOCYTOMAS




28                    Sinoe Medical Association
 PINEAL GLIOMAS
    ASTROCYTOMAS
    EPENDYMOMAS




29                  Sinoe Medical Association
 PINEAL NEOPLSMS
    5% OF ALL PEDIATRICS BRAIN
     TUMORS




30                                Sinoe Medical Association
OSGOOD SCHLATTER DISEASE
USUALLY OCCURS IN
CHILDREN AGED
    11 TO 13 YEARS




31                    Sinoe Medical Association
 OSGOOD SCHLATTER
    OSTEOCHONDROSIS
    PARTIAL AVULSION OF THE TIBIA TUBEROSITY, WITH NO
     INVOLVEMENT OF THE TIBIA PHYSIS
    COMMON CAUSES CAUSES OF KNEE PAIN IN ADOLESCENT
    SWELLING AND TENDERNESS JUST BELOW THE KNEE OVER
     THE SHIN BONE [TIBIA]
    MORE COMMON IN BOYS
    8-13 YEARS GIRLS, 10-15 BOYS
    GROWTH SPURT AND MAY AFFECT BOTH KNEES ,
     ENLARGEMENT OF THE TIBIAL TUBERCLE.
    GOES AWAY WITH TIME


32                                          Sinoe Medical Association
RED SCALY WITH A SHARP
RAISED BORDER ON THE
PERINEUM , THIGHS AND
BUTTOCKS ARE SEEN IN TINEA
    CRURIS [JOCK ITCH]



33                        Sinoe Medical Association
 TINEA CRURIS= JOCK ITCH
    ANY ITCHING IN THE GROIN RASH IN MEN
    WHEN CAUSED BY A FUNGUS = RASH=TINEA
     CRURIS
    CAUSE OF TINEA CRURIS= FUNGUS
     DERMATOPHYTES=RINGWORM FUNGI
    NOT CONTAGIOUS
    BILATERAL
    DO NOT INCLUDE PENIS AND SCROTUM
    MIGRATE TO THE BUTTOCK AND GLUTEAL CLEFT
     AREA


34                                   Sinoe Medical Association
 DERMATOPHYTES INFECTION
 IN TINEA CRURI
    MICROSPORUM
    TRICHOPHYTON
    EPIDERMOPHYTON




35                    Sinoe Medical Association
     THE MOST COMMON CAUSE
     OF A VIGINITIS IN A 10 YEARS
     OLD GIRL IS
    FOREIGN BODY


36                        Sinoe Medical Association
 RETINOBLASTOMA
    MOST COMMON IN LESS THAN 3
     YEARS OF AGE
    SHOW WHITE CAT’S EYES REFLEX ON
     FUNDOSCOPY
    ARE AUTOSOMAL DOMINANT
    BILATERAL 30% OF CASES
    ARE THE MOST INTRAOCULAR TUMOR
     IN CHILDREN

37                           Sinoe Medical Association
 RETINOBLASTOMA
    LEUKOCORIA [WHITE PUPIL REFLEX]
    STRABISMUS
    EXOTROPIA
    ESOTROPIA
    RED PAINFUL EYE
    POOR VISION , INFLAMMATION TISSUE AROUND THE EYE
    ENLARGED OR DILATATED PUPIL
    HETEROCHROMIA
    FAILURE TO THRIVE
    EXTRA FINGERS OR TOES
    MALFORMED EARS
    RETARDATION


38                                                Sinoe Medical Association
NOT A CLINICAL FEATURE OF
ANOREXIA NERVOSA

    HISTORY OF CHILDHOOD
     HYPERACTIVITY



39                          Sinoe Medical Association
 ANOREXIA NERVOSA
    AMENORRHEA
    BRADYCARDIA
    ONSET BEFORE 25 YEARS OF AGE




40                           Sinoe Medical Association
 CHROMOSOMAL ANALYSIS IS
 USEFUL IN



    TESTICULAR FEMINIZATION
    GONADAL DYSGENESIS




41                             Sinoe Medical Association
42   Sinoe Medical Association
 DIFFERENTIAL DIAG OF TINEA
 CRURIS
    INTERTRIGO
    ERYTHRASMA
    SEBORRHEIC DERMATITIS OF THE
     GROIN
    PSORIASIS OF THE GROIN
    CANDIDIASIS OF THE GROIN


43                           Sinoe Medical Association
 SINDING LARSEN JOHANSSON
 SYNDROME
    RESEMBLES OSGOOD SCHLOTTER DISEASE, EXCEPT SYMPTOMS
     LOCALIZED IN THE INFERIOR POLE OF PATELLA

    CHRONIC OVERTENSION OF EXTENSOR MECHANISM
    PAIN
    OSSIFICATION DISTURBANCE
    SWELLING
    WEAK QUAD
    REPETITIVE LOADED KNEE FLEXION ACTIVITIES:
                  LIGAMENT AVULSION

                  SOFT TISSUE CALCIFICATION

                  STRESS FRACTURE




44                                                  Sinoe Medical Association
 OSTEOCHONDROSIS
    LEGG CALVE PERTHES DISEASES =CAPITAL FEMORAL
     EPIPHYSIS
    KOHLER DISEASE =TARSAL NAVICULAR
    OSGOOD SHLATTER DISEASE=TIBIAL TUBEROSITY
    SCHEUERMANN DISEASE=VERTEBRAL RING
     EPIPHYSES
    FREIBER INFRACTION =METATARSAL HEAD
    SEVER DISEASE = APOPHYSIS OF OS CALCIS
    OSTEOCHONDRITIS DISSECANS



45                                         Sinoe Medical Association
 OSTEOCHONDROSIS
 DISSECANS
    SUBCHONDRAL FATIGUE FRACTURE
    COMMONLY SEEN IN ADOLESCENT
    CAPITELLUM OF THE ELBOW
    KNEE [MEDIAL FEMORAL CONDYLE
     CLOSE TO FOSSA INTERCONDYLARIS]
    TALUS
    MOUSE= OSTEOCHONDROTIC FRAGMENT
    MOUSE BED= SCLEROSED PIT IN ARTICULAR SURFACE



46                                          Sinoe Medical Association
 SEVER DISEASE
    OSTEOCHONDROSIS
    APOPHYSIS OF THE OS CALCIS
     [UNDERGOES FRAGMENTATION]




47                           Sinoe Medical Association
 FREIBERG INFRACTION
    OSTEOCHONDROSIS

    METATARSAL HEAD
    2ND COMMON
    3RD AND 1ST LESS COMMON
    INFARCTION OR STRESS FRACTURE
    LATE ADOLESCENCE
     A END ARTICULAR BECOMES FLATTENED
    SMALL OSSICLES MAY FORM AFTER HEALING
    DJD IS COMMONLY LATE COMPLICATION




48                                           Sinoe Medical Association
 SCHMORL NODE
    CHONDRIFICATION DEFECTS WHERE
     PERIOSTEAL VESSELS PENETRATE
     CARTILAGE PLATE OF DISC




49                          Sinoe Medical Association
 KOHLER DISEASE
    OSTEOCHONDROSIS OF TARSAL
     NAVICULAR




50                          Sinoe Medical Association
 LEGG CALVE PERTHES
 DISEASE
    OSTEOCHONDROTIS DEFORMANS
    COXA PLANA
    IDIOPATHIC AVASCULAR NECROSIS OF PROXIMAL FEMORAL
     EPIPHYSIS
    MALE
    UNILATERAL
    4-8 YRS OLD
    UNCOMMON BEFORE 3Y/O
    SELF LIMITED
    CAN PROGRESS TO COXA PLANA



51                                          Sinoe Medical Association
 MEDIASTINAL ADENOPATHY IS
 NOT SEEN IN
    IDIOPATHIC PULMONARY FIBROSIS




52                            Sinoe Medical Association
 MEDIASTINAL ADENOPATHY IS
 SEEN IN
    SARCOIDOSIS
    MILARY TUBERCULOSIS
    PNEUMOCYSTIS CARNII PNEUMONIA




53                           Sinoe Medical Association
 ANTERIOR MEDIASTINAL
 MASSES
    THYMOMA
    TERATOMA
    THYROID [ECTOPIC]
    LYMPHOMA




54                       Sinoe Medical Association
 MIDDLE MEDIASTINAL
 MASSES
    ADENOPATHY:         INFECTION [BACTERIAL,
     GRANULOMATOUS]

    NEOPLASM : LEUKEMIA, LYMPHOMA METASTASES
    BRONCHOPULMONARY FOREGUT
     MALFORMATIONS:
                ESOPHAGAL DUPLICATION CYST
                BRONCHOGENIC CYST
                SEQUESTRATION




55                                            Sinoe Medical Association
 POSTERIOR MEDIASTINAL
 MASSES
    SYMPATHETIC GANGLION TUMORS
          MASSES] NEUROBLASTOMA
          GANGLIONEUROBLASTOMA
          GANGLIONEUROMA [95% OF POSTERIOR MEDIASTINAL MASSES

        NEUROFIBROMAS
        NEURENTERIC CYST

        EXTRAMEDULLARY HEMATOPOESIS

        PARAVERTEBRAL SOFT TISSUE MASS FROM
         INFECTION



56                                                  Sinoe Medical Association
BEHAVIOR PSYCHOTHERAPY
IS DISTINGUISHED FROM
COGNITIVE PSYCHOTHERAPY
BY:
    THE VIEW OF BEHAVIOR AS A
     RESPONSE TO THE ENVIRONMENT



57                          Sinoe Medical Association
 OF ALOPECIA THAT ARE
 WOOD’S LAMP POSITIVE


    TINEA CAPITIS
    DUE TO :    MICROSPORUM CANIS
                 TRICHOPHYTON SPECIES [TOSURANS]
    MICROSPORUM SPECIES FLIORESCE A BRIGHT BLUE GREEN
     COLOR
    EPIDERMOPHYTON FLOCCOSUM IS A CAUSE OF TINEA
     CRURIS




58                                          Sinoe Medical Association
 CANDIDA ALBICANS IS
 RESPONSIBLE FOR
    ORAL RUSH
    DIAPER DERMATITIS IN INFANTS




59                             Sinoe Medical Association
 MUMPS IS A COMMON CAUSE
 OF:
    VIRAL PAROTITIS




60                     Sinoe Medical Association
 ASSOCIATED WITH EYE PAIN
    ACUTE ANTERIOR UVEITIS
    OPTIC NEURITIS
    ACUTE GLAUCOMA




61                            Sinoe Medical Association
 CENTRAL RETINAL VEIN
 OCCLUSION
    SUDDEN, PAINLESS, UNILATERAL
     LOSS OF VISION IN PATIENTS WITH :
    1/HYPERCOAGULABILITY STATE
     [POLYCUTHEMIA RUBRA VERA]
    2/DIABETES MELLITUS
    3/ GLAUCOMA


62                              Sinoe Medical Association
RETINAL EXAM OF CENTRAL
RETINAL VEIN OCCLUSION
    SWELLING OF THE OPTIC DISC
    VENOUS DILATATION
    TORTUOSITY
    WIDESPEAD RETINAL HEMORRHAGE
    COTTON WOOD EXUDATE

63                          Sinoe Medical Association
 HEPARIN
    INCREASES EFFECTIVENESS OF
     ANTITHROMBIN III




64                           Sinoe Medical Association
 COUMARIN [WARFARIN]
    CAUSE THE PLASMA LEVELS OF
     PROTHROMBINE, FACTORS VIII, IX, X
     TO FALL
    WARFARIN COMPETE WITH VIT K




65                              Sinoe Medical Association
 AUER ROD
    ACUTE MYELOCYTIC LEUKEMIA




66                           Sinoe Medical Association
 REED STENDBERG CELLS
    HODGKIN’S DISEASE MIXED
     CELLULARITY




67                             Sinoe Medical Association
 ERB DUCHENNE PALSY
    INJURY TO C-5 AND C-6




68                           Sinoe Medical Association
 NEUROBLASTOMA
    THE MOST COMMON LOCATION
           ABDOMEN




69                          Sinoe Medical Association
 NEUROBLASTOMA
    IT ACCOUNT FOR 15% OF ALL
     CHILDHOOD CANCER DEATH
    35% OF CASES APPEAR DURING THE
     FIRST YEAR OF LIFE
    IT IS ONE OF THE MOST COMMON
     CHILDHOOD EXTRACRANIAL SOLID
     CANCER

70                           Sinoe Medical Association
CHILDREN WITH NEUROBLASTOMA [THE
MOST COMMON CONGENITAL TUMOR
OCCURING DURING THE FIRST YEAR OF
LIFE] USUALLY PRESENT:
    PALPABLE ABDOMINAL MASS




71                             Sinoe Medical Association
THE MOST COMMON SOLID
MALIGNANT TUMOR IN
CHILDREN UNDER THE AGE OF
4 YEARS IS
    NEUROBLASTOMA



72                   Sinoe Medical Association
PHEOCHROMOCYTOMA AND
NEUROBLASTOMA ARE ASSOCIATED
WITH INCREASED URINARY
    VANILLYLMANDELIC ACID [VMA]




73                             Sinoe Medical Association
IN PATIENT WITH
NEUROBLASTOMA , THE
INCIDENCE OF METASTASES
AT TIME OF INITIAL DIAGNOSIS
IS
    70



74                   Sinoe Medical Association
SCREENING FOR
NEUROBLASTOMA IS MADE BY
VMA AND HVA [HOMOVANILLIC
ACID]
75                 Sinoe Medical Association
 THE MOST PRIMARY SITE OF
 NEUROBLASTOMA IS:



    ADRENAL GLAND




76                   Sinoe Medical Association
 IN NEUROBLASTOMA,
 CALCIFICATION IS PRESENT IN:

    45%




77                        Sinoe Medical Association
 CHARACTERISTIC FEATURE
 OF




    NEUROBLASTOMA




78                   Sinoe Medical Association
 SPLENOMEGALY
 CHARACTERISTICS OF


    GALACTOSEMIA
    CYSTINOSIS
    PORPHYRIA
    GAUCHER’S DISEASE



79                       Sinoe Medical Association
 NEUROBLASTOMA IS
 ASSOCIATED WITH



    SPONTANEOUS REGRESSION




80                            Sinoe Medical Association
THE INFANT OF A DIABETIC
MOTHER COMMONLY
DEVELOPS :
    HYPOGLYCEMIA
    HYPERBILIRUBINEMIA
    HYPOCALCEMIA
    POLYCYTHEMIA
    INCREASED INCIDENCE OF CONGENITAL
     MALFORMATION [HEART AND SQUELETTAL
     DEFECT]
81                              Sinoe Medical Association
ASSOCIATION OF HORNER’S
SYNDROME WITH A NECK
MASS IN CHILREN IS MOST
LIKELYDUE TO:
    NEUROBLASTOMA




82                   Sinoe Medical Association
83   Sinoe Medical Association
A CHILD WITH A POSTERIOR
MEDIASTINAL MASS THE MOST
LIKELY DIAGNOSIS IS

    NEUROBLASTOMA




84                   Sinoe Medical Association
 MEGALOBLASTIC ANEMIA




85                 Sinoe Medical Association
OCCUR DURING NORMAL
GROWTH IN THE FIRST 12
MONTHS OF LIFE
    AT LEAST A DOUBLING OF THE INITIAL BIRTH
     WEIGHT
    TRIPLE THEIR WEIGHT BY 12 MONTHS
    CLOSURE OF THE POSTERIOR FONTANELLE [2-4
     MONTHS]
    ANTERIOR FONTANELLE CLOSES AT 6-18 MONTHS
    ERUPTION OF AN AVERAGE OF 6-8 DECIDUOUS
     TEETH
    INCREASE IN LENGTH OF 25 – 30 CM
86                                    Sinoe Medical Association
 TODDLER 24 MONTHS CAN
    LINK 3-4 WORDS TOGETHER IN
     SIMPLE SENTENCES
    ASSIST IN UNDRESSING SELF
    HANDLE SPOON AND CUP WELL
    BUILD A TOWER OF A 5-6 CUBES




87                             Sinoe Medical Association
 HEMOPHILUS INFLUENZAE B
        UNDER 2YRS OLD
    MENINGITIS
    SEPTIC ARTHRITIS
    BUCCAL CELLULITIS
                OLDER CHILD

    EPIGLOTTITIS
    PNEUMONIAE

88                             Sinoe Medical Association
 HEMOPHILUS INFLUENZAE B
    SEPTIC ARTHRITIS IN A 4 MONTH OLD
     INFANT
    MENINGITIS IN A 3 YRS OLD CHILD
    EPIGLOTTITIS IN A 6 YRS OLD CHILD
    BUCCAL CELLULITIS IN A 15 MONTH OLD
     INFANT.




89                                 Sinoe Medical Association
 PNEUMOCOCCAL SEPSIS IS A DITINCT
 POSSIBILITY IN PATIENTS WITH THE
 FOLLOWING UNDERLYING DISEASES



    PATIENT WITH ASPLENIA
    10 YRS OLD WITH SICKLE CELL ANEMIA
    5YR OLD SURVIVOR OF HODGKIN’S
     DISEASE FOLLOWING SPLENECTOMY
    8 YRS OLD WITH CHRONIC
     GRANULOMATOUS DISEASE
90                             Sinoe Medical Association
 ESOPHAGEAL ATRESIA
    Excessive secretions noted in the new
     born nursery
    Difficulty feeding with cyanotic episode
    Inability to pass a catheter into the
     stomach
    A history of polyhydramnios
    Commonly associated with
     tracheoesophageal fistula

91                                      Sinoe Medical Association
 OTITIS MEDIA COMPLICATION
    Hearing loss
    Brain abscess formation, meningitis, focal
     encephalitis.
    Cholesteatoma
    Facial nerve paralysis
    Perforation of tympanic membrane


92                                     Sinoe Medical Association
 Otitis media
    S. pneumoniae , H.influtenzae are the
     most common causative agents
    Most prevalence infectious diseases in the
     childhood.




93                                    Sinoe Medical Association
94   Sinoe Medical Association
 Congenital hypothyroidism
    Newborn screening programs have been initiated in
     most states due to the difficulty in identifying the
     affected children
    Delay in therapeutic can lead to brain damage
    Premature infants frequently have transiently low
     levels of thyrotropin releasing factor
    The breast fed infants with hypothyroidism is
     partially protected due to the presence of maternal
     thyroid hormone in the milk
    Normal birth weight , length , head circumference

95                                             Sinoe Medical Association
 The most common type of seizure
 seen in the new born period is:
    Subtle seizures [eye deviations,sucking,
     posturing with the extremities]




96                                    Sinoe Medical Association
Most common manifestation of
acute valvular disease during the
initial stages of rheumatic fever:

    Mitral regurgitation
    Tachycardia
    Cardiomegaly
    Pericardial effusion
    Complication later: valvular stenosis

97                                    Sinoe Medical Association
 Normal hematologic values in the
 full term infant
    Polycythemia with a normal hb of 16-18 and hct of 45-60
    HT and HB relatively high declining by 7 weeks of age for
     premature and 2- 3 months for for the term infant = physiologic
     anemia in infancy.
    Predominance of fetal hemoglobin
    Mcv =mean corpuscular volume high during neonatal period
     but declines during the later infancy.
    Normal white blood cell count ranging from 5000 to 30000 in
     the first 48h after birth with a granulocytes predominance
    Midly prolonged prothrombin time [PT] and PTT




98                                                     Sinoe Medical Association
 New born anemia
    Hemolytic diseases
    Acute blood loss
    Chronic blood loss
    Impaired red blood cell production




99                                    Sinoe Medical Association
 New born anemia etiology
  I/ hemolytic disease
   of the new born
   =erythroblastosis
   fetalis
 Blood group
   incompatibility




100                       Sinoe Medical Association

								
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