The Approach to a Child With Organomegaly
A structured pediatric approach to hepatomegaly, splenomegaly and hepatosplenomegaly for exams and ward practice.
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Category: Approach to patient
Approach to patients suffering from various symptoms.
Approach to a child with limping
GAIT The pattern of how a person walks A dynamic & repetitive performance Occurs with a definite rhythmic sequence of events that takes during a gait cycle Normal walking is relatively effortless, performed with minimum expenditure of energy GAIT CYCLE The walking sequence requires that the non weight bearing leg moves forward while weight is…
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Approach to a patient with diarrhea
Diarrhea- Excessive loss of fluid & electrolyte in the stool. Passage of 3 or more loose or watery stool in a 24 hour period. Loose stool- That would take the shape of a container. For practical purpose, the recent change in consistency & character of the stool & its water content. Types of Diarrhea Acute…
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Approach to a patient with bleeding disorder
Bleeding/bruising in children: Accidental Non-accidental injury/Abuse Bleeding diathesis Common Causes of bleeding in a well child ITP Henoch-Schonlein purpura Hemophilia A or B von Willebrand disease Vitamin K deficiency Warfarin or heparin Causes of bleeding in a Sick child DIC Severe liver dysfunction Acute leukemia Neuroblastoma Lymphoma Meningococcal infection History Site of bleeding Localized:…
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Acute Flaccid Paralysis
History duration of weakness (ie. hours to days to weeks/months) classify as rapidly progressive, acute, subacute or chronic mode of progression (eg. onset in arms, “ascending paralysis”) sensory involvement (numbness, tingling, loss of balance esp. in dark, pain/burning) bulbar involvement (change in voice or swallowing) facial weakness (trouble chewing, sucking with straw, blowing) extraocular muscle…
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Approach to a baby who fails to thrive
Definition Physical growth is significantly less than that of his/her peers Usually refers to growth below the 3rd or 5th percentile or a change in growth that has crossed two major growth percentile(i.e., from above the 75th percentile to below the 25th )in a short time. FTT Criteria Height/Weight less than 3rd to 5th percentile…
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Approach to a floppy infant
Causes of Floppy Infant Central nervous system: Perinatal asphyxia, neonatal encephalopathy, cerebral palsy, intracranial hemorrhage, chromosomal anomalies including down syndrome and inborn errors of metabolism e.g., aminoacidurias, mucopolysaccharidosis, and cerebral lipidosis. Spinal cord lesions: Anterior horn cell disease – Werdnig Hoffman disease, poliomyelitis. Peripheral nervous: Acute polyneuropathy, familial dysautonomia, congenital sensory neuropathy. Myoneural junction: Neonatal myasthenia gravis, infantile botulism,…
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