BREASTFEEDING JAUNDICE AND BREAST MILK JAUNDICE 2024

Breastfeeding jaundice and Breast milk jaundice breastfeeding Jaundice and breast milk jaundice are exaggerated physiological jaundice. There is unconjugated hyperbilirubinemia. If direct or conjugated hyperbilirubinemia is present, alternative diagnosis must be explored. Related to quantity i.e. volume of milk MECHANISM:Decreased gut motility and increased reabsorption Usually occur < 7days TREATMENT: Increased feeding or formula supplements […]

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delta bilirubin

Case discussion : Concept of delta bilirubin in prolonged acute hepatitis 2024

Case discussion : Concept of delta bilirubin in prolonged acute hepatitis With conservative treatment, children become clinically better and asymptomatic but we were worried about increasing serum bilirubin. Answer for this: In the late stages of hepatocellular or cholestatic jaundice, even when serum-conjugated bilirubin is very high, it can’t be detected in urine. This is

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LICHEN STRIATUS

Lichen Striatus : Is it Self limiting condition ?2024

Lichen Striatus is self limiting condition ? lichen striatus The skin disorder lichen striatus, which can also affect adults, is frequent and self-limiting and primarily affects children. It is characterised by flat, pink, flesh-colored, scaly, or slightly elevated bumps that form on the skin, typically in a striped /LINEAR or band-like pattern. The lesions may

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neonatal seizure

BEST APPROACH TO NEONATAL SEIZURE :2024

DEFINITION OF NEONATAL SEIZURE TYPES OF NEONATAL SEIZURE SUBTLE SEIZURE CLONIC SEIZURE TONIC SEIZURE MYOCLONIC SEIZURE NOTE:Myoclonic seizure carry the worst prognosis in terms of neurological outcome and recurrence. Focal clonic seizure have the best prognosis COMMON ETIOLOGY NOTE:Seizure due to SAH and late onset hypocalcemia having better prognosis usually and seizure due to hypoglycemia

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DRUGS USED DURING RAPID SEQUENCE INTUBATION with Mnemonics:2024

RAPID SEQUENCE INTUBATION DRUGS USED DURING RAPID SEQUENCE INTUBATION Mnemonics – X ASSAM Dose is either 0.1 or 2 X – Xylocaine ( lidocaine 2% – 2mg/ kg A-Atropine 0.01mg/kg. 5minpediatrics S- Sellick manoeuvre S- Sedative Midazolam 0.1 mg/kg Ketamine 2mg/kg A- Analgesics Morphine 0.1 mg/kg Fentanyl 2mcg/kg M-Muscle relaxant Vecuronium 0.1 mg/kg Pancuronium 0.1

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“Effective Strategies for Managing Childhood Constipation: A Comprehensive Guide”

For Disimpaction Polyethylene glycol Sodium phosphate enema Maintenance Therapy OSMOTIC LAXATIVE Polyethylene glycol Large inert molecule which retains             intraluminal water Lactulose It is Nonabsorbable synthetic disaccharides abdominal product which retains intraluminal water Lactitol It is a Synthetic monohydrate product which retains intraluminal water STIMULANT LAXATIVE Sodium picosulfate It Converts into active metabolite by intestinal bacteria

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