hidup biar ikhlas

buku adalah sahabat manusia, amal perbuatan adalah teman di kubur, akhlak yang baik adalah mahkota kemuliaan dan baik hati adalah pakaian paling indah

It's Sunday Again...and few words about paeds

• recognise sick child-in children, the most important thing is observation, to be able to recognise this, u have to know how a fit n healthy child looks like first
• for history and examination, these needs lots of practice....especially auscultation of the chest...honestlt i find it difficult, kids heart beats faster than adults...this can mislead u if they hv murmur...can also make it difficult to listen to the breath sound...n also able to distract them esp babies, smile at them, believe me they r gonna like u
  
• they always come in with vague symptoms-headache, pyrexia, diarrhoea, vomiting-common things are common, but dun miss out life threatening condition
• for topics, let's go by system:

1. resp-acute exacerbation of asthma, bronchiolitis n other URTIs
2. cvs-congenital heart disease
3. GI-gastroenteritis, gi obstruction
   
4. cns-meningitis, cerebral palsy
5. development-developmental delay, failure to thrive, short stature (memorise children development), practice this by guessing the child age before u ask their parents
   
6. gui-uti
7. endo-diabetes
   
8. ms-rarely, usually trauma, autoimmune condition ie juvenile arthritis
9. nai (non accidental injury)
10. memorise immunisation schedule ( i do have problems with this..huhu)
    

• neonates:

1. problems with premature babies
2. jaundice
3. hypoglycaemia
4. low birth weight, IUGR
   

• last but not least-remember children are not small adults, treat them as they are...
  

posted by iFtiDa @ 1:01 AM