Showing posts with label pediatric. Show all posts
Showing posts with label pediatric. Show all posts

Friday, April 30, 2010

-Factors affecting human linear growth.

Factors affecting human linear growth.
  • Age
  • Sex
  • Race.
  • Hereditary factors:- Children of two short parents will probably be short and vice versa.
  • Endocrinal factors e.g Growth Hormone which is responsible for stimulation of body growth in humans.
  • Nutritional factors:- Adequate nutrients must be available for normal growth.
  • General health:- Any serious systemic disease in childhood is likely to reduce growth (e.g. chronic kidney disease or chronic infection).
  • Intrauterine growth retardation (small birth weight):-These infants often growpoorly in the long term.
  • Emotional deprivation and psychological factors:- These can impair growth by complex, poorly understood mechanisms.
  • Chromosomal abnormalities.
  • Skeletal maturity.
Dr Ibrahim

Monday, March 29, 2010

- Medical treatment of hydrocephalus.

Medical treatment of hydrocephalus

*Aim:-
Medical treatment is used to delay surgical intervention.

*Medical treatment is not effective in long-term treatment of chronic hydrocephalus. It may induce metabolic consequences and thus should be used only as a temporizing measure.

*Lines of TTT:- "Fair"
  • Furosemide:1mg/kg/day.(Decreasing CSF secretion).
  • Acetazolamide 5mg/kg/day.(Decreasing CSF secretion).
  • Isosorbide (Increasing CSF reabsorption).
  • Restriction of water and salts.
Dr Ibrahim

Saturday, March 27, 2010

- Skull causes of macrocephaly.


Skull causes of Macrocephaly.
"Oscar"

Osteogenesis imperfecta.
Secondaries especially neuroblastoma.
Chronic hemolytic anemia.
Achondroplasia.
Rickets.

Dr Ibrahim

Thursday, March 25, 2010

-Guillain Barré syndrome.

Guillain Barré syndrome

Aetiology(theories):-

  • Postinfection:50% of cases have preceding respiratory or GIT viral infection.
  • Post vaccination:following vaccination against swine flu virus.
  • Lymphoma.
  • Autoimmune theory.
Clinical Picture:-
1-Initial febrile illness.
2-Motor affection:-

  • Bilateral symmetrical ascending affection of both lower limbs,trunk,upper limbs,Bulbar muscles,facial muscles then diphragm and respiratory muscles.
  • The Affection is proximal more than distal in adult.
  • The Affection is proximal more than distal in infant and childrens.
  • Weakness is associated with hypotonia and areflexia.