Download MBBS (Bachelor of Medicine and Bachelor of Surgery) 4th Year (Final Year) Pediatric Spotter Images Handwritten Notes
![](befab079-9bc2-4c43-b41b-0fa9c7c22b00-1_1.jpg)
PEDIATRICS SPOTTERS
Scabies
Caused by Sarcoptes scabei
Treatment - oral - ivermectin, topical - permethrine and benzyl benzoate
Koilonychia- Spoon shaped nails
Iron deficiency anemia
![](befab079-9bc2-4c43-b41b-0fa9c7c22b00-2_1.jpg)
Undescended testes - cryptorchidism
Complications - torsion, trauma and seminoma
Should be corrected in one year by surgery - orchidopexy
![](befab079-9bc2-4c43-b41b-0fa9c7c22b00-3_1.jpg)
Purpura
DD - Kawasaki disease
![](befab079-9bc2-4c43-b41b-0fa9c7c22b00-4_1.jpg)
Epicanthal fold
Seen in Down's and turners, Mongolian race, Kawasaki disease. Sometimes
normally seen in newborn but disappears in 1-2 months of age
![](befab079-9bc2-4c43-b41b-0fa9c7c22b00-5_1.jpg)
Congenital hypothyroidism
Macroglossia, cretin facies
Should be diagnosed within 72 hours by heel prick blood sample. Maximum by 1
month and thyroxine should be started
Dose of T4 - 10-15 micrograms per kg per day
![](befab079-9bc2-4c43-b41b-0fa9c7c22b00-6_1.jpg)
Staphylococcal scalded skin syndrome
Due to systemic spread of exotoxin of Staph. aureus
Treatment is supportive
![](befab079-9bc2-4c43-b41b-0fa9c7c22b00-7_1.jpg)
Ambiguous genitalia
Causes - 46 XX -congenital adrenal hyperplasia, maternal virilisation, aromatase
deficiency
46 XY - maternal virilisation
![](befab079-9bc2-4c43-b41b-0fa9c7c22b00-8_1.jpg)
(Don't know for sure)
Cracked skin
DD - Kawasaki disease
![](befab079-9bc2-4c43-b41b-0fa9c7c22b00-9_1.jpg)
Goitre
![](befab079-9bc2-4c43-b41b-0fa9c7c22b00-10_1.jpg)
Clubbing
Causes - suppurative lung diseases, Crohn's disease, cyanotic heart disease, liver
cirrhosis
![](befab079-9bc2-4c43-b41b-0fa9c7c22b00-11_1.jpg)
Polymorphic varicella rash
![](befab079-9bc2-4c43-b41b-0fa9c7c22b00-12_1.jpg)
Strawberry tongue - Scarlett fever
Also seen in Kawasaki disease, toxic shock syndr, and in Vitamin
deficiencies(Niacin)
![](befab079-9bc2-4c43-b41b-0fa9c7c22b00-13_1.jpg)
Sub-ungual peeling
DD - Kawasaki disease
![](befab079-9bc2-4c43-b41b-0fa9c7c22b00-14_1.jpg)
![](befab079-9bc2-4c43-b41b-0fa9c7c22b00-14_2.jpg)
![](befab079-9bc2-4c43-b41b-0fa9c7c22b00-15_1.jpg)
Mantoux test
The two bars indicate the lines drawn to measure the diameter of induration
Delayed type 4 hypersensitivity reaction
![](befab079-9bc2-4c43-b41b-0fa9c7c22b00-16_1.jpg)
Peri-orbital puffiness
Nephrotic syndrome
![](befab079-9bc2-4c43-b41b-0fa9c7c22b00-17_1.jpg)
Polydactyly
Seen in Turner's, Trisomy 13
![](befab079-9bc2-4c43-b41b-0fa9c7c22b00-18_1.jpg)
Hypertelorism (maldevelopment of sphenoid bone)
Causes - Trisomy 21, congenital hypothyroidism, thalasemia major, turner's synd,
william's syndrome
![](befab079-9bc2-4c43-b41b-0fa9c7c22b00-19_1.jpg)
Vitamin A deficiency
Treatment - less than 6 months 50,000 IU
6 - 12 months - 1 lakh IU
Greater than 1 year - 2 lakh IU
Prophylaxis - 1 lakh IU at 9 months
2 lakh IU at 16-24 months
![](befab079-9bc2-4c43-b41b-0fa9c7c22b00-20_1.jpg)
Collodion baby
![](befab079-9bc2-4c43-b41b-0fa9c7c22b00-21_1.jpg)
![](befab079-9bc2-4c43-b41b-0fa9c7c22b00-21_2.jpg)
![](befab079-9bc2-4c43-b41b-0fa9c7c22b00-22_1.jpg)
Genu valgum - knock knees
Causes - rickets, fracture of medial epiphyseal plates
![](befab079-9bc2-4c43-b41b-0fa9c7c22b00-23_1.jpg)
Herpes zoster ophthalmicus
![](befab079-9bc2-4c43-b41b-0fa9c7c22b00-24_1.jpg)
Congenital adrenal hyperplasia
Gives the appearance of a male genitalia to a female baby
![](befab079-9bc2-4c43-b41b-0fa9c7c22b00-25_1.jpg)
Palmar erythema/carotinemia
![](befab079-9bc2-4c43-b41b-0fa9c7c22b00-26_1.jpg)
![](befab079-9bc2-4c43-b41b-0fa9c7c22b00-26_2.jpg)
Nephrotic syndrome
![](befab079-9bc2-4c43-b41b-0fa9c7c22b00-27_1.jpg)
![](befab079-9bc2-4c43-b41b-0fa9c7c22b00-28_1.jpg)
Mumps - parotid swelling
Paramyxovirus
![](befab079-9bc2-4c43-b41b-0fa9c7c22b00-29_1.jpg)
![](befab079-9bc2-4c43-b41b-0fa9c7c22b00-29_2.jpg)
Cleft palate
![](befab079-9bc2-4c43-b41b-0fa9c7c22b00-30_1.jpg)
![](befab079-9bc2-4c43-b41b-0fa9c7c22b00-30_2.jpg)
Sturge-Weber syndrome
Facial nevus flammens usually in the distribution of the first branch of trigeminal
nerve
Surgery is necessary for symptomatic cases
![](befab079-9bc2-4c43-b41b-0fa9c7c22b00-31_1.jpg)
![](befab079-9bc2-4c43-b41b-0fa9c7c22b00-31_2.jpg)
Dengue rash
![](befab079-9bc2-4c43-b41b-0fa9c7c22b00-32_1.jpg)
![](befab079-9bc2-4c43-b41b-0fa9c7c22b00-32_2.jpg)
Turner's syndrome
A - webbed neck
B - cubitus valgus (increased carrying angle)
C - lymphedema
![](befab079-9bc2-4c43-b41b-0fa9c7c22b00-33_1.jpg)
![](befab079-9bc2-4c43-b41b-0fa9c7c22b00-33_2.jpg)
Hydrocephalus
![](befab079-9bc2-4c43-b41b-0fa9c7c22b00-34_1.jpg)
![](befab079-9bc2-4c43-b41b-0fa9c7c22b00-35_1.jpg)
![](befab079-9bc2-4c43-b41b-0fa9c7c22b00-35_2.jpg)
Measles
Maculopapular rash - morbilliform rash
![](befab079-9bc2-4c43-b41b-0fa9c7c22b00-36_1.jpg)
![](befab079-9bc2-4c43-b41b-0fa9c7c22b00-36_2.jpg)
Microcephaly
![](befab079-9bc2-4c43-b41b-0fa9c7c22b00-37_1.jpg)
![](befab079-9bc2-4c43-b41b-0fa9c7c22b00-37_2.jpg)
Goitre
![](befab079-9bc2-4c43-b41b-0fa9c7c22b00-38_1.jpg)
![](befab079-9bc2-4c43-b41b-0fa9c7c22b00-38_2.jpg)
(Jayawardane sir told this won't be kept for exam)
Kwashiorkor
![](befab079-9bc2-4c43-b41b-0fa9c7c22b00-39_1.jpg)
![](befab079-9bc2-4c43-b41b-0fa9c7c22b00-39_2.jpg)
Congenital inguinal hernia or hydrocoele
![](befab079-9bc2-4c43-b41b-0fa9c7c22b00-40_1.jpg)
![](befab079-9bc2-4c43-b41b-0fa9c7c22b00-40_2.jpg)
Down's syndrome
Mongoloid facies
![](befab079-9bc2-4c43-b41b-0fa9c7c22b00-41_1.jpg)
![](befab079-9bc2-4c43-b41b-0fa9c7c22b00-42_1.jpg)
![](befab079-9bc2-4c43-b41b-0fa9c7c22b00-42_2.jpg)
Cleft palate
![](befab079-9bc2-4c43-b41b-0fa9c7c22b00-43_1.jpg)
![](befab079-9bc2-4c43-b41b-0fa9c7c22b00-43_2.jpg)
Diaper rash - inflammation of the skin by persistent contact with anemia
![](befab079-9bc2-4c43-b41b-0fa9c7c22b00-44_1.jpg)
![](befab079-9bc2-4c43-b41b-0fa9c7c22b00-44_2.jpg)
Right-sided facial palsy
![](befab079-9bc2-4c43-b41b-0fa9c7c22b00-45_1.jpg)
![](befab079-9bc2-4c43-b41b-0fa9c7c22b00-45_2.jpg)
Henoch-Sch?nlein purpura / meningococcal rash (I don't know)
Small vessel vasculitis.
Purpura found over buttocks and lower limbs and is palpable
Complications - renal failure, CNS vasculitis, GB syndrome, coma
Treatment - prednisolone and supportive
![](befab079-9bc2-4c43-b41b-0fa9c7c22b00-46_1.jpg)
![](befab079-9bc2-4c43-b41b-0fa9c7c22b00-46_2.jpg)
Congenital hypothyroidism
![](befab079-9bc2-4c43-b41b-0fa9c7c22b00-47_1.jpg)
This post was last modified on 11 August 2021