Download MBBS Final Year Pediatric Spotter Images Notes

Download MBBS (Bachelor of Medicine and Bachelor of Surgery) 4th Year (Final Year) Pediatric Spotter Images Handwritten Notes


PEDIATRICS SPOTTERS
Scabies
Caused by Sarcoptes scabei
Treatment - oral - ivermectin, topical - permethrine and benzyl benzoate
Koilonychia- Spoon shaped nails
Iron deficiency anemia


Undescended testes - cryptorchidism
Complications - torsion, trauma and seminoma
Should be corrected in one year by surgery - orchidopexy


Purpura
DD - Kawasaki disease


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


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


Staphylococcal scalded skin syndrome
Due to systemic spread of exotoxin of Staph. aureus
Treatment is supportive


Ambiguous genitalia
Causes - 46 XX -congenital adrenal hyperplasia, maternal virilisation, aromatase
deficiency
46 XY - maternal virilisation


(Don't know for sure)
Cracked skin
DD - Kawasaki disease


Goitre


Clubbing
Causes - suppurative lung diseases, Crohn's disease, cyanotic heart disease, liver
cirrhosis


Polymorphic varicella rash


Strawberry tongue - Scarlett fever
Also seen in Kawasaki disease, toxic shock syndr, and in Vitamin
deficiencies(Niacin)


Sub-ungual peeling
DD - Kawasaki disease





Mantoux test
The two bars indicate the lines drawn to measure the diameter of induration
Delayed type 4 hypersensitivity reaction


Peri-orbital puffiness
Nephrotic syndrome


Polydactyly
Seen in Turner's, Trisomy 13


Hypertelorism (maldevelopment of sphenoid bone)
Causes - Trisomy 21, congenital hypothyroidism, thalasemia major, turner's synd,
william's syndrome


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


Collodion baby





Genu valgum - knock knees
Causes - rickets, fracture of medial epiphyseal plates


Herpes zoster ophthalmicus


Congenital adrenal hyperplasia
Gives the appearance of a male genitalia to a female baby


Palmar erythema/carotinemia



Nephrotic syndrome




Mumps - parotid swelling
Paramyxovirus



Cleft palate



Sturge-Weber syndrome
Facial nevus flammens usually in the distribution of the first branch of trigeminal
nerve
Surgery is necessary for symptomatic cases



Dengue rash



Turner's syndrome
A - webbed neck
B - cubitus valgus (increased carrying angle)
C - lymphedema



Hydrocephalus





Measles
Maculopapular rash - morbilliform rash



Microcephaly



Goitre



(Jayawardane sir told this won't be kept for exam)
Kwashiorkor



Congenital inguinal hernia or hydrocoele



Down's syndrome
Mongoloid facies





Cleft palate



Diaper rash - inflammation of the skin by persistent contact with anemia



Right-sided facial palsy



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



Congenital hypothyroidism



This post was last modified on 11 August 2021