Showing posts with label Clinical. Show all posts
Showing posts with label Clinical. Show all posts
Monday, October 31, 2016
Capillary Hemangioma in a child
Post under
Clinical,
Pediatric Atlas
Capillary hemangioma on lower limb and face in an 11 months old infant ....
Friday, September 16, 2016
Can We Start Weaning (Complimentary Feeding) before 6 months?
This is also one of the common question or problem i would say, that is faced by almost all Physicians. People from different cultures have different views, but what we have to follow is Current Guidelines, that are purely based on Scientific Research.
Yes, we can start weaning before 6 months, but we should not. It's safe to introduce semi solids to your little one at or around 6 months of age.
Like people from different cultures have different views, same ways researchers from different countries have come out with different research ... but all the scientists are united on one thing i.e., weaning should not be started before 17 weeks of age (4 months).
American Academy of Pediatrics says that weaning before 6 months may lead to gastrointestinal infections.
Scientific Point of view to weaning at 6 months is: Digestive system is matured, baby can sit with support and have good head and neck control that makes chewing and swallowing easier, and baby has learned tongue skills (all are signs of readiness for weaning). Research also describes that until 6 months of age, all the nutritional requirements of baby can be fulfilled by milk alone, so why to hurry for weaning.
Mothers think that when baby cries even after feed, or chews fist or fingers, and wakes up in the night, are all signs of starting weaning foods, but that is totally wrong. These all are normal infant behaviors and all are considered as false signs of readiness for weaning.
Yes, we can start weaning before 6 months, but we should not. It's safe to introduce semi solids to your little one at or around 6 months of age.
Like people from different cultures have different views, same ways researchers from different countries have come out with different research ... but all the scientists are united on one thing i.e., weaning should not be started before 17 weeks of age (4 months).
American Academy of Pediatrics says that weaning before 6 months may lead to gastrointestinal infections.
Scientific Point of view to weaning at 6 months is: Digestive system is matured, baby can sit with support and have good head and neck control that makes chewing and swallowing easier, and baby has learned tongue skills (all are signs of readiness for weaning). Research also describes that until 6 months of age, all the nutritional requirements of baby can be fulfilled by milk alone, so why to hurry for weaning.
Mothers think that when baby cries even after feed, or chews fist or fingers, and wakes up in the night, are all signs of starting weaning foods, but that is totally wrong. These all are normal infant behaviors and all are considered as false signs of readiness for weaning.
Thursday, September 15, 2016
2 yYear Old Child with Speech Delay - Take Relevant History
Post under
Clinical,
History Taking,
Notes
Commonly Tested in OSCE / TOACS
- Introduction
- Establish Rapport
- Detail Speech Development History
- Other history of developmental delay - gross motor, fine motor, adaptive, social
- Birth History - preterm, NICU admission, Congenital anomalies
- Family history - global delay, deafness
- history of hearing defect - neonatal meningitis
- Socio economic and social opportunity given or not
- facial / local anomalies - tongue tie?
- Autism - mixing with friends / social contact
- Thanks
Baby of Mother with Tuberculosis
Post under
Clinical,
Counsellings,
Notes
Can a Mother with TB, breast feed her child? Will it be transmitted from mother to child?
These are commonly asked Exam Questions, and commonly asked by affected parents also ...
If Mother is Having active TB Lung and Taken treatment for less than 2 months before delivery or diagnosed with TB after Delivery..... then
These are commonly asked Exam Questions, and commonly asked by affected parents also ...
If Mother is Having active TB Lung and Taken treatment for less than 2 months before delivery or diagnosed with TB after Delivery..... then
- Reassure Mother - its safe to breastfeed her child
- Dont give BCG at birth
- Give prophylactic Isoniazid for 6 weeks
- re evaluate after 6 weeks ... gaining weight? xray?
- if any finding suggestive of active TB, then start full ATT
- if baby is doing well and tests are negative, then continue isoniazid for total 6 months
- 2 weeks after completion of treatment, give BCG.
Friday, June 10, 2016
Suspicion - KF Ring
Post under
Clinical
This child came to my OPD for GI complaints .... but examination and previous family history was leading me to Wilsons disease .... is this KF ring ??
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