Paediatrics videos & books

2022-04-24 05:10:09 53) A 4-year-old is brought to your office by his mother for evaluation. She is concerned because the child has been spiking fevers and pulling on his left ear. Your examination reveals a bulging and erythematous tympanic membrane (TM). Which of the following… Open / Comment

2022-04-24 05:09:13 53) A 4-year-old is brought to your office by his mother for evaluation. She is concerned because the child has been spiking fevers and pulling on his left ear. Your examination reveals a bulging and erythematous tympanic membrane (TM).
Which of the following is most likely to be the cause of his illness? Open / Comment

2022-04-20 07:09:01 GBS is the most common cause of infection in the newborn infant, followed by E. coli and L. monocytogenes. GBS is the most common cause of pneumonia, septicemia, UTI, and meningitis. The risk of early-onset (within the first 7 days of life) GBS infection can be reduced with the antenatal administration of appropriate antimicrobials. The use of perinatal antimicrobials has no effect on the occurrence of late-onset (after 7 days of life) GBS disease. Open / Comment

2022-04-19 07:08:38 52) You are called to see a 12-hour-old male infant who was born to a 19-year-old G1 woman with no prenatal care. She presented to the emergency room completely dilated and crowning. The baby was born minutes later. On examination, the baby is febrile and… Open / Comment

2022-04-19 07:07:40 52) You are called to see a 12-hour-old male infant who was born to a 19-year-old G1 woman with no prenatal care. She presented to the emergency room completely dilated and crowning. The baby was born minutes later. On examination, the baby is febrile and tachypneic. A CXR confirms the presence of pneumonia. What is the most likely infectious agent? Open / Comment

2022-04-17 09:39:51 Open / Comment

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2022-04-12 09:56:01 Acute inflammatory demyelinating polyneuropathy, commonly called Guillain-Barré syndrome, is an ascending paralysis with a hallmark of absent reflexes. There may also be some nominal sensory deficits as well, but they are not as striking as the paresis. Methylphenidate toxicity usually results in seizures and tachycardia. In children with malingering, reflexes are usually present, as they are not under cognitive control. Reflexes are also present in children with polymyositis. Children with polymyositis will usually have fever and muscle pain with weakness, as well. With the use of the polio vaccines (OPV or IPV), poliomyelitis is no longer present in wild type in the United States. Guillain-Barré is usually a self-limited disease. The most common complication is respiratory failure. The paresis usually advances for 48–72 hours and then will slowly recede. The use of corticosteroids is not recommended. Plasmaphoresis is used in the following situations: progressive paresis, nonambulatory patients, or bulbar or respiratory involvement. As this child’s disease has plateaued at the time of evaluation, plasmaphoresis would be of little benefit. Open / Comment

2022-04-11 09:55:25 50)On a Monday morning you see a 12-year-old otherwise healthy boy in the emergency department. The parents brought the boy in because they noticed that he started to have an abnormal gait in the past few days. He seems to be shuffling his feet. The boy… Open / Comment

2022-04-11 09:54:09 50)On a Monday morning you see a 12-year-old otherwise healthy boy in the emergency department. The parents brought the boy in because they noticed that he started to have an abnormal gait in the past few days. He seems to be shuffling his feet. The boy complains that his legs feel heavy and are tingling. He relates that his arms feel fine. His past history is significant for attention deficit/hyperactivity disorder (ADHD) for which he is taking methylphenidate. He denies trauma or taking any other medicines or drugs. On examination, he is afebrile with normal vital signs. His entire physical examination is normal with the exception of the examination of his lower extremities. He has 3/5 strength throughout both of his lower extremities with a normal muscle mass. His all joints have a full range of motion, without any pain or swelling. His reflexes are absent and he describes some paresthesias of his feet and ankles. What is the most likely diagnosis? Open / Comment