Paediatrics videos & books

2022-10-30 18:30:40 88) Explanation





Clinical Manifestations of Classic Phenylketonuria
• The affected infant is normal at birth.
• Mental retardation may develop gradually and may not
be evident for the 1st few months.
• Vomiting, sometimes severe enough to be misdiagnosed
as pyloric stenosis, may be an early symptom.
• Older untreated children become hyperactive, with
purposeless movements, rhythmic rocking, and
Athetosis.
• Infants are lighter in their complexion than unaffected
siblings with blonde hair.
• These children have an unpleasant odor of Phenyl-acetic
acid, which has been described as musty or mousey.
• Most infants are hypertonic with hyperactive deep
tendon reflexes.
• Microcephaly, prominent maxilla with widely spaced
teeth, enamel hypoplasia, and growth retardation are
other common findings in untreated children. Open / Comment

2022-10-29 19:37:06 Open / Comment

2022-10-28 19:28:34


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2022-10-23 15:30:00 87) Explanation




• A problem that may beset a bottlefed baby in which it forgets how to nurse on mother’ nipple
• Breastfeeding requires far more vigorous mouth and tongue motions and greater muscle coordination than bottlefeeding.
• On bottle nipples or even pacifiers, a newborn can forget how to nurse properly.
• This confusion can lead to diminished or discontinued nursing. Nipple confusion is usually not a concern after the early weeks, once the baby is nursing well Open / Comment

2022-10-22 15:30:00 Open / Comment

2022-10-17 16:30:00 86) Explanation





• Lets evaluate data step wise to arrive at answer.
1. Baby can sit in tripod position by 5th month.
2. Bi dextrous approach by 5th month.
3. Monosyllables by 6th month.
4. Stranger anxiety by 7th month. Open / Comment

2022-10-16 19:06:26 86) A baby with tripod position, bi dextrous approach, recognises strangers and can spell out mono syllable by what age: Open / Comment

2022-10-16 19:05:32 86) A baby with tripod position, bi dextrous approach, recognises strangers and can spell out mono syllable by what age: Open / Comment

2022-10-13 16:30:00 85) Explanation


The child in this question has :
1. Height below 3rd percentile, i.e., short stature.
2. Normal growth velocity, i.e., normal variant of short stature.
3. Skeletal age is less than chronological age.

There are two types of normal variant of short stature:
1. Constituional delay in growth
2. Familial genetic short stature


In constitutional delay the bone age is less than chronological age, while in familial short stature bone age is normal for the chronological age.

So, the most likely diagnois of this child is constitutional delay in growth. Open / Comment

2022-10-12 16:57:00 Open / Comment