Pediatric Tricks 🧑‍⚕️🩺

Treatment of complicated infantile hemangiomas with oral propranolol

Hypercholesterolemia

Lipid screening

🔸️Acute hemorrhagic edema of infancy ▪️ It is a benign, self-limited leukocytoclastic vasculitis that occurs most commonly in males. ▪️There are some criteria proposed to correctly identify this disease: 🔹️Age less than 2 years; 🔹️Purpuric or ecchymotic target-like lesions, with edema of the face, auricles, and extremities, with or without mucosal involvement; 🔹️Lack of systemic disease or visceral involvement 🔹️Spontaneous recovery within a few days or weeks.

✅️Case ▪️6-month-old, full-term infant girl was brought to the emergency department after 3 days of having an asymptomatic, large, purple-red bruiselike rash ◽️ The rash first appeared on the patient’s thighs bilaterally before spreading rapidly to her face, abdomen and lower legs. ◽️She had an episode of acute viral gastroenteritis that had resolved 1 week earlier, but she was otherwise healthy. ◽️An examination of her skin showed medallionlike, well-defined ecchymoses (2–3 cm in diameter) with surrounding erythematous edematous plaques affecting the face, periumbilical area and extremities ◽️Results from laboratory tests showed hypocomplementemia. ◽️ A biopsy of the patient’s skin found perivascular infiltrate with numerous neutrophils, some eosinophils, nuclear dust, abundant extravasated erythrocytes and hemorrhage. 🔸️ Dx acute hemorrhagic edema of infancy

Weight loss

Ataxia

Syncope

Vertigo

Adenoviral diseases according to patient population

Stages of acute acetaminophen intoxication

Acetaminophen poisoning

Acetaminophen metabolism

Insulin dosing in child type 1 Diabetes

🔺️Pediatric Most common 1️⃣ Most common  Congenital Pancytopenia = Fanconi anemia (spontaneous chromosomal breaks) 2️⃣ most common acquired cause of bleeding disorders in children is = thrombocytopenia 3️⃣ Most common hereditary bleeding disorder = von Willebrand Disease (vWD) 4️⃣ most common presenting sign  of  Hodgkin Lymphoma  = Painless, firm cervical or supraclavicular nodes () 5️⃣ Second most frequent malignancy in children; mortality 45% = Brain tumer 6️⃣ Most common Brain tumer =  Infratentorial Tumors (Classic site—cerebellum) 7️⃣ Second most common malignant abdominal tumor = Wilms Tumor 8️⃣ Most common site of Pheochromocytoma  = adrenal medulla 9️⃣ most common seizure usually present within 12–24 hours after birth= Hypoxic ischemic encephalopathy 🔟Most common Complication of bacterial  meningitis  is = hearing loss #Notes 📑

Lower gastrointestinal bleeding