DEFINITION Is the sudden onset of Gross hematuria Oedema Hypertension Renal insufficiency Most common cause of in children next is IgA nephropathy AETIOLOGY- Follows infection of the throat or skin (Group A b-hemolytic streptococci). CLINICAL MANIFESTATIONS Onset 1–2 wk after streptococcal infection. Oedema Hypertension Oliguria. Encephalopathy or heart failure due to hypertension Nephrotic syndrome may […]

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DEFINITION Is the sudden onset of Gross hematuria Oedema Hypertension Renal insufficiency Most common cause of in children next is IgA nephropathy AETIOLOGY- Follows infection of the throat or skin (Group A b-hemolytic streptococci). CLINICAL MANIFESTATIONS Onset 1–2 wk after streptococcal infection. Oedema Hypertension Oliguria. Encephalopathy or heart failure due to hypertension Nephrotic syndrome may […]

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DENTAL CARIES Is the infection within the tooth. This depends on the sugar load in food of child and the amount of bacteria lodged between teeth. This bacteria is known to produce acid that helps bacteria multiply and dissolve the teeth. Hence regular teeth brushing helps maintain hygiene Primary teeth caries can affect Permanent teeth […]

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REMEMBER Systemic hypertension when present,usually indicates of underlying disease. Blood pressure(BP) that is consistently above the 95th percentile for age requires further evaluation Checking BP should be part of routine annual examination in children >3 years of age. Classification Normal BP < 90th centile for age and height Pre-hypertension- 90th to 95th centile for age […]

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FEATURES OF SYNDROMES ( Alphabetical order) –   ALAGILLE SYNDROME- Bile duct paucity with cholestasis heart defects (pulmonary artery stenosis) Ocular abnormalities (posterior embryo toxin) Skeletal defects (butterfly vertebrae) Long nose ANGELMAN SYNDROME ( Chromosome 15 deletion) – Ataxia/ Jerky movements Seizures Hypotonia Mid face hypoplasia Uncontrollable bouts of laughter Large mouth with tongue protrusion Severe […]

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LYMPHADENOPATHY Remember- Generally lymph nodes less than 3 mm are considered normal Abnormal lymph nodes are as below Epitrochlear lymph nodes > 5mm Cervical lymph nodes >10 mm Inguinal lymph nodes > 15 mm TYPES a) Generalised lymphadenopathy- When 2 or more groups of lymph node regions are enlarged Liver and spleen may also be […]

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