Pediatric Hx

Question 1

Pattern of Diseases

Neonates#
Infant-toddler age

Malignancy

Answer 1

asphyxia of newborn, trisomy 21

-febrile convulsion

Malignancy:
– Acute leukemia
– Brain tumors

Question 2

Convulsion in children
1 Neonatal Period
2 • <6 mo old-
3-@ 6 mo - 3 yr old
4 > 3 yr old:

Answer 2

– Convulsion in children:
• Neonatal Period–obstetric injuries, asphyxia, congenital
diseases, intracranial hemorrhage and sepsis. • <6 mo old–intracranial infection, tetany of Vitamin D
deficiency. • 6 mo - 3 yr old: high fever, intracranial infection. • > 3 yr old: epilepsy, intracranial tumor or infection.

Question 3

Subconjunctival Hemorrhage

Answer 3

Subconjunctival hemorrhage is a frequent finding in normal newborns.  It results from the breakage of small vessels during the pressure of delivery.  It is asymptomatic, does not affect vision, and spontaneously resolves in several days.

Question 4

Cleft lip

Answer 4

Multifectorial inheritance

Question 5

Diaphragmatic Hernia .

Answer 5

Newborn with severe respiratory distress & scaphoid abdomin .

Question 6

Hydrocele

Answer 6

Transillumination is helpful in
confirming the presence of a
hydrocele.

Question 7

Barlow test /

Ortolani test/

Answer 7

-Addction of hip , post dislocaton

Ortolani / knee flexion 90 then abduction

Question 8

Discharge planning

Answer 8

Vitamin K status: give script and education for further

oral vitamin K if required

Question 9

If discharged at less than 24 hours of age, advise parents to seek urgent medical assistance if:

Answer 9

• Meconium not passed within 24 hours
• Appears jaundiced within first 24 hours
• Elevated temperature
• Vomiting
• Difficulty feeding
• Lethargy
• Decreased urine or stools