Ward Experience

Question 1

Concerning a newborn with hydrocephalus. (Discussed with Dr Naana)

Answer 1

We suspected raised ICP bcos of fast breathing and altered alertness.
- Look out for Torches, limbs, back
- Stop seizures
- Check electrolytes
- TRANSCRANIAL USG
- Manittol and lasix for pressure
- No need to rush and refer because must be stabilised. Moreover neuro will not immediately do surgery
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Question 2

A Child with suspected Cushing Syndrome. First initial labs

Answer 2

24 hr Urinary Cortisol, at least 3 different times but mostly only one done.

Question 3

Iv Fluid Therapy in. Intissusception

Answer 3

For cases like this and fluid required conditions, use infusion pump.
Still do maintainance even when giving

Question 4

Concerning a Child With SAM being managed for shock

Answer 4

-We stopped orals
-Corrected severe hypokalemia of 1.7
-Balanced the volumes to add
- Don’t forget to check vessel volumes