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Decreased tone on left side with increased reflexes with reduced power so child is in stage of spinal shock sir ??
ECM
In anthropomeyry whether we should say acute on chronic malnutrition or just chronic malnutrition as mentioned in slides
6 yr 8 mnths old child with cyanotic congenital heart disease with decreased pulmonary blood flow with multiple episodes of spells most likely tof physiology with neurological complication most likely to be acute encephalitis syndrome most likely to be bacterial in etiology with deficits to rule out brain abscess
TOF can present with CHF when there is large PDA or AP collaterals are there or there is a large VSD with less severe PS
Breath holding spell child is hypopnea and there is some trigger while in cyanotic spell child has increased resp rate
Cyanotic congenital heart disease with decreased pulmonary blood flow more likely tetralogy of Fallot physiology
Cortical damage more likely to be cause of deficit sir
Todd’s palsy sir if transient deficit
Sir if there is weakness of left side only then it was a focal seziure with secondary generalisation or gtcs type seizure what we should call it.??
What happened to headache when fever subsided and also after vomiting does headache improved.??
High grade fever autoimmune condition so autoimmune encephalitis
More likely bacterial etiology on the basis of pattern of fever and headache
Fever headache vomiting followed by seizure so looks like meningitis
Can be encephalitis also as child is drowsy
So it is acute encephalitis syndrome
DIAP India
307 replies on “AOP Gujarat Action Plan : PG clinic : A case discussion on pediatric cardiology (3rd July 2021)”
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Decreased tone on left side with increased reflexes with reduced power so child is in stage of spinal shock sir ??
ECM
In anthropomeyry whether we should say acute on chronic malnutrition or just chronic malnutrition as mentioned in slides
6 yr 8 mnths old child with cyanotic congenital heart disease with decreased pulmonary blood flow with multiple episodes of spells most likely tof physiology with neurological complication most likely to be acute encephalitis syndrome most likely to be bacterial in etiology with deficits to rule out brain abscess
TOF can present with CHF when there is large PDA or AP collaterals are there or there is a large VSD with less severe PS
Breath holding spell child is hypopnea and there is some trigger while in cyanotic spell child has increased resp rate
Cyanotic congenital heart disease with decreased pulmonary blood flow more likely tetralogy of Fallot physiology
Cortical damage more likely to be cause of deficit sir
Todd’s palsy sir if transient deficit
Sir if there is weakness of left side only then it was a focal seziure with secondary generalisation or gtcs type seizure what we should call it.??
What happened to headache when fever subsided and also after vomiting does headache improved.??
High grade fever autoimmune condition so autoimmune encephalitis
More likely bacterial etiology on the basis of pattern of fever and headache
Fever headache vomiting followed by seizure so looks like meningitis
Can be encephalitis also as child is drowsy
So it is acute encephalitis syndrome