AOP Gujarat Action Plan : PG clinic : A case discussion on pediatric cardiology (3rd July 2021)

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 ??

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

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.??

Fever headache vomiting followed by seizure so looks like meningitis
Can be encephalitis also as child is drowsy
So it is acute encephalitis syndrome

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