IAP Action Plan 2021 -Thursday Teaching Session (resumed now on-line)/ Post Graduate Clinic (8th July 2021)
20 replies on “IAP Action Plan 2021 -Thursday Teaching Session (resumed now on-line)/ Post Graduate Clinic (8th July 2021)”
Thrill tells us about the pathological site
In failure bcz bilateral crepts and low spo2
No history of any duskiness noticed by mother during crying or increased activity Moreover this child has repeated lrti as it is increased pulmonary blood flow due to left to RT shunt while in cyanotic we have decreased pulmonary blood flow
History started with cough so cardiac cause is most likely due to increased RT to left shunt
Bronchiolitis will not have cough as chief complaint sir
Why not aspiration leading to repeated lrti
As history started with cough
Phosphorus is high in renal osteodystrophy sir
In vit d dependent rickets we do 1,25 sir
1,25 has very short life span sir
X ray lower limb pa lateral
Ca po4 Alp
25oh vit d and
Kft sir
11am to 1 p.m sir
Hypotonia
Nutritional age is more common in infants
Upper limb more involved and in hypophosatemic lower limb more inv and more dental caries and enamel hypoplasia
In four year old child does widening of wrist we should say as a sign of active rickets sir as child is walking
No mention of tone and power of lower limbs
If weakness is the chief complaint
Lower limb more inv than upper limb
And female child
And on examination if hypotonia is not present then nutritional rickets is less likely sir
In hepatic rickets other vitamin def also there isolated vitt d less likely
Why not phosphenic rickets
Female child lower limb inv more than upper limb
Painful Vs non painful causes of limping sir kindly elaborate more
Like a few child with rickets also complain of pain why that happens.??
Difficulty in walking can be due to rickets
Muscle weakness
Nerve involvement
N m junction
And also sue to ataxia sir
DIAP India
20 replies on “IAP Action Plan 2021 -Thursday Teaching Session (resumed now on-line)/ Post Graduate Clinic (8th July 2021)”
Thrill tells us about the pathological site
In failure bcz bilateral crepts and low spo2
No history of any duskiness noticed by mother during crying or increased activity Moreover this child has repeated lrti as it is increased pulmonary blood flow due to left to RT shunt while in cyanotic we have decreased pulmonary blood flow
History started with cough so cardiac cause is most likely due to increased RT to left shunt
Bronchiolitis will not have cough as chief complaint sir
Why not aspiration leading to repeated lrti
As history started with cough
Phosphorus is high in renal osteodystrophy sir
In vit d dependent rickets we do 1,25 sir
1,25 has very short life span sir
X ray lower limb pa lateral
Ca po4 Alp
25oh vit d and
Kft sir
11am to 1 p.m sir
Hypotonia
Nutritional age is more common in infants
Upper limb more involved and in hypophosatemic lower limb more inv and more dental caries and enamel hypoplasia
In four year old child does widening of wrist we should say as a sign of active rickets sir as child is walking
No mention of tone and power of lower limbs
If weakness is the chief complaint
Lower limb more inv than upper limb
And female child
And on examination if hypotonia is not present then nutritional rickets is less likely sir
In hepatic rickets other vitamin def also there isolated vitt d less likely
Why not phosphenic rickets
Female child lower limb inv more than upper limb
Painful Vs non painful causes of limping sir kindly elaborate more
Like a few child with rickets also complain of pain why that happens.??
Difficulty in walking can be due to rickets
Muscle weakness
Nerve involvement
N m junction
And also sue to ataxia sir