IAP PG Teaching Sessions – Supported by Apollo Institute of Child Health (21st January 2022)

29 replies on “IAP PG Teaching Sessions – Supported by Apollo Institute of Child Health (21st January 2022)”

Sir should ncv be repeated in gbs and when to repeat.??

Gabapentin

There may be no improvement main thing is to prevent detroriation of paralysis

Inhibits fc receptor mediated phagocytosis

Hr
Bp
Sp02
Single breath
And deltoid weakness and voice

Diptheria

Axonal variety if gbs is asian variety

Report and Send stool specimen

Potts spine if suspecting and pain in back present

Na k and mg if low or high can have as proximal myopathy

Mri spine with contrast can be done as early as 3 days of illness

50 or less than 50 gbs still first diagnosis

Csf cells more than 50 gbs is ruled out

Polio like illness is asymmetrical usually

Enteroviral myleitis
To be considered as differential

Ascending symmertrical muscle paralysis
No bladder bowel
No fever
Pain present

Acute flaccid paralysis to be called to rule out gbs

Distal weakness also present

Roots pain sir present in this case

Low pitch voice means resp muscle involvement

Heart rate saturation

Ankle is preserved till late in muscle disease sir

Equivocal is withdrawal response

Enteroviral myelitis

Pain over rt shoulder

T10

Proximal in muscle

Had to ask if restriction of movement has increased after pain if it is because of pain then it would have increased otherwise not

Adolescent girl with pain and ascending symmertrical type of lmn paralysis both proximal and distal involvement so to rule out gbs