IAP TamilNadu – Postgraduate Clinics in Pediatrics – Hemiplegia (26TH SEPTEMBER 2020)
25 replies on “IAP TamilNadu – Postgraduate Clinics in Pediatrics – Hemiplegia (26TH SEPTEMBER 2020)”
It was very useful Sir.Thank you all the professors and presentor.
Thank you very much for the enriching discussion!!!!
Excellent Discussion…
Very useful for exams.
Thank you so much our dear professors and IAP.
Mam we usually don’t find cause in children
What to do in such cases mam.??
Role of and Steroids..in treatment ?? for vasculitis
Indication of low molecular wt heparin in stroke mam ??
In this case of UMN lesion how to explain hypotonia in motor system examination even after 1 week, respected moderators
Mam whether we should do CSF in such a case or not.??
If we r thinking about infective cause of arteriopathy.??
Ophthalmic examination done?
Paused please replay from the localisation of lesion in pyramidal tract
did he look for clonus and primitive reflexes
Why ACA territory.??
How we came to vascular etiology why not some space occupying lesion as features of raised ICP is there plus if raised ICP is there we should think more of venous stroke.??
did he look for clonus
Whether it is crossed or uncrossed hemiplegia.??
External markers for tuberculosis?
General examination – how about posture?
Is the similarity / dissimilarity among the two episodes any way important ?
Better he can be allowed present and then intervened?!!! At least component by component?
Todd’s not possible it last for 48hr maximum mam
Should not we should start with history at 7 years mam since child was not well even before this episode.!!
I think there has to be some more coherence in presentation – expansion of presenting complaints , elaboration of symptoms related to weakness sensorium ,cranial nerves ,extrapyramidal , fait,cerebellar, sensory ,autonomous
Then probable complications
Then regarding probable causes
Treatment given and response
Progression / improvement /
At the end present status
What made them to the health facility
All these constitute the present ilness history
Mam head injury patient will have chief complain of head injury so we should say it in no histories or not.!!
Is it not better to cover in the elaboration of the present history itself to cover symptoms related to as sensorium and other higher functions ,cranial nerve involvement including speech ,motor disability in detail ,sensory disturbances , involuntary movements ,bowel and bladder involvement ,etc and probable causes before going to the admission in Theni MC ?
MMC – Is it named as Chennai Medical College”.?Dr.Rajendran labelled it like that
Sir kindly speak in Hindi or English not able to understand anythjng
25 replies on “IAP TamilNadu – Postgraduate Clinics in Pediatrics – Hemiplegia (26TH SEPTEMBER 2020)”
It was very useful Sir.Thank you all the professors and presentor.
Thank you very much for the enriching discussion!!!!
Excellent Discussion…
Very useful for exams.
Thank you so much our dear professors and IAP.
Mam we usually don’t find cause in children
What to do in such cases mam.??
Role of and Steroids..in treatment ?? for vasculitis
Indication of low molecular wt heparin in stroke mam ??
In this case of UMN lesion how to explain hypotonia in motor system examination even after 1 week, respected moderators
Mam whether we should do CSF in such a case or not.??
If we r thinking about infective cause of arteriopathy.??
Ophthalmic examination done?
Paused please replay from the localisation of lesion in pyramidal tract
did he look for clonus and primitive reflexes
Why ACA territory.??
How we came to vascular etiology why not some space occupying lesion as features of raised ICP is there plus if raised ICP is there we should think more of venous stroke.??
did he look for clonus
Whether it is crossed or uncrossed hemiplegia.??
External markers for tuberculosis?
General examination – how about posture?
Is the similarity / dissimilarity among the two episodes any way important ?
Better he can be allowed present and then intervened?!!! At least component by component?
Todd’s not possible it last for 48hr maximum mam
Should not we should start with history at 7 years mam since child was not well even before this episode.!!
I think there has to be some more coherence in presentation – expansion of presenting complaints , elaboration of symptoms related to weakness sensorium ,cranial nerves ,extrapyramidal , fait,cerebellar, sensory ,autonomous
Then probable complications
Then regarding probable causes
Treatment given and response
Progression / improvement /
At the end present status
What made them to the health facility
All these constitute the present ilness history
Mam head injury patient will have chief complain of head injury so we should say it in no histories or not.!!
Is it not better to cover in the elaboration of the present history itself to cover symptoms related to as sensorium and other higher functions ,cranial nerve involvement including speech ,motor disability in detail ,sensory disturbances , involuntary movements ,bowel and bladder involvement ,etc and probable causes before going to the admission in Theni MC ?
MMC – Is it named as Chennai Medical College”.?Dr.Rajendran labelled it like that
Sir kindly speak in Hindi or English not able to understand anythjng