IAP Tamil Nadu: Postgraduate Clinics in Pediatrics – Protein Energy Malnutrition (10th October 2020)
31 replies on “IAP Tamil Nadu: Postgraduate Clinics in Pediatrics – Protein Energy Malnutrition (10th October 2020)”
Excellent teaching Thank you Special thanks to the pg s for the nice presentation well-prepared one
On the basis of anthro how to interpret when did the problem start mam.??
How long will you advise this mother to breastfeed?
Sir/madam, is there any criteria can we use to start iron earlier in management of SAM
Is RUTF available in India?
How about locally made RUTF
Read the WHO guidelines on facility based management of children with SAM
Can you please repeat us how to make resomal in india
While saying some DEHYDRATION .. in SAM CHILD.. skin turgor ??? No need to b mentioned right
Can we say skin turgor in SAM CHILD
Did you assess hydration in this child? How?
Madam can we see this discussion in you tube…cud not log in
Bipedal Edema of nutritional etiology ruling out other causes
MUAC to be with non dominant arm
No corneal opacity – does it rule out vit A deficiency?
No frontal bossing – Do you expect vit D deficiency in this infant?
Concepts of ‘ active feeding ” and ” family pot feeding ” also to be emphasised
Sociio economic history to cover the ventilation , overcrowding ,dampness ,water supply and sanitation facilities
This child is of a teen age pregnancy (18-19 years)
What are the feeding problems observed in this infant?
How about following IMNCI guidelines of feeding child – less than 6 mos ,6 to 12 mos ,13to 24 months and beyond – which I used to feel easy to advise and for the mothers to follow as well
Whether we should comment on balanced diet?
Whether we need to give importance to refined sugar ,fiber component?
How should the protein and calories for present or expected weight?
May be the vessels used to prepare ,feed ,water used ,hand hygiene also important apart from the dilution
When the mother says 5 months, make sure if it is 5 months completion?
Dilution
Present history elaboration should lead to
Diagnostic possibility
DDs if any
Complications
Aetiology
Treatment so far
and outcome
Which I wanted to convey
1000 days window period-including brain growth?
In the presentation of present illness
Elaboration of present complaints as well as positive and negative history to lead to possible disease entity (s,) we are dealing with and DDs
Complications
Aetiology
Treatment so far given
Outcome
And why the child has come to present health facility to be covered in a coherent manner
H/O Diet during and following diarrheal episodes?
Malabsorption stools ?
Welcome to all the participants. Dr PVelusamy Dindigul
DIAP India
31 replies on “IAP Tamil Nadu: Postgraduate Clinics in Pediatrics – Protein Energy Malnutrition (10th October 2020)”
Excellent teaching Thank you Special thanks to the pg s for the nice presentation well-prepared one
On the basis of anthro how to interpret when did the problem start mam.??
How long will you advise this mother to breastfeed?
Sir/madam, is there any criteria can we use to start iron earlier in management of SAM
Is RUTF available in India?
How about locally made RUTF
Read the WHO guidelines on facility based management of children with SAM
Can you please repeat us how to make resomal in india
While saying some DEHYDRATION .. in SAM CHILD.. skin turgor ??? No need to b mentioned right
Can we say skin turgor in SAM CHILD
Did you assess hydration in this child? How?
Madam can we see this discussion in you tube…cud not log in
Bipedal Edema of nutritional etiology ruling out other causes
MUAC to be with non dominant arm
No corneal opacity – does it rule out vit A deficiency?
No frontal bossing – Do you expect vit D deficiency in this infant?
Concepts of ‘ active feeding ” and ” family pot feeding ” also to be emphasised
Sociio economic history to cover the ventilation , overcrowding ,dampness ,water supply and sanitation facilities
This child is of a teen age pregnancy (18-19 years)
What are the feeding problems observed in this infant?
How about following IMNCI guidelines of feeding child – less than 6 mos ,6 to 12 mos ,13to 24 months and beyond – which I used to feel easy to advise and for the mothers to follow as well
Whether we should comment on balanced diet?
Whether we need to give importance to refined sugar ,fiber component?
How should the protein and calories for present or expected weight?
May be the vessels used to prepare ,feed ,water used ,hand hygiene also important apart from the dilution
When the mother says 5 months, make sure if it is 5 months completion?
Dilution
Present history elaboration should lead to
Diagnostic possibility
DDs if any
Complications
Aetiology
Treatment so far
and outcome
Which I wanted to convey
1000 days window period-including brain growth?
In the presentation of present illness
Elaboration of present complaints as well as positive and negative history to lead to possible disease entity (s,) we are dealing with and DDs
Complications
Aetiology
Treatment so far given
Outcome
And why the child has come to present health facility to be covered in a coherent manner
H/O Diet during and following diarrheal episodes?
Malabsorption stools ?
Welcome to all the participants. Dr PVelusamy Dindigul
Please start on time
Dear Dr Elizabeth, how are you?