logging in or signing up Paediatric Picture Quiz samarsen Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINTLite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: (To copy code, click on the text box) Embed: URL: Thumbnail: WordPress Embed Customize Embed The presentation is successfully added In Your Favorites. Views: 2903 Category: Science & Tech.. License: All Rights Reserved Like it (8) Dislike it (0) Added: November 02, 2009 This Presentation is Public Favorites: 6 Presentation Description Pictures of common Paediatric Problems- See how many you get right Comments Posting comment... Premium member Presentation Transcript Paediatric Picture Quiz : Paediatric Picture Quiz Dr S Sen Paediatric Registrar North Western Deanery What’s wrong with this nappy? : What’s wrong with this nappy? Acholic stool : Acholic stool Indicates Biliary obstruction Two main causes Extrahepatic biliary atresia Choledochal cyst Will need HIDA scan and possible liver biopsy For EHBA results are best with surgery before 6 weeks of life What does the CXR show ? : What does the CXR show ? Non Accidental Injury : Non Accidental Injury Acute and healing rib fractures in a young infant Spot the Diagnosis : Spot the Diagnosis Left sided facial palsy : Left sided facial palsy Most likely Bell’s palsy Will recover spontaneously Ensure no ear perforation Refer to ENT and Ophthalmology (eye care) Failure to thrive from nine months of age : Failure to thrive from nine months of age Jejunal biopsy : Jejunal biopsy Coeliac disease : Coeliac disease Protruberant abdomen and buttock wasting FTT from weaning (introduction of gluten) Need lifelong gluten free diet Spot Diagnosis : Spot Diagnosis Hydrocephalus : Hydrocephalus Grossly enlarged head Dilated scalp veins Sunsetting sign Accidental or Nonaccidental? : Accidental or Nonaccidental? Ear bruising : Ear bruising Physical abuse What clinical sign is shown? Name 5 causes. : What clinical sign is shown? Name 5 causes. Clubbing : Clubbing Causes Bronchiectasis Congenital cyanotic heart disease Endocarditis Liver disease Inflammatory bowel disease NB lung cancer is NOT the commonest cause in childhood! Normal or Abnormal ? : Normal or Abnormal ? Neonatal Jaundice : Neonatal Jaundice Unconjugated Physiological Rhesus disease ABO incompatibility Other causes haemolysis – spherocytosis etc Breast milk jaundice Hypothyroidism Sepsis Crigler-Najjar syndrome Neonatal Jaundice : Neonatal Jaundice Conjugated EHBA Choledochal cyst Alagille syndrome Neonatal Hepatitis Metabolic disease TPN treatment What is this danger sign? : What is this danger sign? Papilloedema : Papilloedema Sign of raised ICP Needs urgent neuroimaging Causes Space occupying lesion Benign intracranial hypertension Retinal vein obstruction Hypertension What is the full name of this condition? : What is the full name of this condition? Talipes Equinovarus : Talipes Equinovarus If positional needs only physiotherapy Fixed needs orthopaedic input and close examination for neurological lesions What is the DD in this 5 year old boy? : What is the DD in this 5 year old boy? Haemophilia : Haemophilia Haemarthrosis right knee Spot Diagnosis : Spot Diagnosis Spina bifida : Spina bifida Open myelomengicoele Paralysis and sensory loss legs Neuropathic bladder and bowel Hydrocephalus Spot the abnormal cells : Spot the abnormal cells Sickle cell anaemia : Sickle cell anaemia Multiple sickle cells seen What’s wrong with this X Ray ? : What’s wrong with this X Ray ? Rickets : Rickets Cupping and splaying of metaphyses Spot diagnosis : Spot diagnosis SLE : SLE Classical butterfly rash What is this congenital abnormality? : What is this congenital abnormality? Exomphalos : Exomphalos Herniation of gut outside abdomen but within umbilical cord Usually associated other abnormalities What is this congenital abnormality? : What is this congenital abnormality? Gastroschisis : Gastroschisis Gut herniation Usually no other abnormalities How do you treat this condition? : How do you treat this condition? Atopic eczema : Atopic eczema Common in face in infants Treatment is with emollients and steroid creams What is this skin disease ? : What is this skin disease ? Psoriasis : Psoriasis Plaque psoriasis What are the complications of this condition? : What are the complications of this condition? Cleft lip : Cleft lip Child also has underlying cleft palate How old is this baby ? : How old is this baby ? SGA : SGA Thin SGA infant Accidental or Non Accidental? : Accidental or Non Accidental? Scald : Scald Physical abuse – from immersion in hot water 7 month of baby…. : 7 month of baby…. Fracture femur : Fracture femur Fractured femur in young child Must be abuse as child will not be walking yet What caused this ? : What caused this ? Foetal hydrops : Foetal hydrops Severe anaemia Congenital infections Cardiac failure Congenital nephrotic syndrome Idiopathic (50%) Accidental Or Nonaccidental? : Accidental Or Nonaccidental? Purpuric rash : Purpuric rash Meningococcal disease Causes of this condition? : Causes of this condition? Henoch Schonlein Purpura : Henoch Schonlein Purpura HSP Classical purpuric rash on buttocks and legs Mostly resolves spontaneously Can have associated nephritis, gut inflammation and intususception What bug is responsible for this? : What bug is responsible for this? Impetigo : Impetigo Staphylococcal infection of the skin What is this sign? : What is this sign? And this sign… : And this sign… And this… : And this… Endocarditis : Endocarditis Splinter haemorrhage Osler nodes Janeway lesions DD for this appearance? : DD for this appearance? Tonsillitis : Tonsillitis Pustular exudate Likely to be EBV What is this clinical sign? : What is this clinical sign? Oedema : Oedema Albumin - 10 Urinalysis protein +++ What is the diagnosis? Nephrotic syndrome : Nephrotic syndrome Proteinuria Hypoalbuminemia Oedema Hypercholesterolemia Thank you for staying awake : Thank you for staying awake You do not have the permission to view this presentation. In order to view it, please contact the author of the presentation.
Paediatric Picture Quiz samarsen Download Post to : URL : Related Presentations : Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Uploaded from authorPOINTLite Insert YouTube videos in PowerPont slides with aS Desktop Copy embed code: (To copy code, click on the text box) Embed: URL: Thumbnail: WordPress Embed Customize Embed The presentation is successfully added In Your Favorites. Views: 2903 Category: Science & Tech.. License: All Rights Reserved Like it (8) Dislike it (0) Added: November 02, 2009 This Presentation is Public Favorites: 6 Presentation Description Pictures of common Paediatric Problems- See how many you get right Comments Posting comment... Premium member Presentation Transcript Paediatric Picture Quiz : Paediatric Picture Quiz Dr S Sen Paediatric Registrar North Western Deanery What’s wrong with this nappy? : What’s wrong with this nappy? Acholic stool : Acholic stool Indicates Biliary obstruction Two main causes Extrahepatic biliary atresia Choledochal cyst Will need HIDA scan and possible liver biopsy For EHBA results are best with surgery before 6 weeks of life What does the CXR show ? : What does the CXR show ? Non Accidental Injury : Non Accidental Injury Acute and healing rib fractures in a young infant Spot the Diagnosis : Spot the Diagnosis Left sided facial palsy : Left sided facial palsy Most likely Bell’s palsy Will recover spontaneously Ensure no ear perforation Refer to ENT and Ophthalmology (eye care) Failure to thrive from nine months of age : Failure to thrive from nine months of age Jejunal biopsy : Jejunal biopsy Coeliac disease : Coeliac disease Protruberant abdomen and buttock wasting FTT from weaning (introduction of gluten) Need lifelong gluten free diet Spot Diagnosis : Spot Diagnosis Hydrocephalus : Hydrocephalus Grossly enlarged head Dilated scalp veins Sunsetting sign Accidental or Nonaccidental? : Accidental or Nonaccidental? Ear bruising : Ear bruising Physical abuse What clinical sign is shown? Name 5 causes. : What clinical sign is shown? Name 5 causes. Clubbing : Clubbing Causes Bronchiectasis Congenital cyanotic heart disease Endocarditis Liver disease Inflammatory bowel disease NB lung cancer is NOT the commonest cause in childhood! Normal or Abnormal ? : Normal or Abnormal ? Neonatal Jaundice : Neonatal Jaundice Unconjugated Physiological Rhesus disease ABO incompatibility Other causes haemolysis – spherocytosis etc Breast milk jaundice Hypothyroidism Sepsis Crigler-Najjar syndrome Neonatal Jaundice : Neonatal Jaundice Conjugated EHBA Choledochal cyst Alagille syndrome Neonatal Hepatitis Metabolic disease TPN treatment What is this danger sign? : What is this danger sign? Papilloedema : Papilloedema Sign of raised ICP Needs urgent neuroimaging Causes Space occupying lesion Benign intracranial hypertension Retinal vein obstruction Hypertension What is the full name of this condition? : What is the full name of this condition? Talipes Equinovarus : Talipes Equinovarus If positional needs only physiotherapy Fixed needs orthopaedic input and close examination for neurological lesions What is the DD in this 5 year old boy? : What is the DD in this 5 year old boy? Haemophilia : Haemophilia Haemarthrosis right knee Spot Diagnosis : Spot Diagnosis Spina bifida : Spina bifida Open myelomengicoele Paralysis and sensory loss legs Neuropathic bladder and bowel Hydrocephalus Spot the abnormal cells : Spot the abnormal cells Sickle cell anaemia : Sickle cell anaemia Multiple sickle cells seen What’s wrong with this X Ray ? : What’s wrong with this X Ray ? Rickets : Rickets Cupping and splaying of metaphyses Spot diagnosis : Spot diagnosis SLE : SLE Classical butterfly rash What is this congenital abnormality? : What is this congenital abnormality? Exomphalos : Exomphalos Herniation of gut outside abdomen but within umbilical cord Usually associated other abnormalities What is this congenital abnormality? : What is this congenital abnormality? Gastroschisis : Gastroschisis Gut herniation Usually no other abnormalities How do you treat this condition? : How do you treat this condition? Atopic eczema : Atopic eczema Common in face in infants Treatment is with emollients and steroid creams What is this skin disease ? : What is this skin disease ? Psoriasis : Psoriasis Plaque psoriasis What are the complications of this condition? : What are the complications of this condition? Cleft lip : Cleft lip Child also has underlying cleft palate How old is this baby ? : How old is this baby ? SGA : SGA Thin SGA infant Accidental or Non Accidental? : Accidental or Non Accidental? Scald : Scald Physical abuse – from immersion in hot water 7 month of baby…. : 7 month of baby…. Fracture femur : Fracture femur Fractured femur in young child Must be abuse as child will not be walking yet What caused this ? : What caused this ? Foetal hydrops : Foetal hydrops Severe anaemia Congenital infections Cardiac failure Congenital nephrotic syndrome Idiopathic (50%) Accidental Or Nonaccidental? : Accidental Or Nonaccidental? Purpuric rash : Purpuric rash Meningococcal disease Causes of this condition? : Causes of this condition? Henoch Schonlein Purpura : Henoch Schonlein Purpura HSP Classical purpuric rash on buttocks and legs Mostly resolves spontaneously Can have associated nephritis, gut inflammation and intususception What bug is responsible for this? : What bug is responsible for this? Impetigo : Impetigo Staphylococcal infection of the skin What is this sign? : What is this sign? And this sign… : And this sign… And this… : And this… Endocarditis : Endocarditis Splinter haemorrhage Osler nodes Janeway lesions DD for this appearance? : DD for this appearance? Tonsillitis : Tonsillitis Pustular exudate Likely to be EBV What is this clinical sign? : What is this clinical sign? Oedema : Oedema Albumin - 10 Urinalysis protein +++ What is the diagnosis? Nephrotic syndrome : Nephrotic syndrome Proteinuria Hypoalbuminemia Oedema Hypercholesterolemia Thank you for staying awake : Thank you for staying awake