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 authorPOINT lite 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: 1048 Category: Education License: All Rights Reserved Like it (2) Dislike it (0) Added: March 25, 2010 This Presentation is Public Favorites: 3 Presentation Description No description available. Comments Posting comment... By: mpalla14 (16 month(s) ago) good quiz Saving..... Post Reply Close Saving..... Edit Comment Close By: hishrey (19 month(s) ago) nice quiz! Saving..... Post Reply Close Saving..... Edit Comment Close Premium member Presentation Transcript Paediatric Picture Quiz : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 1 Paediatric Picture Quiz Dr S Sen Paediatric Registrar North Western Deanery What’s wrong with this nappy? : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 2 What’s wrong with this nappy? Acholic stool : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 3 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 8 weeks of life What does the CXR show ? : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 4 What does the CXR show ? Non Accidental Injury : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 5 Non Accidental Injury Acute and healing rib fractures in a young infant Spot the Diagnosis : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 6 Spot the Diagnosis Left sided facial palsy : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 7 Left sided facial palsy Most likely Bell’s palsy Will recover spontaneously Ensure no ear perforation Refer to ENT and Ophthalmology (eye care) 14 month old child with failure to thrive from six months of age : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 8 14 month old child with failure to thrive from six months of age Intestinal biopsy : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 9 Intestinal biopsy Coeliac disease : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 10 Coeliac disease Protruberant abdomen and buttock wasting FTT from weaning (introduction of gluten) Need lifelong gluten free diet Spot Diagnosis : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 11 Spot Diagnosis Hydrocephalus : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 12 Hydrocephalus Grossly enlarged head Dilated scalp veins Sunsetting sign Accidental or Nonaccidental? : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 13 Accidental or Nonaccidental? Ear bruising : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 14 Ear bruising Pathognomonic of physical abuse What clinical sign is shown? Name 5 causes. : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 15 What clinical sign is shown? Name 5 causes. Clubbing : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 16 Clubbing Causes Bronchiectasis Congenital cyanotic heart disease Bacterial Endocarditis Liver disease Inflammatory bowel disease NB lung cancer is NOT the commonest cause in childhood! Normal or Abnormal ? : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 17 Normal or Abnormal ? Neonatal Jaundice : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 18 Neonatal Jaundice Unconjugated Physiological Rhesus disease ABO incompatibility Other causes haemolysis – spherocytosis etc Breast milk jaundice Hypothyroidism Sepsis Criglar-Najjar syndrome Neonatal Jaundice : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 19 Neonatal Jaundice Conjugated EHBA Choledochal cyst Alagille syndrome Neonatal Hepatitis Metabolic disease TPN treatment What is this danger sign? Name 5 causes : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 20 What is this danger sign? Name 5 causes Papilloedema : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 21 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? : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 22 What is the full name of this condition? Congenital Bilateral Talipes Equinovarus : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 23 Congenital Bilateral Talipes Equinovarus If positional needs physiotherapy If fixed needs orthopaedic input and close examination for neurological lesions What is the DD in this 5 year old boy? : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 24 What is the DD in this 5 year old boy? DD : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 25 DD Septic arthritis Reactive Arthritis Trauma Haemophilia-this child had it Spot Diagnosis : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 26 Spot Diagnosis Spina bifida : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 27 Spina bifida Open myelomengicoele Paralysis and sensory loss legs Neuropathic bladder and bowel Hydrocephalus Spot the abnormal cells : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 28 Spot the abnormal cells Sickle cell anaemia : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 29 Sickle cell anaemia Multiple sickle cells seen What’s wrong with this X Ray ? : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 30 What’s wrong with this X Ray ? Rickets : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 31 Rickets Cupping and splaying of metaphyses Spot diagnosis : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 32 Spot diagnosis SLE : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 33 SLE Classical butterfly rash What is this congenital abnormality? : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 34 What is this congenital abnormality? Exomphalos : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 35 Exomphalos Herniation of gut outside abdomen but within umbilical cord Usually associated other abnormalities What is this congenital abnormality? : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 36 What is this congenital abnormality? Gastroschisis : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 37 Gastroschisis Intestines outside the Abdomen-Developmental abnormality Usually not associated with other congenital abnormalities How do you treat this condition? : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 38 How do you treat this condition? Atopic Eczema : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 39 Atopic Eczema Common in face in infants Treatment is with emollients and steroid creams What is this Skin disease ? : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 40 What is this Skin disease ? Psoriasis : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 41 Psoriasis Plaque psoriasis What are the complications of this condition? : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 42 What are the complications of this condition? Cleft lip : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 43 Cleft lip Child also has underlying cleft palate What is wrong with this newborn baby ? : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 44 What is wrong with this newborn baby ? SGA : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 45 SGA Thin SGA infant Medical, Accidental or Non Accidental? : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 46 Medical, Accidental or Non Accidental? Scald : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 47 Scald Physical abuse – from immersion in hot water 7 month of baby…. : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 48 7 month of baby…. Fracture femur : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 49 Fracture femur Fractured femur in young child Must be abuse as child will not be walking yet What could have caused this ? : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 50 What could have caused this ? Foetal hydrops : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 51 Foetal hydrops Severe anaemia Congenital infections Cardiac failure Congenital nephrotic syndrome-this was the diagnosis in this case Idiopathic (50%) Medical, Accidental Or Nonaccidental ? : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 52 Medical, Accidental Or Nonaccidental ? Purpuric rash with necrotic areas : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 53 Purpuric rash with necrotic areas Complicated Meningococcal septicaemia Diagnosis? What investigations would you arrange? : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 54 Diagnosis? What investigations would you arrange? Henoch Schonlein Purpura : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 55 Henoch Schonlein Purpura HSP Classical purpuric rash on buttocks and legs Mostly resolves spontaneously Can have associated nephritis, gut inflammation and intususception Investigations-FBC,U&Es,Urine, BP What bug is responsible for this? : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 56 What bug is responsible for this? Staphylococcus aureus : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 57 Staphylococcus aureus Impetigo What is this sign? : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 58 What is this sign? And this sign… : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 59 And this sign… And this… : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 60 And this… Bacterial Endocarditis : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 61 Bacterial Endocarditis Splinter haemorrhage Osler nodes Janeway lesions DD for this appearance? : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 62 DD for this appearance? DD : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 63 DD EBV Bacterial Tonsillitis Diphtheria What is this clinical sign? : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 64 What is this clinical sign? Pedal Oedema : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 65 Pedal Oedema Albumin - 10 Urinalysis protein +++ What is the diagnosis? Nephrotic syndrome : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 66 Nephrotic syndrome Proteinuria Hypoalbuminemia Oedema Hypercholesterolemia Thank you for staying awake : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 67 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 authorPOINT lite 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: 1048 Category: Education License: All Rights Reserved Like it (2) Dislike it (0) Added: March 25, 2010 This Presentation is Public Favorites: 3 Presentation Description No description available. Comments Posting comment... By: mpalla14 (16 month(s) ago) good quiz Saving..... Post Reply Close Saving..... Edit Comment Close By: hishrey (19 month(s) ago) nice quiz! Saving..... Post Reply Close Saving..... Edit Comment Close Premium member Presentation Transcript Paediatric Picture Quiz : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 1 Paediatric Picture Quiz Dr S Sen Paediatric Registrar North Western Deanery What’s wrong with this nappy? : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 2 What’s wrong with this nappy? Acholic stool : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 3 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 8 weeks of life What does the CXR show ? : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 4 What does the CXR show ? Non Accidental Injury : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 5 Non Accidental Injury Acute and healing rib fractures in a young infant Spot the Diagnosis : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 6 Spot the Diagnosis Left sided facial palsy : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 7 Left sided facial palsy Most likely Bell’s palsy Will recover spontaneously Ensure no ear perforation Refer to ENT and Ophthalmology (eye care) 14 month old child with failure to thrive from six months of age : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 8 14 month old child with failure to thrive from six months of age Intestinal biopsy : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 9 Intestinal biopsy Coeliac disease : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 10 Coeliac disease Protruberant abdomen and buttock wasting FTT from weaning (introduction of gluten) Need lifelong gluten free diet Spot Diagnosis : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 11 Spot Diagnosis Hydrocephalus : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 12 Hydrocephalus Grossly enlarged head Dilated scalp veins Sunsetting sign Accidental or Nonaccidental? : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 13 Accidental or Nonaccidental? Ear bruising : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 14 Ear bruising Pathognomonic of physical abuse What clinical sign is shown? Name 5 causes. : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 15 What clinical sign is shown? Name 5 causes. Clubbing : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 16 Clubbing Causes Bronchiectasis Congenital cyanotic heart disease Bacterial Endocarditis Liver disease Inflammatory bowel disease NB lung cancer is NOT the commonest cause in childhood! Normal or Abnormal ? : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 17 Normal or Abnormal ? Neonatal Jaundice : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 18 Neonatal Jaundice Unconjugated Physiological Rhesus disease ABO incompatibility Other causes haemolysis – spherocytosis etc Breast milk jaundice Hypothyroidism Sepsis Criglar-Najjar syndrome Neonatal Jaundice : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 19 Neonatal Jaundice Conjugated EHBA Choledochal cyst Alagille syndrome Neonatal Hepatitis Metabolic disease TPN treatment What is this danger sign? Name 5 causes : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 20 What is this danger sign? Name 5 causes Papilloedema : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 21 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? : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 22 What is the full name of this condition? Congenital Bilateral Talipes Equinovarus : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 23 Congenital Bilateral Talipes Equinovarus If positional needs physiotherapy If fixed needs orthopaedic input and close examination for neurological lesions What is the DD in this 5 year old boy? : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 24 What is the DD in this 5 year old boy? DD : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 25 DD Septic arthritis Reactive Arthritis Trauma Haemophilia-this child had it Spot Diagnosis : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 26 Spot Diagnosis Spina bifida : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 27 Spina bifida Open myelomengicoele Paralysis and sensory loss legs Neuropathic bladder and bowel Hydrocephalus Spot the abnormal cells : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 28 Spot the abnormal cells Sickle cell anaemia : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 29 Sickle cell anaemia Multiple sickle cells seen What’s wrong with this X Ray ? : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 30 What’s wrong with this X Ray ? Rickets : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 31 Rickets Cupping and splaying of metaphyses Spot diagnosis : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 32 Spot diagnosis SLE : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 33 SLE Classical butterfly rash What is this congenital abnormality? : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 34 What is this congenital abnormality? Exomphalos : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 35 Exomphalos Herniation of gut outside abdomen but within umbilical cord Usually associated other abnormalities What is this congenital abnormality? : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 36 What is this congenital abnormality? Gastroschisis : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 37 Gastroschisis Intestines outside the Abdomen-Developmental abnormality Usually not associated with other congenital abnormalities How do you treat this condition? : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 38 How do you treat this condition? Atopic Eczema : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 39 Atopic Eczema Common in face in infants Treatment is with emollients and steroid creams What is this Skin disease ? : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 40 What is this Skin disease ? Psoriasis : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 41 Psoriasis Plaque psoriasis What are the complications of this condition? : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 42 What are the complications of this condition? Cleft lip : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 43 Cleft lip Child also has underlying cleft palate What is wrong with this newborn baby ? : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 44 What is wrong with this newborn baby ? SGA : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 45 SGA Thin SGA infant Medical, Accidental or Non Accidental? : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 46 Medical, Accidental or Non Accidental? Scald : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 47 Scald Physical abuse – from immersion in hot water 7 month of baby…. : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 48 7 month of baby…. Fracture femur : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 49 Fracture femur Fractured femur in young child Must be abuse as child will not be walking yet What could have caused this ? : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 50 What could have caused this ? Foetal hydrops : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 51 Foetal hydrops Severe anaemia Congenital infections Cardiac failure Congenital nephrotic syndrome-this was the diagnosis in this case Idiopathic (50%) Medical, Accidental Or Nonaccidental ? : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 52 Medical, Accidental Or Nonaccidental ? Purpuric rash with necrotic areas : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 53 Purpuric rash with necrotic areas Complicated Meningococcal septicaemia Diagnosis? What investigations would you arrange? : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 54 Diagnosis? What investigations would you arrange? Henoch Schonlein Purpura : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 55 Henoch Schonlein Purpura HSP Classical purpuric rash on buttocks and legs Mostly resolves spontaneously Can have associated nephritis, gut inflammation and intususception Investigations-FBC,U&Es,Urine, BP What bug is responsible for this? : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 56 What bug is responsible for this? Staphylococcus aureus : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 57 Staphylococcus aureus Impetigo What is this sign? : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 58 What is this sign? And this sign… : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 59 And this sign… And this… : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 60 And this… Bacterial Endocarditis : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 61 Bacterial Endocarditis Splinter haemorrhage Osler nodes Janeway lesions DD for this appearance? : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 62 DD for this appearance? DD : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 63 DD EBV Bacterial Tonsillitis Diphtheria What is this clinical sign? : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 64 What is this clinical sign? Pedal Oedema : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 65 Pedal Oedema Albumin - 10 Urinalysis protein +++ What is the diagnosis? Nephrotic syndrome : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 66 Nephrotic syndrome Proteinuria Hypoalbuminemia Oedema Hypercholesterolemia Thank you for staying awake : 25/03/2010 Paediatric Quiz/Dr S Sen/North Western Deanery 67 Thank you for staying awake