Download Paediatric Exams: A Survival Guide by Paul Gaon MB BS MRCP(UK) MRCPCH PDF

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A concise and precious addtion to any scholars library that includes chapters on paediatric improvement, genetics, breathing process, neurology and masses extra.

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There may be large •mounts of thick mucus production. Vomiting and choking attacks after the paroxysms are characteristic. Subconjunctival hae~orrhages and periorbital petechiae are often seen in children with severe disease. Lymphocytosis (often> 70%) is more common in children over 3 years of age. Other complications include bronchopneumonia, bronchiectasis (often reversible), otitis media, convulsions (in infants more commonly) and cerebral haemorrhage with resulting mental retardation. Because of the chronic nature of the cough a rectal p rolapse or umbilical hernia may be precipitated.

Heart sounds may be displaced. Occasionally the presentation is delayed· and babit:S pr~t wi~ . f breathlessness especially after feeds and intermittent bowel :Obstruction (such as colIcky pain or vomiting) or as a dextrocardia. CXR appearances include tracheal and mediastinal shift, bowel in the chest, and sometimes a cystic appearance which may resemble a cystic adenomatous malformation or •taphylococcal pneumonia (and possibly <:ongenital lobar emphysema). 2 A comparison of the causes of neonatal respiratory distress c; > Differential diagnosis of neonatal respiratory distress Features to look for in a question relating to respiratory distress in the newborn Respiratory distress syndrome (RDS) Begins within 4 hours of birth.

Obstructive Air trapping is the main featu~e. Increased: residual volume, functional residual capacity and total lung capacity. Decreased: vital capacity. _trictlve Utually smaller lungs which are unable to expand fully. eosed: vital capacity, functional residual capacity, residual volume, total lung capacity, expiratory ~rve volume. lllOOO;GAS;INTERPRETAt'UlN ... , ,. : fhe&e are common questions with which you should be at ease. These quesllnns may be in the guise of It neonate on a ventilator, or taken from a child ·37 with some respiratorv disturbance .

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