Sunday, September 28, 2014

Exploring Nelson with Vasu : CNS 2

It is a series of blog-post, for asynchronous learning written by Dr Vasu Burli which are actually his handpicked notes he derived from Nelson Textbook of Pediatrics. The notes are divided system-wise. The second in this series is ready to go online!

Series 1: CNS Questions
1. Breath holding spells
2. Brain abscess
        About Dr Vasu Burli
Budding intensivist, currently persuing Pediatric critical care fellowship from Apollo Chennai, did his DNB in Pediatrics from renowned institute Kanchi Kama -Koti CHILD’S trust Hospital, Chennai. His area of interest are pediatric Intensive care and Emergency medicine.

1. Breath-Holding Spells:

This term has been applied to 2 types of spells.
The 1st is the pallid breath-holding spell, which is the vasovagal reflex usually triggered by dehydration, heat, standing for a long time without movement, hot showers, the sight of blood, pain, or sudden stress.
The 2nd is the cyanotic or, “blue,” breath-holding spell.

Pathophysiology: Spells usually begin between 6 and 18 mo of age.
Triggering factors like Injury, anger, and frustration, particularly with surprise, dehydration, heat, stress and pain.
An episode starts with a cry following a trigger
Prolonged expiratory apnea and reflex vagal cardiac bradycardia
Cyanosis resulting from intrapulmonary shunting
Blurring of vision, Syncope, loss of consciousness and even reflex anoxic seizures may follow.

Management: 1. Education and reassurance of the parents is usually all that is needed, as these episodes are, as a rule, self-limited and outgrown within a few years.
2. Treat coexisting iron deficiency.
3. Anticholinergic drugs (atropine sulfate)
4. Instructing parents in basic cardiopulmonary resuscitation (CPR), or antiepileptic drug therapy for anoxic seizures that are recurrent and not responding to other measures.


Friday, September 26, 2014

Cracking code of theory in DNB Pediatrics

Hi all, and to begin, its my immense pleasure to write for everyone of you out their, preparing for the theory exams, So before we begin, i have no financial disclosures to make. 

I think you all agree with me that we are going to burst the toughest Postgraduate exam in INDIA, and for cracking this difficult code we need to follow some rules. How should we prepare, thats always a question before we start for our theory exam studies. So we will discuss here regarding few  tips to prepare theory exam for DNB pediatrics and crack the code!
 About Dr Ranjith kumar CS

He is Currently persuing DM in medical oncology from JIPMER, completed DNB from Kanchi Kamakoti Child Trust Hospital with a GOLD MEDAL in his hand, has great academic interests and contributed about 9 chapters  in scott pediatriks clinical methods in 3rd edition as author and is one of the co-author at dnbpediatrics.com
Steps in preparation:

1. FEAR REGARDING THEORY EXAM?

Tuesday, September 23, 2014

Child abuse

By Dr Rituraj 
CHILD ABUSE is one of the important theory question asked in the exams, here is the list of question based on topic of child abuse and the answer to those in form of powerpoint. 
1. Define child abuse. List the etiology of child abuse in India. Outline strategies for prevention. (Dec 2004)    
2. Discuss Child maltreatment. What are the factors related with child abuse (2005)