-
Formula to calculate children's BP
- 65 + (2 x age; in yrs) mmHg
- - this is the lowest normal
- Normal is 20 higher than this
-
Difference between petechiae, purpura, ecchymosis
- Petechie - pin-prick spots, ~1mm
- Purpura - larger spots, 3-10mm
- Ecchymosis - large collection of blood, >10mm
-
Blood disorder in paeds
1. Platelet d/o (platelet destruction) - ITP
- 2. Coagulation d/o
- - hemophilia A (factor 8 deficiency)
- - hemophilia B (factor 9 deficiency)
- - vonWillebrand disease
3. Vascular d/o - HSP
-
Difference b/w HSP & ITP
- HSP
- 1. Symmetrical Palpable purpura
- 2. Distribution of petechiae & purpura - LL & butt
- ITP
- 1. Non-palpable & non-blanching purpura
- 2. Generalised distribution of petechiae & purpura
-
Characteristic of hemophilia
- Hemarthrosis (bleeds into joint cavity)
- - x-linked recessive (male)
- - 9-12 months
-
Hallmarks of HSP
- 1. Non-palpable purpura
- 2. Arthritis/Arthralgia
- 3. Abdominal pain
- 4. Renal disease
-
Stridor vs Wheeze
- Stridor
- - upper airway obstruction
- - occur during inspiration
- Wheeze
- - lower airway obstruction
- - occur during inspiration & expiration
-
Warning signs of dengue
- Clinical
- 1. Severe abdominal pain/tenderness
- 2. Persistent vomiting
- 3. Mucosal bleed
- 4. Clinical fluid accumulation - pleural effusion, ascitis, tachypnea
- 5. Lethargy, restlessness
- 6. Liver enlargement > 2cm
- Lab
- 1. Increased hct with concurrenr rapid decreased of plt count
|
|
