Specialities of pediatric surgery III Year volume Morning
- Slides: 66
Specialities of pediatric surgery III. Year - volume
Morning activation surgery test
1. Interval of normokalamia? 2. Name the five main symptomes of local inflamation 3. Interval of normoglycemia? 4. The first aid in fracrures? 5. Wich is interval of normal p. H of plasma?
Moarning activation surgery test conclusions
1. Interval of normokalamia? • 3, 8 – 5, 3 2. Name the five main symptomes of local inflamation • Calor, rubor, Tumor, Dolorů, Functio laesa 3. Interval of normoglycemia? • 3, 6 - 54 4. The first aid in fracrures? • Imobilisation, transport 5. Wich is interval of normal p. H of plasma? • 7, 36 – 7, 44
Anamnesis • • Family anamnesis Personal anamnsis Epidemiological anamnesis Farmacology anamnesis Allergic anamnesis Fyzilogical functions (Gynecological anamnesis)
Anamnesis • • About birth Contact with infection DMO, PMR, obezity Psychical and social status Undirect anamnesis With child only supplementary qustions Battery child syndrom – be careful
• Behaviour • spontaneous • Fear • Change reactions without parents • State of consciousnesd • We can weak up it from teh sleep • Infants don´t respond to verbal irritation • We examine reflexes (mammilingus,
Aspection • • Hematoma - BCS Head - shape, size – congenital deformties Chest - excavatum x carinatum Abdomen – ventral hernias, umbilicus
Percussion • Head – pain, impression • Chest – Hypersonorous • pneumothorax – Hyposonorous • Hydrothorax, infiltration – Cardial shadow – change of index, location • Kardiomyopahia, big vessels transposition • Abdomen – Hypersonorous • Pneumoperitoneum, ileus, enteral colic - tormina – Hyposonorous • Ascites, hemoperitoneum, infiltration
Auskultation • Neck – a. carotis communis - stenosis • Chest – Pneumothorax • Dimininshed breathing or nothing – Hydrothorax • Damped breathing – Inflamatory or spastic fenomens • Abdomen – Normal peristalsis – Intensive peristalsis • Ileus obstructive – Deadly silence • Ileus - paralysis
Palpation • Head – Big fontanella, impressions • Chest – Ribs fracture, lymphytic nodes • Abdomen – First we examine supposed painless region – Blumberg, Plenies, Murphy, Tapott • Extremities
Specialities of children • • Injuries Congenital defects Infections Tumoürs
Children specialities
Head • Hydrocefalus – head circumference • Craniostenosis – premature closing of big fontanella, small head circumference • Fissures – lip, palate, mandible, jaw bone
Neck • Persistant branchial arcus (cysts, fistulas) • Congenital torticolis
Chest • Pectus excavatum x carinatum • Perstalsis in chest cavity – diaphragmatic hernia • Congenital heart defects • BCS multiple ribs fracture
Abdomen • Ventral hernias • Omfalocele – persistant yolk sac • Gastroschisis
Limbs • Luxatio perianularis (RU joint) • Willow stick fracture • Epiphyseolysis • Good and fast healing • Great ability of remodelation
Gastrointestinal • Atresia of oesophagus – salivation after the birth polyhdramnion, we can´t establishe NG tube • Atresia of duodenum – double bubble on X ray vomiting, polyhydramnion • Necrotic enterokolitis • Meconious ileus – CF • Atresia of anus • Burn of GIT • Foreign body of GIT
Speciality of GIT
Respiratory system • • Cystic fibrosis Bronchopulmonal dysplasia (33. w. g. ) Laryngitis Foreign bodies
Excretory system • Hydronephrois • Wilms tumour • VUR • Hypospadia • Stenosis of urethra • Testicular retention
Excretory system
Nervous system • • • Hydrocephalus Meningomyelocele Tumours – gliomas Craniostenosis Child cerebral palsy • Light cerebral dysfunstion
Musculosceletal system • Coxa vara • Aseptic necrosis of femoral head • Pes equinovarus • Morbus Oosgod – Schlatter • Spatic contractures • Cysts and tumours (Ewing)
Diagnostic test
Case 1 • • • Bend over Subfebrilia Emesis Pain in right hypogastric region Anamnesis cca 3 hours Sonografic examination negative CRP 12 WBC 6, 4 Appendicitis acuta
Case 2 • • Age 3 years Diarrhoea with blood Abdoinal bloating Emesis Intensive peristalsis Sonografic examination positive Inususception
Case 3 • • Header 4 s unconsciousnesd Somnolence Emesis Headache X ray negative CT positive Epidural hematoma
Case 4 • • • Fall from a tree Left side of body impact Urina without erytrocities Pallor Pain of left shoulder Ultrasonography positive CT positive RBC decline Lienal ruptura
Radiodiagnostic test
1
2
3
4
5
6
7
8
9
10 17. 4. 2005
Radiodiagnostic test conclusions
1
2
3
4
5
6
7
8
9
10
Thank you for your attention
- Pediatric surgery
- Pediatric surgery
- Pediatric orthopedics near tracy
- Hamlet act iii scene iii
- Brigance test for 2 year old
- Icao sarps annex 10
- Nobody loves me poem
- Good morning, class!
- Are you sleeping brother john
- Good morning teacher good morning teacher
- Good morning everybody or everyone
- I am glad to be with you
- Greetings responses
- Buenas tardes
- Good morning year 1
- Https//www.bbc.co.uk/bitesize/articles
- Good morning year 3
- Poem about leaving primary school
- Decentralized volume this year
- What is stroke volume
- Edv and preload
- Volume of solute divided by volume of solution * 100
- Closing volume vs residual volume
- Volume kerucut = .....x volume tabung *
- Types of large volume parenterals
- Claire dees
- Miami pediatric nephrology seminar
- Definition of pediatric dentistry
- Headache red flags
- Pediatric seizures
- Normal values of vital signs
- 4 2 1 fluid rule
- Jvas vision screening
- Pediatric urologist in atlanta ga
- Pediatric heart rate chart
- Isthmus in class 2 cavity
- Trends in pediatric nursing 2020
- Common pediatric medications
- What is a buretrol
- Pediatric fluids 4 2 1
- First aid for caregivers
- Pediatric exercise physiology
- Hematology oncology board review course
- Ebtesam ahmed
- Chest compression ratio in newborn
- Pediatric life support algorithm
- What are the 7 vital signs
- Macule papule patch plaque
- Ticls pediatric
- Nci pediatric oncology branch
- Modern concept of health
- Pediatric nursing book rimple sharma pdf free download
- Mary bridge neurology
- Glucose coma scale
- Dr br vacher
- Crystalloids
- Emt 6 rights
- Pediatric assessment triangle
- Augmentin doses
- Nbme shelf exam percentiles
- Pediatric nursing
- Normal pediatric vitals by age
- Chapter 57 pediatric dentistry recall
- Module cap
- Code broselow
- Voiding cystourethrogram
- Atrumatic care