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Showing posts with label paediatrics. Show all posts
Showing posts with label paediatrics. Show all posts

Monday, October 16, 2017

Drug of Choice of Tropical and Infectious diseases

>>Learn about Drug of Choice for various medical condition.

Pathology
Drug of Choice
2nd Line therapy
Remarks
Amoebic liver abscess
Metronidazole

Along with Luminal agent (Diloxanide furoate, parmomycin, Iodoquinol)
Anthrax
Penicillin G


Antibiotic Associated Pseudomembranous colitis
Metronidazole (IV)
Oral Rifampicin

Brucellosis
Doxycycline + aminoglycosiede fro 28 days

Continuation with Doxycycline + Rofampicin for next 4-6 weeks
Chlamydia
Tetracycline
Doxycycline

Cholera
Tetracycline
Doxycycline

Cryptococcal Meninigitis
Amphotericin B
± Flucytosine
With AIDS add Fluconazole
Falciparum malaria
Quinine


Guninea Worm infestation
Niridazole
Metronidazole

Herpes Simplex
Idoxuridine


Herpes Simplex Encephalitis
Acyclovir


Kalazar
Sodium Antimony Stibogluconate/ Pentavalent Antimony


Klebsiella Pneumonia
Gentamicin + 3rd Gen Cephalosporin


Legionella
Erythromycin


Meningococcal Meninigitis
Penicillin G


Prophylaxis: Rifampicin
Mucormycosis (Craniofacial)
Amphotericin B

Along with debridement
Multidrug resistant Typhoid
Ciprofloxacin


Neurocysticercosis
Albendazole
Praziquantel

Pneumoncystis Carini/jirovecii
Cotrimoxazole


Pneumonic Plague
Tetracycline

(Chemoprophylaxis)
Schistosoma Hematobium
Praziquantel
Oxamniquine

Taenia Solium/ Taenia Saginata
Praziquantel


Toxoplamosis /Ocular toxoplasmosis
Pyrimethamine

With Sulphadiazine/ Clindamyicn
Tropical Esosinophilia Syndrome
Diethyl Carbamazepine


Varicella zoster
Ayclovir


>>Learn about Drug of Choice for various medical condition.
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Sunday, September 4, 2016

Paediatrics: Head Examination: Differential Diagnoses

Delayed Dentition
Constitutional Delay •Protein Energy Malnutrition •Rickets •Hypothyroidism •Hypopituitarism
Causes of Delayed Dentition 
>>Various Anthrometric values at various ages and methods to calculate them.

Delayed Closure of Sutures
Protein Energy Malnutrition Pituitary Dwarf Rickets Hydrocephalus Cretinism Trisomy 13, 18, 21 Congenital Rubella Syndrome Thalassemia Major Achondroplasia Apert Syndrome Osteogenesis Imperfecta
Causes of Delayed Closure of suture

Bossing of Skull
Rickets Thalassemia Major Ehler Danlos Syndrome Congenital Syphillis Lowes Syndrome Achondroplasia
Causes Of  Bossing Of Skull
Bulging Anterior Fontanelles
Crying Infant Hyperparathyroidism Raised ICP Hydrocephalus Galactosemia Tetracycline Vitamin D therapy Vitamin A therapy Nalidixic Acid Overdose Flouroquinolones
Causes of Bulging Anterior Fontanelle
Craniotabe (Ping Pong Ball)
Physiological Osteogenesis Imperfecta Rickets Hydrocephalus Congenital Syphillis Hypervitaminosis A
Causes Of Craniotabes
Microcephaly (<-3SD for Age, Sex, Height and Weight)
Familial Trisomy 13, 21 Intrauterine TORCH infection Cerebral Dysgenesis/CP Cri du Chat Syndrome Fetal Alcohol/Hydrantoin/Cocaine Syndrome Craniosynostosis Neuronal Migration Defect
Causes of Microcephaly

>>Know the normal head circumference and its rate of growth.
Macrocephaly (> 2 SD or > 2.5cm of mean for age)
Hydrocephalus Thick skull Bone : Achondroplasia, Osteoporosis, Rickets, Oro-digito dysplasia Cerebral Gigantism Sub dural Hematoma / Effusion Hydrancephaly Intracranial Tumors Fragile X Syndrome Mucopolysaccharidosis
Causes of Macrocephaly

Macroglossia
Cretinism Downs Syndrome Duchene Muscular Dystrophy Glycogen Storage Disease (Pompes) Primary Amyloidosis
Causes of Macroglossia
Hyperplasia of Gums
Poor Oral Hygiene Phenytoin Scurvy Xanthomatosis Epulis
Causes of Gum Hyperplasia


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