INTRODUCTORY ORIENTATION

Some Collections For oral & DD

Conditions at which we start antibiotic ttt EMPERICALLY( without waiting result of culture & sensitivity ):
-pyelonephritis
-meningitis
-neonatal sepsis
-infective endocarditis

Post-infectious diseases:
-post-infectious glomerulonephritis(most commonly post streptococcal)
-rheumatic fever (2-6 weeks after streptococcal infection)
-ITP(post-viral infection by 2-3 weeks)
-HSP(post infection autoimmune vasculitis)
-reactive arthritis
-febrile convulsions
-G6PD deficiency (may be precipitated by viral infection)

Corticosteroids are used in…:
-rheumatic carditis
-rheumatoid arthritis
-SLE
-nephrotic syndrome
-bronchial asthma
-Duchene myopathy
-hypervitaminosis D
-HSP (only in nephritis & intracranial hge)

NSAI drugs:
-Note that it's not preferred as an antipyretic in pediatrics, but usually used as an analgesic & antipyretic in ….:

-viral infections(with pain & fever……except salicylates to avoid Rhey's syndrome)
-HSP
-rheumatic or rheumatoid arthritis (the initial & the main ttt)

Use of IVIG in….:
-ITP
-Guillien Bare
Neonatal sepsis-
Hemolysis at birth…..:
-G6PD def
-H.spherocytosis
-alpha thalasthemia
-RH or ABO incompatibility

Ages:

6months-2yrs
Marasmus-Kwash-Rickets
Roseola infantum
Acute bronchiolitis

2-10 yrs
-scarlet fever
-chicken pox
-HSP
-ITP
-Nephrotic syndrome(minimal change)
-nephritic syndrome

more than 11 years <11 yrs: UTI

5-15 yrs
-rheumatic fever –Mumps

Purpura fulminans:
-meningococci
-chicken pox
-enterococci

March of rash:

#start on trunk:
-chicken pox ( centripetal)
-roseola infantum

#start on face:
-measles
-parvovirus B19

#start at base of neck & axilla>>>scarlet fever


High fever in viral infection:

-measles
-roseola
-herpes simplex
______________________________________________

(IPs: -( incubation periods

*3-5 days:
-herpes simplex 1 & 2
-scarlet fever ( 3 days)

*5-7 five to seven days
diphtheria

*1-2 one to two weeks
-measles
-roseola(1w)

*2-3 two to three weeks
-German measles
-mumps
-chicken pox