Identification (ID): Name Age/Date of Birth Sex Informant ( Reliability) Parent’s name, age, address, education, religion Chief Complaints (CC): Symptoms X Duration in Chronological order History of Presenting Illness (HPI): Symptoms: Location, quality, quantity, aggravating and alleviating factors Time course: Onset, duration, frequency, change over time Rx/Intervention: Medications, medical help…
Tag: Pediatrics
Section Editor: Dr. Sujit Kumar Shrestha, MD Pediatrics, Fellowship Neonatology

Studying Pediatrics – Is it easy?
Pediatrics is a domain of medicine that deals with child health, illness and well-being . The word “children” may itself be difficult for many doctors, but pediatrics isn’t simply about a word. Here the word “children” includes – neonates, infants, toddlers, shool-age children and adolescents. Every age groups have own…

Heart Sounds – Abnormal
The basic clinical examination of the Cardiac System is by Auscultation (listening to the sounds made by the heart). As explained in the previous article physiological sounds made in each cardiac cycle viz. S1 and S2 due to the closure of the Atrio-Ventricular Valves and Outlet Valve in synchrony. Please…

Tyrosinemia Enzymes : Mnemonic
Mnemonic: FAHeem TATtooes because of Histrionic Personality Disorder (HPD) Tyrosine is necessary for biosynthesis of catecholamines, thyroid hormones and melanin pigment. 1. Tyrosinemia type I (Tyrosinosis/Hepatorenal tyrosinemia): Enzyme defect: FAH (Fumaryl-acetoacetate hydroxylase) Last enzyme in the cycle Cabbage like odor Hepatocellular carcinoma Renal tubular acidosis Peripheral neuropathy 2. Tyrosinemia type II…

Dental eruption : Mnemonic
Primary teeth begin eruption at around 6 months and Permanent teeth at around 6 years. In general, lower tooth erupts before it’s upper counterpart with few exceptions (lower before upper rule). Age of 6-12 years is a period of mixed dentition (eruption of permanent 1st molar to eruption of 2nd…

Developmental Milestones : Mnemonic
Principles of development Development proceeds from the head downward (cephalocaudal principle). Development proceeds from the center of the cody outward (proximodistal development). Development depends on maturation and learning. Development proceeds from the simple to the more complex. Growth and development is a sequential and continuous process. Growth and development proceed…

Choledochal Cysts : Mnemonic for Todani Classification
Todani Classification of Choledochal cysts Mnemonic: Consider I is “Extrahepatic” and V is “Intrahepatic”, then – Type I, II and III = Extrahepatic Type IV = Extrahepatic + Intrahepatic Type V = Intrahepatic Most common: Type I 2nd most common: Type IV Type I-III: Extrahepatic Mnemonic: 123 EDC Type…

Catastropic Intraventricular Hemorrhage in Preterm IUGR newborn
A 31 weeks of gestation baby was born through emergency LSCS for Severe maternal hypertension. At birth baby required resuscitation and baby was intubated and transferred to NICU for ventilation. Fluids and Inotropes were started and ABG was sent. Vitamin K was given stat. Blood gas showed severe metabolic acidosis,…