Rubrospinal tract mediates flexor of the upper arm. Here is a way to remember these two postures and never forget again. Decerebrate has more “E” and more “R”. Extended upper limbs Rubrospinal tract transected (Red nucleus is above the level of lesion, i.e. below midbrain level) Decorticate has “COR”. Upper…
Tag: Pediatrics
Section Editor: Dr. Sujit Kumar Shrestha, MD Pediatrics, Fellowship Neonatology
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Pediatric OPD is a Challenge : Treating the Child and Meeting Parents expectations
Scenario A concerned mother brings her 3 year child to the Outpatient Clinic; the child has had fever for 1 day, running nose and cough for 2 days. There are no other serious complaints and findings on examination are all normal, except for the running nose and a low grade…
PGMEE, MRCS, USMLE, MBBS, MD/MS
National Immunization Schedule of Nepal (2024)
There should be at least 7 contacts of children (At birth, 6,10,14 weeks, 9, 12, 15 months) to health center to fully immunize as per national immunization programme of Nepal. Previously, 11 antigens were provided through national immunization program. Recently, rotavirus vaccine and fIPV (fractional IPV) has been added. Nepal is polio…
PGMEE, MRCS, USMLE, MBBS, MD/MS
Pediatric History Taking – Structured format and Guide
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…
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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…
PGMEE, MRCS, USMLE, MBBS, MD/MS
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…
PGMEE, MRCS, USMLE, MBBS, MD/MS
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…
PGMEE, MRCS, USMLE, MBBS, MD/MS
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…