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Pediatrics

Section Editor: Dr. Sujit Kumar Shrestha, MD Pediatrics, Fellowship Neonatology

diuretics mechanism
Clinical Skills and Approaches

Approach to a Child with Edema

Epomedicine Aug 10, 2014 5 Comments Cardiovascular systemGastrointestinal systemPediatricsRenal and Electroloyte

Before beginning the clinical approach to a child with edema, it is necessary to understand the basics of fluid compartments, starling forces and technique of…

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PGMEE, MBBS, MD/MS

Salmonella Osteomyelitis in Sickle Cell Disease

Epomedicine May 21, 2014 7 Comments OrthopedicsPathologyPediatrics

Sickle Cell Disease (SCD) is a hereditary disorder of hemoglobin synthesis caused by a mutation in the globin gene that changes the sixth amino acid…

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Jones criteria
Case Reports

A Case of Rheumatic Fever

Epomedicine Jan 3, 2014 1 Comment Cardiovascular systemPediatrics

A 12 year old female came with complaints of multiple joint pain for 10 days which started in the left knee and resolved within 3…

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Clinical Skills and Approaches

Digital Clubbing

Epomedicine Dec 15, 2013 7 Comments Clinical examinationInternal medicinePediatricsSurgery

Synonyms: Hippocratic fingers, Acropachy, Dysacromelia, Drumstick fingers, Watch glass nails, Parrot beak fingers, Serpent head nails, Lovibond’s sign Definition of Clubbing Clubbing is defined as…

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Pitting-edema-demonstration
Clinical Skills and Approaches

Edema – Physical Examination

Epomedicine Dec 6, 2013 12 Comments Clinical examinationInternal medicinePediatricsSurgery

Synonyms: Oedema, Swelling Definition of Edema Accumulation of excessive amount of fluid in the extravascular interstitial space of the body. Interstitial space is the extravascular…

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history and examination format
Clinical Skills and Approaches

Cyanosis

Epomedicine Dec 3, 2013 No Comments Clinical examinationInternal medicinePediatrics

Synonyms: Morbus coeruleus, Blue disease Definition of Cyanosis Cyanosis is the bluish discoloration of the skin, mucous membrane and nail bed usually owing to atleast 5 gm/dl…

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kramers chart neonatal jaundice
Clinical Skills and Approaches

Icterus

Epomedicine Nov 16, 2013 No Comments Clinical examinationInternal medicinePediatricsSurgery

Synonyms: Jaundice Definition of Icterus Icterus is the yellowish discoloration of skin and mucous membrane and body fluids (CSF, joint fluid, cysts) evident as a…

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Conjunctival-pallor
Clinical Skills and Approaches

Pallor

Epomedicine Nov 15, 2013 16 Comments Cardiovascular systemClinical examinationHematologyInternal medicinePediatrics

Synonyms: Paleness Definition of Pallor Pallor is the paleness of skin and mucous membranes, due to the reduced amount of oxyhemoglobin or decreased peripheral perfusion.…

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