Definition: Breathlessness inappropriate to the level of physical exertion or even occurring at rest (subjective and not a sign) Mechanisms: Chemoreceptors: Peripheral: Carotid and aortic…
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Pediatrics
Section Editor: Dr. Sujit Kumar Shrestha, MD Pediatrics, Fellowship Neonatology
Text Presentation on Empyema Thoracis
A) INTRODUCTION Empyema (aka Empyema Thoracs or Empyema of the chest) is an accumulation of pus in the pleural space that occurs when an infection spreads from…
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Practical Procedures : Lumbar Puncture (LP)
Synonyms: Spinal tap Definition: Puncture of subarachnoid space in the lumbar region of the spinal cord to withdraw cerebrospinal fluid (CSF) for diagnostic or therapeutic…
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Approach to a Child with Edema
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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Salmonella Osteomyelitis in Sickle Cell Disease
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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A Case of Rheumatic Fever
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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Digital Clubbing
Synonyms: Hippocratic fingers, Acropachy, Dysacromelia, Drumstick fingers, Watch glass nails, Parrot beak fingers, Serpent head nails, Lovibond’s sign Definition Focal and bulbous enlargement of the…
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Edema – Physical Examination
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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