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diagnosis pediatrics differential 21hydroxylasedeficiency 21ohd causes classification dehydration dengue dermatology disease endocrinology erythematous evaluation febrile floppy genetics hypotonic incomplete kawasaki
Clinical features of shock from dehydration in an infant Decreased level of consciousness Sunken fontanelle Dry mucous
Clinical features of shock ... Decreased level ... urine output Cold ... #PhysicalExam #Signs ... #Peds #Pediatrics
Pediatric SVT - Management Algorithm Identify SVT: • HR not variable • Abrupt rate changes • Infants:
SVT - Management Algorithm ... rate changes • Infants ... Signs of shock or ... tachycardia #Management #Algorithm ... #peds #Pediatric
Causes of Hypotonic Infant (Floppy Newborn) - Differential Diagnosis Algorithm Central Nervous System - Decreased LOC, Axial
Causes of Hypotonic Infant ... Differential Diagnosis Algorithm ... Nervous System - Decreased ... • Central Core ... #Causes #Peds #
Erythematous Rashes - THE ALGORITHMIC APPROACH Characterized by diffuse redness of the skin due to capillary congestion, erythematous
Erythematous Rashes - THE ALGORITHMIC ... the Nikolsky sign ... syndrome (SSS) in infants ... , and toxic shock ... Erythematous #Rash #Algorithm
21-Hydroxylase Deficiency (21-OHD): Pathogenesis and Clinical Findings Autosomal recessive mutation in CYP21A2 coding for the enzyme 21-OHase
deficiencies present in infants ... Signs/Symptoms/Complications ... vomiting • Late (shock ... ): cold & mottled ... endocrinology #peds
Evaluation of suspected incomplete Kawasaki Disease 1. AHA consensus recommendations 2. Infants ≤6 months old on day ≥7
Infants ≤6 months ... old on day ≥7 of fever ... lack of tapering, decreased ... clinical and lab signs ... #Diagnosis #Peds
Modified dengue severity classification, PAHO/WHO Dengue without warning signs - DNWS: • Person who lives or has
days and presents fever ... Progressive increase ... Shock or respiratory ... Shock evidenced ... , tachycardia, cold
Pediatrics Sepsis Screening SIGNS OF INFECTION? • Fever (>38C) • Hypothermia (<36C) • Cough/chest pain/respiratory distress •
Sepsis Screening SIGNS ... • Fever (>38C) ... SEPSIS/SEPTIC SHOCK ... mottled skin, cold ... Screening #Pediatrics #peds
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
or family - Ever ... event, follow ACC algorithm ... Cataract Plan for Meds ... are needed: • HgbA1c ... or death (CARP, DECREASE
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