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differential algorithm management alp alte brue child classification dementia disease encephalopathy event geriatrics hepatology hyophosphatasia lifethreatening limping low mncd nwb
Pediatrics Sepsis Screening SIGNS OF INFECTION? • Fever (>38C) • Hypothermia (<36C) • Cough/chest pain/respiratory distress •
Pediatrics Sepsis ... • Indwelling vascular ... extremities) • Mental ... status changes ... #peds #diagnosis
Causes of Apparent Life Threatening Event (ALTE) - Differential Diagnosis Algorithm Cardiac: • Congenital Heart Disease •
Causes of Apparent ... Disturbances Neurologic ... Disorders • Central ... Pneumonia • Sepsis ... #Peds #Pediatrics
Low Alkaline Phosphatase - Hypophosphatasia Is Low Alkaline Phosphatase Of Clinical Importance? ALP enzyme- Discovered in 1923 Low
Most cases diagnosed ... Pernicious anemia/B12 ... respiratory failure • Neurologic ... loss of teeth • Muscular ... Phosphatase: • Other causes
THE LIMPING OR NON-WEIGHT BEARING CHILD PATHWAY RED FLAGS - In all cases there are specific markers which
FLAGS - In all cases ... splenomegaly, abnormal neurology ... involvement Sepsis ... Pathway #Child #Peds ... #Pediatrics #Diagnosis
Major neurocognitive disorders (MNCD): Diagnosis and workup 1) Clinical diagnosis Cognitive impairment + loss of autonomy 2)
Alzheimer - 1st cause ... (parkinsonian signs ... - Behavioral changes ... Loss of bladder control ... #Geriatrics #Workup
Weakness - Differential Diagnosis Framework Approach To Weakness: • Non-neuromuscular disorder (Cardiac, pulmonary etc) • CNS ->
- Differential Diagnosis ... lesions of the central ... endocrine: Vitamin B12 ... Lack of UMN/LMN signs ... Lack of sensory changes
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
Seizures • Vision changes ... may precede the neurologic ... Eclampsia, Infection/Sepsis ... the underlying cause ... until cause identified
Chagas Disease - American Trypanosomiasis - Diagnosis and Management Summary Chagas disease (American trypanosomiasis) is an infectious
Trypanosomiasis - Diagnosis ... infectious disease caused ... Romana's sign ... Indeterminate form (No signs ... 90-120 days • Pediatric
Vasculitis - Differential Diagnosis Framework When to Consider Vasculitis: • Purpura, ischemic skin lesions • Mononeuritis multiplex • Hematuria, proteinuria,
purpura: Strong sign ... affects the skin, neurologic ... Angiitis of the Central ... and gray matter changes ... tract, and often causes
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