سلايدات 5

measels
omphalocele
Staphylococcal sc
alded skin
syndrome
Hypothroidism
Tsh ( important
investigation )
Mental retardation , short
stature , developmental
delay
jundice
Drain + hand rey dysplasia
Dx ?????
Dic ???
Iron D. anemia
Koilynechia
Hypochromic microcytic
anemia
If the slide without
koilnechia wt. ddx
B,thalassemia , lead
poisoning , IDA , B6
defficiency
Spherocyte
Inheretance >> autosomal dominant or ressisive
Rx ... Blood transfusion , folic acid , splenectomy if Hb < 10
mg/dl , rx of hyperglobulinemia in neonatal period
Macrocytic RBC
Compare with lymphocyte
DDx >>> b12 defficiency , folic acid difficiency
Dx >> hypothyroidism , liver disease , drugs
Chicken pox
Avoid immunocompromise and
pregnant
Koplic spot of measels opposite to
2nd molar tooth , rash
Meningococcemia
Other ddx >> dic , hemorrhagic rash
Acute gengivostomatitis
Caused by herpis semplex ‫ دائما يكون بالمقدمة عكس ال‬coxacki
virus ‫يكون االلتهاب بالمؤخرة من الفم‬
Herpis zoster
Sickle cell and target blood cell
Dx>>> sickle thalassemia or sickle cell anemia
Complications  splenic crisis
aplastic crisis
vaso-oclusive crisis most
common
sequestration crisis
leg ulceration
Rx of spherocytosis .. Supportive , blood
transfusion , splenectomy ?
Ddx >>> hereditory spherocytosis ,
autoimmune hymolitic anemia , ABO
incompatibilty
hereditary spherocytosis
Maxilary hypertrophy , paller , browns discoloration below
eye lids
dx. Chronic hemolytic anemia ( prolong thalasemia )
also can occure in spherocytosis , sickle cell anemia ,
pyrovate deficiency
Investigation >>> hemoglobin electrophoresis
hb A2 normal , hbF high , hbA low
HB A2 high only in trait
RX>>>> blood transfussion , chelating therapy , bone
marrow transplantation
Hair on end appearance
Rx >>> chronic hemolytic anemia
3 clinical abnormalites on clinical
examination
1. maxillary hypertrophy
2. Paller
3. Splenomegaly
1 y old child otherwise well
Dx>> ITP
There is purpura allover his body
If this purpura with hepatosplenomegaly dx
will be leukemia
Raccon eye
Medical cause neuroblastoma
chart of physical and neuromuscular maturity of premature
baby
Infective endocarditis
splinter hemorrhage
osler nodes
fever , splenomegaly
Compliation >> brain abcess ,
arrthmia , hrt. Failure
herpes
whitlow
eczema
herpeticum
herpetic
neonatorum
osteogenesis imperfecta x ray , blue
sclera
Autosomal dominant
Inverted u shape ventral suspention ,
floppy baby if > 5 months its abnormal
Abnormal ventral suspention
Hypotonia
Positive symetrical moro reflex c6,5
Must check it in CP, hyperbilirubinemia , asphyxia
Stop at 6 months
Sucking
7,9,10,12 cranial nerve
Planter grasp
Tonic neck reflex
+ve symmetrical
It disappear at 6
months
5month
Hypotonia
prematurity
Palmer grasp
3 month = head lag normal
If she 9 month = abnormal (hypotonic) or
flopiness
Headlag below 3 month
Head lag disappear and the head perpendicular to
body 4 months
Pincer grasp 1 y
Rooting 5 cranial
nerve
Head lag disappear at 3 months
Crowel 7-8 months
parachute
reflex
8 -9 months
Stand at 9 – 10 months
13 – 15
months
Walk at 13-15 months If > 18 month
no walk say
delay
Caput succedunum
Cephalhematoma
Meconeum stained nails
complication that this baby prone to
meconeum aspiration
pneumonia
pneumothorax
birth asphyxia
Candidal napkin dermatitis
Lesion in the flexures
>>>>>> candidiasis
+ stallaite lesions
Clubbing
Ddx of git conditions >> IBD , Celiac
respiratory bronchectasis , lung abscess
Small eye microphthalmos
Loss of inferior medial side of eyelid
of the same eye
DDx >>> torch infection , congenital
abnormality
monilial thrush
May occure due to lactose

intolerance
Rx >> lactose free formula . Zink
supplimintation . Anticandida .
Dietry rehablitation
Lt. lower facial n. palsy
No wrinckles on lt.
Lt eye cant close
Lt. nasolabial fold pushed to rt.
Encephalocele
Advice to mother > folic acid before 1 month
of delivary
Other >. C.S , increase risk for future
pregnancy
Sunset eye due increase of IC
pressure
X ray of wrist showing cupping fraying splaying
Dx >>> ricket
two labrotary investigation 1. alkaline phosphatase
elevation
2. s.calicium low or normal
ricket
Periorbital edema , abdominal distention ,
generilized edema
GUE >>>> protien in urine ( renal cause )
Other inves. RFT , LVT , echo
1, muscle wasting ,loss of haoir
2, Marasmus
Rx >>>> dietry rehabilitation
Rx of infection
1. Loss of hair , rash
( flecky paint rash ),
swelling of the hand
2. Kwashirkor
3. Rx>>> diatry
rehabiltation , rx of
infection
4. S.albumen
5. S, electrolyte
Cyanosis at birth why ?
Meconum aspiration syndrome
because he has peeling of the
skin
Causes of peeling  postmaturity
placental
insuffeciency in premature baby
If this baby has dyspnea after
birth wt. is the cause >>>
meconum aspiration , birth
asphyxia , pneumothorax
Gower sign ( proximal m. weakness )
Ddx >>> Duchehen muscle dystrophy ,
hypokalemia , steroid or hypothyroidism
Mongolian spot start from birth
Disappear spontanously on age of 1 y
Sequent in lt. eye
Abducent n. palsy
Hair on back
Rx >>> surgery in case of urine or stool incontinance
Investigation >> lumbosacral xray show spina bifida occulta
Cystic dilitation of the forth ventricle
Transilumination +ve of the cyst
Dandy walker
Trisomy down
Investigation of choice > karyotyping
show trisomy
2 git complication > deudenal atresia
Hischprung disease
2 hematological complication
Leukemia , macrocytic anemia ,
hyperglobulinemea , polycythemia
Karyotype show 45x0
Renal abnormality >> horseshow
kidney
Heart abnormality >> coarctation
of aorta , tricusped aortic valve ,
aortic
Reproductive abnormality >>
delay puberty , infertility
Inheretance of this lesion is nevus flammeus port wine stain
sporadic Normal or due to ssturage weber syndrome
2 neurological
complications>> seizure ,
mental retardation
Investigation>> mri or skull
xray show train road
calcification
Spina bifida
Neurological complication
paralysis , incontinance ,
hydrocephalus
Scissoring legs and
spasticity of cp
patient
Rx >> physiotherapy
Protruded tongue
Investigation >>
1. TsH _ hypothyroidism
2. Karyotype – down
3. blood nsugar –back with wideman syndrome
Chart for
neurological and
physical
development of
premature baby
DDH
X ray show shenton line and perkin line
, us show head of femur outside ihe
accetabular groove for grading
macrosomia
Immediate investigation ..
Blood sugar
Problems >>
Birth trauma , perinatal
asphyxia , hypoglycemia
Current jelly stool intussuception
Imperforated hymen
Rx surgery
Hypothyroidism
If no rx  mental
retardation , short
stature
Developmental delay
Presentation in neonatal
period ‫من المح‬
candida diaper rash ( candidiasis )
Stellate lesion , flexure involvement , erythmatous rash
Umblical hernia
Disappear at 2 year so no nedd of rx
unless complicated
Associated abnormality 
downward displacement of
bladder
prune belly
syndrome
Mumps
Complication orchitis , meningitis
Acute complication 
meningoencephalitis , pancreatitis ,
orchitis , oopheritis
gastroschiasis
Torticolis
Caused by steroncledomastoid
tumor due to traumatic
delivary
Rx by phsiotherapy
neuroblastoma
Pincer grasp
Pharangitis
2 chronic non suppurative complication>> psgn , rhumatic fever
2 ddx >> im , diphtheria
Acute tonsillitis
Complication  otitis mmedia , quinsy ,
retropharyngeal abscess
Cellulitis
Antistaph AB
Mastitis Neonatorumcellulitis rx antistaph AB
pectus
excavatum
Bilateral
hydrocele
Hydrocele no rx till 1
year
Pectus carinatum
omphalocele
Strawberry tongue
Investigation  throat culture , aso titer, anti dna ase

antibody
Geographical toungue
No rx need
peutz jeghers syndrome
Perioral pigmentation +
diverticulosis
Autosomal recessive
Chromosomal study showing trisomy
Abnormality with down 
polycythemia, macrocytic
anemia ,Leukemia ,
Deudenal atresia , hirschprung
disease
Intussuception
Papillodema
Bulging optic disc
Angulation of vessels
Cause by many pathology like  meningitis , brain
tumor
acute otitis media with effusion
acrocephaly
Turner syndrome
Heart proble / coarctation of aorta , tricusped atresia
Kidney >> hoarseshoe kidney
kwashiorkor Nephrotic
syndrome
rickets kwashiorkor
jundic Monilial rash
e
Sever wasting Erb’s pulsy
Simian crease Down syndrome
(single palmer crease)
Sever wasting marsmus mumps
Caput succedaneum
monliasis
cardiomegaly
globular heart pericardial effusion
pleural effusion - multiple opacities
TB ddx
heart cardiomegaly ‫ و‬pleural effusion
May with periphral lymph adenopathy
Normal ECG
dextrocardia with situs
inversus
Homgenous opacity filling the
rt. Hemithorax there is
shefting in trachea to rt. Side
mean this is collapse
Deudenal obstruction double
bubble sign
Rx  iv fluid , surgery
Double bubble
sign deudenal
obstruction + air
fluid level
pneumoperitonum
Pneumoperitonum
Diaphragmatic hernia
Rt. Diaphragmatic hernia or
diaphragmatic eventration
Esoph. atresia
Esophagial atresia or
achalasia ???
Air fluid levels
of intestinal
obstruction
atresia
3 month infant presented with cough &
dyspnea
Xray shows hyperinflated chest (depresed
diaphragm , > 6 ribs
May be bronchiolitis
Hyperinflated chest
Hx of FB
A showing normal x ray
B xray during expiration showing
lt. lung emphysema make shifting
of mediastinum
Lobar Pneumonia (rt upper lobe)
Consolidation limited by fissure
Most common cause is strept. pneumonae
Middle lobe pneumonea
limitted by the horizontal and
oblique fissure
Opacification of whole lt.
hemithorax consolidation of
pneumonea but no pleural Pneumatocele
effusion b.c there is free Complecation of staph
costophrenic angle pneumonea may complicate
to pneumothorax
10 y boy presented with acute
abdomen
Dx. Lt. lower lobe pneumonea
pneumonea
Pleural effeusion + minscal sign
Pneumatocele
pneumothorax
Tention pneumothorax ( shifting mediastinum )
Endotracheal tube
So, +ve pressure ventilation complicated to
pneumothorax
Rt. Total lung collapse
Normal xray after
FB removal
Rds ( fine reticulo-
granular pattern )
‫كعب البطل‬
Ground glass
apperance
Diaphragmatic hernia
Rx >> endotracheal tube and o2 and NG
tube
Diaphramatic hernea and endotracheal
tube
Lung abscess
Lung adscess with air
fluid level
RDS with pneumomediastinum as
rds complication
Rt. Diaphragmatic hernia
(rare) + pneumothorax in
lt. due to lung hypoplasia
Enlarged hilar lymph nodes + non
hemogenous opacity of middle
and lower lobe
TB
Pleural effusion meniscal sign
Cardiomegaly
Oligemic lung (devoid vascularty
of lung )
Elevation of heart apex
Rt. Sided aortic notch
BOOT SHAPE HEART ( TOF )
Enlarged heat then normal heart
after treatment of ASD
Barium meal showing pyloric
stenosis
Ricket
Ricket
Leadpipe apperance
Coil spring sign intussusseption
3 signs >> current jelly stool
Suscage mass
Prolapse of the mass theough
rectum
Barium enema
( coil spring sign )
3 bubble apperance of jujenal atresia
Double bubble apperance of dudenal
atresia
Osteomylitis
Working
kidny
Full
bladder
cardiomegaly
globular heart pericardial effusion
Neonatal examination
harlequin color change in lbw baby
lanugo hair in premature baby
Salmon patch in normal baby navus simplex
port wine stain (navus flammeus)
Strawberry nevus
cavernous hemangioma
colobomas of the iris
heterochromia of the iris
megalocornea
webbing of neck in female turner syndrome
Sternomastoid tumor
macrocefalia neonatal
Scalp defect
Eye light reflex
neonatal conjunctivitis
microophthalmia
Trisomy-slanting eyes
bradydactyly in down syndrome
Erbs palsy
phocomelia
Café aule spots benign
milia
Appear after 1 day , red raised , eosinophils
st
Erythema toxicum
Erythema toxicarum
Pilonidal sinus
meningeocele
scoliosis
Neutral head position
Neonatal reflexes
Placing &
stepping
Tonic
Kwashiorkor is a form of severe protein–energy malnutrition characterized
by edema, irritability, ulcerating dermatoses, and an enlarged liver
with fatty infiltrates. Sufficient calorie intake, but with
insufficient protein consumption, distinguishes it from marasmus.
Kwashiorkor cases occur in areas of famine or poor food supply.
Nephrotic syndrome

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سلايدات 5

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measels

May occure due to lactose

Investigation  throat culture , aso titer, anti dna ase

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