Pediatrics Questions
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An 8 year old girl complains about joint pain, temperature rise up to 38oC, dyspnea. Objectively: the left cardiac border is deviated by 2,5 cm to the left, tachycardia, systolic murmur on the apex and in the V point are present. Blood count: leukocytes - 20x109/l, ESR - 18 mm/h. What sign gives the most substantial proof for rheumatism diagnosis?
After birth a child was pale and had arrhythmical breathing. Oxygen therapy didn't have any effect. Pulse was weak and rapid. It was difficult to measure arterial pressure accurately. There were no edemata. What is the most likely reason for these symptoms?
An infant is 2 d.o. It was full-term born with signs of intrauterine infection, that's why it was prescribed antibiotics. Specify, why the gap between antibiotic introductions to the new-born children is longer and dosage is smaller compared to the older children and adults?
A full-term baby (the 1st uncomplicated pregnancy, difficult labour) had a cephalogematoma. On the 2nd day there was jaundice, on the third the following changes in neurological status appeared: nystagmus, Graefe syndrome. Urine was yellow, feces were of golden-yellow colour. Mother's blood group is A(II)Rh-, the baby's one - A(II)Rh+. On the third day the child's Hb was 200g/l, RBCs - 6,1x1012/l, blood bilirubin - 58 micromole/l at the expense of unbound fraction. What caused the jaundice in the child?
A 4 y.o. boy was admitted to the hospital with complaints of dyspnea, rapid fatigability. His anamnesis registers frequent respiratory diseases. On percussion: heart borders are dilatated to the left and upwards. On auscultation: amplification of the SII above pulmonary artery, a harsh systolodyastolic "machine" murmur is auscultated between the II and the III rib to the left of breast bone, this murmur is conducted to all other points including back. AP is 100/20 mm Hg. What is the most probable diagnosis?
A child from the first non-complicated pregnancy but complicated labor had cephalhematoma. On the second day there developed jaundice. On the 3th day appeared changes of neurologic status: nystagmus, Graefe's sign. Urea is yellow, feces- golden-yellow. Mother's blood group is А(II)Rh-, child- А(II)Rh+. On the third day child's Hb- 200 g/L, RBC- 6,1x1012/L, bilirubin in blood - 58 mk mol/L due to unconjugated bilirubin, Ht- 0,57. What is the child's jaundice explanation?
A 12 year old girl complains about abrupt weakness, nausea, dizziness, vision impairment. The day before she ate home-made stockfish, beef. Examination revealed skin pallor, a scratch on the left knee, dryness of mucous membranes of oral pharynx, bilateral ptosis, mydriatic pupils. The girl is unable to read a simple text (mist over the eyes). What therapy would be the most adequate in this case?
When does the posterior fontanel close?
What is the formula intake for greater than one year?
What is the formula intake for 6-12 month olds?
Babies should not have solid food before how many months?
When does baby imitate sounds and babble one syllable sounds?
According to Paget, when is sensorimotor intelligence experienced?
How much juice/day should be consumed at 6 months?
When does the baby vocalize that is distinct from crying?
When does baby produce vowel sounds and chained syllables?
What is therapeutic dose range for ibuprofen?
How big is the stomach in the first 1-2 months?
When can baby use thumb and finger in crude pincer grasp?
When does baby play pat a cake and peek a boo?