Pediatrics CMS form 3 1- prevention of nosocomial rota virus gastoenteritis rst choice rota virus vaccine 2nd hand washing 2-C Failure to thrive : !" wt on chart in infant plus failure to have milestone li#e roll over$sitting$standing% over$sitti ng$standing% due to undernutrition&-12 undernutrition &-12 feeds uptill ' months of age$ (-' feeds in )-12 months $ other wee# suc#ing $ low weaning$ improper formula feed preparation$ celiac$ mil# protein allerg*$ in this case failure to gain wt +een present since +irth also !" on chart and no of feeds are ade,uate loo#s li#e mil# protein allerg* so replace it with plant +ased so* protein +ased formula feed% also continue weaning 3- . pseudo-h*ponatremia pseudo-h*ponatremia sei/ure$ na level (- 0 Salt depletion t*pe heat ehaustion +ecause he #ept on replacing replacing it with free water% salt depleted t*pe gives nausea$vomiting % wh* not +ecause he had +rea#fast mil# products4 +ut its due to preformed toin which onl* gives *ou svere vomitingstaph%aureus4 vomitingstaph%aureus4 no fever !- '- 0reast feeding 5aundiceincrease 5aundiceincrease 6784 6pidural9ense 6pidural9ense shaped ;- 8F9PS<= 1>- F suc# at this storage thingie
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13- 6 pu+ertile increase in glandular tissue due to estrogen from adrenal androgens aromati/ation +* adipose tissues 1(- 6 t*pe 1 .M with .@ 1!- F loo# from immigrant from Meico plus glucose glucose is 2A3 of serum level in B0M than to +acterial +acterial cause% also also @ at S6. rate9 highchron highchronic4 ic4 its B0M 1'- 0 microc*tic anemia with highD2>" 8.E iron def $ 2>" 8.E --D B7S6M? smear shows shows Barget Barget cells again a clue4 clue4 +ecause as*mptomatic as*mptomatic its most pro+a+l* a minor one 1)- . spirochete spirochete +orrela +urgdoferi4 l*me disease9 disease9 er*thema migran 1&- . 7 recurrent pulmonar* infectionsGclu++ingGmuc infectionsG clu++ingGmucous ous pluggingscattered atelactasis4+ronchiectasisG end ep whee/e 1;- C %% a tric#* one Pulmonic stenosis with HS.II eft steernal +order heave $also the murmur of M8 G decreased lung vascular mar#ings mar#ings C8 8H-megal* age a+ove 1*r% if same scenario with age1*r then it would have +een BF Persistent Persistent pulm%7B=4
2>- s*stolic 2A' +enign Jow murmur 21- C s*nphar*ngitic$repeated hematuria with K8B?9?< nephropath*4 22- C 23- C 2(- 0 L7C393' Secondar* h*peraldosteronismI due to low cardiac outputA#idne* perfusion 2!- 6
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2)- 6 Gve 8AF G 0iliru+in D2>96change transfusion how would it cause chronic +iliru+in encephalopath*Asu+tle +iliru+in encaphalopath* 2&- 0 2;- even if +en/odia/epine was given along at*picalAt*pical antips*chotics *ou will still chose +en/o9calm him rst then give denitive 8% 3>- . 31- 3(- C not sure
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(;- 0 intermittent for 2 months high 6S8 $ !>- C Sepsis--D.?C vasodilation with increased permea+ilit*$ chemical pneumonitis secondar* to aspirationAingestion causes respirator* epithelial damage 6nd of the world 0M
