Dnb pediatrics osce 2 for PGS in Southern Railway HospitalNibedita Mitra
DNB pediatrics Osce for Post graduates in southern Railway Head Quarter Hospital. This includes a video Station. Click on the picture to play the video
Practical pediatric quiz - Kaun Banega WinnerGaurav Gupta
Interactive quiz based on mentimeter platform for IAP Chandigarh Annual meeting in Dec 2017.
Great success for practising paediatricians in general,
Also a great teaching experience
Dnb pediatrics osce 2 for PGS in Southern Railway HospitalNibedita Mitra
DNB pediatrics Osce for Post graduates in southern Railway Head Quarter Hospital. This includes a video Station. Click on the picture to play the video
Practical pediatric quiz - Kaun Banega WinnerGaurav Gupta
Interactive quiz based on mentimeter platform for IAP Chandigarh Annual meeting in Dec 2017.
Great success for practising paediatricians in general,
Also a great teaching experience
Malpractice and pitfalls in neurological emergencies Prof. Mona HusseinBeniSuefUniversityho
Malpractice and pitfalls in neurological emergencies Prof. Mona Hussein
Assistant professor of neurology, Beni-Suef University
Approach to neurological emergencies with stress on common pitfalls and mistakes
Vertigo is a subtype of dizziness in which a patient inappropriately experiences the perception of motion (usually a spinning motion) due to dysfunction of the vestibular system.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
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Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
3. Questions
1. Diagnosis?
2. What are the first two steps in treatment of
hypoxic spell?
3. In a cyanotic newborn, how can you
distinguish pulmonary disease from cyanotic
congenital heart disease?
4. Which cardiac conditions are associated with
following
a. Egg Shaped Heart
b. Snowman silhouette
c. Rib notching
www.dnbpediatrics.com
4. Answers
1. Cyanotic Congenital Heart Disese
Probably TOF
– The heart size is normal
– Pulmonary vascular markings are decreased
– A hypoplastic main pulmonary artery
segment contributes to the formation of the
“boot-shaped” heart.
1.5
Pediatric cardiology
Myung K Park 5th ed
www.dnbpediatrics.com
5. Answers
2. Knee Chest Position
Morphine
3. Hyperoxia Test
4. X-ray appearances
a. Egg Shaped Heart Transposition of great arteries
b. Snowman silhouette Total anomalous pulmonary
venous return (supracardiac)
c. Rib notching Co-arctation of aorta (long
standing)
1
1
1
0.5
0.5
0.5
www.dnbpediatrics.com
6. 3 day neonate with
• Lethargy
• Feed refusal
• Abdominal
distension
www.dnbpediatrics.com
7. Questions
1. What stage of NEC is depicted in the
X-ray?
2. What is the radiological feature of Bell
stage III NEC?
3. Name two more conditions associated
with pneumatosis intestinalis?
www.dnbpediatrics.com
8. Answers
1. NEC Stage II
2. Pneumoperitoneum
3. Any two of following
Hirschsprung's
disease, Pseudomembranous
enterocolitis, Neonatal ulcerative colitis,
Ischemic bowel disease
1
1
2
www.dnbpediatrics.com
9. • 6 weeks infant
• Case of Cholestatic
jaundice (Extra-Hepatic
Biliary Atresia)
• c/o swelling left thigh
www.dnbpediatrics.com
10. Questions
1. What is the likely cause of fracture femur
in this case?
2. How can this complication be prevented?
3. How do you manage pruritus in these
patients?
4. An infant with cholestasis, triangular
facies, and a pulmonic stenosis murmur
is likely to have what syndrome?
www.dnbpediatrics.com
11. Answers
1. Metabolic Bone disease (secondary to
Vitamin D deficiency due to
malabsorption of fat soluble vitamins)
2. Replace 5,000-8,000 U /d of D2,or
3 -5 µg/kq/d of 25-hydroxycholecalciferol
3. Ursodeoxycholic acid l5-20 mg/kg/day
4. Alagille syndrome
(Arteriohepatic dysplasia)
1
1
1
1
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12. • Previously healthy 7
years girl c/o
• Sudden onset
weakness right upper
and lower limb
• Facial palsy right
(UMN)
• Normal sensorium
• No fever/ trauma/
seizures
L
c
t
www.dnbpediatrics.com
13. Questions
1. What is the level of lesion on MRI?
2. What are the structures marked
c
t
3. Which hemoglobinopathy can be
associated with this kind of presentation?
4. A dilated and unreactive pupil indicates
the compression of what structure?
www.dnbpediatrics.com
14. Answers
1. Infarct in the left basal ganglia, the
posterior limb of internal capsule, and the
head of the caudate
2
www.dnbpediatrics.com
15. Answers
2. C Caudate
nucleus
T Thalamus
P Putamen
G Globus pallidus
White arrows indicate
the ant and post limbs
of internal capsule
0.5
0.5
www.dnbpediatrics.com
17. • 5 years girl c/o
• Right focal seizureL
www.dnbpediatrics.com
18. Questions
1. Describe the CT finding specifically the
location of lesion.
2. What is the most probable diagnosis?
3. Name one infectious etiology D/D.
4. What is the treatment?
www.dnbpediatrics.com
19. Answers
1. Intraparenchymal ring-enhancing lesion
in the left parietal lobe
2. Neurocysticercosis
3. Tuberculoma
4. Corticosteroids starting 2-3 days before
and continuing 2-3 days after
antihelminth
Albendazole
0.5
0.5
1
1
1
1
www.dnbpediatrics.com
20. 1. Diagnosis
2. What are the
embryologic
events that lead to
this development?
3. What are three
causes of
respiratory distress
in a baby born with
this condition?
www.dnbpediatrics.com
21. Answers
1. Congenital Diagphragmatic Hernia
2. The posterolateral portion of the diaphragm
has remained open between the ninth and
tenth weeks of gestation as a result the viscera
will pass into the chest, and a CDH will result.
3. a) Mechanical compression of the lungs from
the herniated viscera
b) Pulmonary hypoplasia from compression of
the developing lungs in utero
c) Pulmonary hypertension
www.dnbpediatrics.com
26. Questions
1. Describe the X-ray appearance
2. Pathogenesis of the appearance
3. Possible Diagnosis
4. Which disorder is most commonly
associated with an elevated MCHC?
5. How is the corrected reticulocyte count
calculated?
www.dnbpediatrics.com
28. Below is a midline sagittal cut of a MRI scan of the brain.
View the midline anatomic diagram of the brain and identify
the following structures
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29. Answer
• S - Suprasellar cistern
• P0 - Pons
• P - Midbrain (cerebral peduncles)
• M - Medulla
• C - Quadrigeminal plate (superior
and inferior colliculi)
• Q - Quadrigeminal cistern
• V - Fourth ventricle
1 mark eachwww.dnbpediatrics.com
31. Question
1. Diagnosis?
2. What is the emergency management of
the condition?
3. What is subsequent management after
the emergency management is over?
www.dnbpediatrics.com
34. Questions
1. What is the diagnosis?
2. Describe three features seen on the X-
ray of the disease?
3. What biochemical test would help clinch
the diagnosis?
4. What is the treatment of the condition?
www.dnbpediatrics.com
35. Answers
1. Rickets
2. a) Cupping
b) Slaying
c) Fraying
3. Calcium, Phosphorus, Alkaline
phosphatase
4. Injection Vitamin D 6 lac unit IM stat
PO Calcium
1
0.5
0.5
0.5
1.5
1
1
www.dnbpediatrics.com
43. Questions
1. What is the diagnosis?
2. What is the clinical sign for the diagnosis
called as?
3. Name one intervention which can lead to
this?
www.dnbpediatrics.com
45. • X-ray neck
lateral view
in a child with
respiratory
distress
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46. Questions
1. What is the diagnosis?
2. Which is the commonest organism
implicated in this disease?
3. What antibiotics are useful in this
condition?
www.dnbpediatrics.com
47. Answers
1. Epiglottitis 1
2. Hemophilus influenzae type B 1
3. Cephalosporins/ Ampicillin/ sulbactam 1
www.dnbpediatrics.com
49. Questions
1. Diagnosis
2. By what gestational age would this
defect occur?
3. This can be prevented in subsequent
pregnancies by intake of Folic acid. Folic
acid should be taken in what dose and
started when?
www.dnbpediatrics.com
55. Questions
1. What grade of VUR
is shown in MCU?
2. How is VUR
graded?
3. What is normal
bladder capacity?
4. Surgery is the initial
treatment in which
grades of VUR?
www.dnbpediatrics.com
56. Answers
1. Grade V
2. Grade I: Ureter only
Grade II: Ureter, pelvis, and calices; no dilation, normal
caliceal fornices
Grade III: Mild dilation and/or tortuosity of the ureter
and mild dilation of the renal pelvis; minor blunting
of the fornices
Grade IV: Moderate dilation and/or tortuosity of the
ureter and moderate dilation of the renal
Grade V: Significant blunting of most fornices; papillary
impressions are no longer visible in most of the
calices; gross dilation and tortuosity of the ureter;
gross dilation of the renal pelvis and calices
1
0.5
0.5
0.5
0.5
0.5
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57. Answers
3. Volume (in ounces) = Patient's age (in
years) + 2.
4. Grade III/IV bilateral reflux
Grade V reflux
0.5
0.5
0.5
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