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| Pediatric medical emergencies |
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Is your child having an emergency? __________________________________________________________________ Where is the patient now? __________________________________________________________________ How old is the patient? __________________________________________________________________ What seems to be the problem? __________________________________________________________________ What is the reason for consultation? __________________________________________________________________ These are basic questions. There are many more. What is the child's gender? __________________________________________________________________ What is her/his name? __________________________________________________________________ Where and when was she/he born? __________________________________________________________________ How old is she/he? __________________________________________________________________ What is her/his father's name? __________________________________________________________________ What is her/his mother's name? __________________________________________________________________ Are they living? __________________________________________________________________ Where are they now? __________________________________________________________________ What is today's date? __________________________________________________________________ What is the source of this history? __________________________________________________________________ What are the sources to verify this history? __________________________________________________________________ What is the reason for consultation? __________________________________________________________________ |
| What Types of Treatments Do Pediatric Emergency Physicians Provide? |
| When should you come to the Emergency Department? |
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What are pediatric medical emergencies? How should you do a quick assessment, diagnosis, and treatment of a person reported as a pediatric medical emergency? |
| Why do we hear about problems related to emergency care of children? |
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What are various symptoms, signs, statements, questions, issues, and histories that should raise suspicion of a medical emergency? Bluish discoloration or cynosis in a child is an emergency. Yellowish discoloration in a child is an emergency. Perinatal complications. Congenital anomalies. Tachycardia at rest in a child is an emergency. How do you define tachycardia at rest in children? Normal heart rate in children is age dependent. http://www.qureshiuniversity.com/emergencymedicinesymptomssigns.html |
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Anaphylaxis Appendicitis Asthma Bleeding Bone Fractures and Breaks Burns Chemical Burn in the Eye Choking Concussion Convulsions with Fever Croup Dehydration Epiglottitis Ear Trauma Eye Injuries Food Poisoning Fever Insect Bites and Stings Meningitis Near drowning Drowning Pediatric sexual abuse Pediatric child abuse Psychiatric emergencies Poisoning Pneumonia Respiratory Obstruction Seizures Shock Trauma Spinal Cord Injury Seizures Sudden Infant Death Syndrome (SIDS) Vaginal Bleeding in Children http://www.healthyme.md/viewCategory?ID=232576 |
| Pediatric Critical Care |
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Pediatrics: Cardiac Disease & Critical Care Medicine http://emedicine.medscape.com/pediatrics_cardiac |
| Pediatric Patient History Questionnaire |
| Pediatric History: |
| Pediatric update |
| Pediatric Patient History Questionnaire |
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Prenatal and birth history Developmental history Social history Immunization history Parent history Chief Complaint History of Present Illiness Past Medical History Pregnancy and Birth History Development History Feeding History Review of Systems Family History Social Position of child: parent's lap vs. exam table Weight, height Vital signs Head, Eyes, Ears, Nose, Mouth and Throat, Neck, Lungs/Throax Cardiovascular, Abdomen, Musculoskeletal, Neurologic, GU. |
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APGAR is a quick test performed at 1 and 5 minutes after birth. The 1-minute score determines how well the baby tolerated the birthing process. The 5-minute score assesses how well the newborn is adapting to the new environment.
The rating is based on a total score of 1 to 10, with 10 suggesting the healthiest infant. How the Test is Performed The APGAR test is done by a doctor, midwife, or nurse. The health care provider will examine the baby's: * Breathing effort * Heart rate * Muscle tone * Reflexes * Skin color Each category is scored with 0, 1, or 2, depending on the observed condition. * Breathing effort: o If the infant is not breathing, the respiratory score is 0. o If the respirations are slow or irregular, the infant scores 1 for respiratory effort. o If the infant cries well, the respiratory score is 2. * Heart rate is evaluated by stethoscope. This is the most important assessment: o If there is no heartbeat, the infant scores 0 for heart rate. o If heart rate is less than 100 beats per minute, the infant scores 1 for heart rate. o If heart rate is greater than 100 beats per minute, the infant scores 2 for heart rate. * Muscle tone: o If muscles are loose and floppy, the infant scores 0 for muscle tone. o If there is some muscle tone, the infant scores 1. o If there is active motion, the infant scores 2 for muscle tone. * Grimace response or reflex irritability is a term describing response to stimulation such as a mild pinch: o If there is no reaction, the infant scores 0 for reflex irritability. o If there is grimacing, the infant scores 1 for reflex irritability. o If there is grimacing and a cough, sneeze, or vigorous cry, the infant scores 2 for reflex irritability. * Skin color: o If the skin color is pale blue, the infant scores 0 for color. o If the body is pink and the extremities are blue, the infant scores 1 for color. o If the entire body is pink, the infant scores 2 for color. Why the Test is Performed This test is a screening tool to determine whether a newborn needs medical attention to stabilize the heart or breathing function. Normal Results A score of 8 or 9 is normal and indicates the newborn is in good condition. A score of 10 is very unusual, since almost all newborns lose 1 point for blue hands and feet, which is normal for the transitional phase after birth. What Abnormal Results Mean Any score lower than 8 indicates the child needs assistance. Scores below 5 indicate that the infant needs immediate assistance in adjusting to his or her new environment. However, a child who has a low score at 1 minute and a normal score at 5 minutes should not have any long-term problems. Risks The APGAR test has no risks. It is very safe. |
| Who may utilize this program for education and reference? |
| Which is better, breastfeeding or formula-feeding? |
| Pediatric History |
| Pediatrician |
| pediatrics2.html |
| pediatrics1.html |
| pediatricadvancedlifesupport.html |
| pediatricairwaymanagement.html |
| pediatrictrauma.html |
| pediatricsemergency.html |
| pediatricemergency1.html |
| pediatricemergency2.html |
| pediatricemergency3.html |
| pediatrics_adolescent_medicine_patient.txt |
| pediatrics-1.html |
| pediatrics-2.html |
| pediatricpulmonaryemergencies.html |
| pediatric-assessment.txt |
| pediatrichistory.html |
| PEDIATRICHISTORY.TXT |
| pediatrician.html |
| Pediatrician.html |
| pediatricians.html |
| pediatricpatienthistory-8.html |
| pediatricpatienthistory-7.html |
| pediatricpatienthistory-6.html |
| pediatricpatienthistory-5.html |
| pediatricpatienthistory-4.html |
| pediatricpatienthistory-3.html |
| pediatricpatienthistory-2.html |
| pediatricpatienthistory-1.html |
| pediatricpatienthistory.html |
| pediatricsemergency.html |
| pediatricophthalmology.html |
| pediatricmedicalconditions.html |
| patientbillofrights.html |
| pediatricophthalmology.html |
| Prenatal |
| obstetricsgynecology.html |
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Q: What is a pediatrician? Q: What is a Neonatologist? Q: What kind of training do neonatologists have? Q: What types of treatments do neonatologists provide? Q: What's the difference between Med-Peds and Family Practice? Q: What type of family centric counseling is mandatory before conception? Prenatal
Q: Why is prenatal care important? | ||||||||||||||
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What is the difference between a neonate, infant, toddler, preschooler,
school ager, teen, and adolescent? Newborn or neonate means from birth to 28 days of age. Infant means less than 1 year of age. Toddler means 1-3 years of age. Preschooler means 4-5 years of age. School age means 6-12 years of age. Adolescent means 13-18 years of age. Neonate is an infant. Teen is an adolescent. In some regions, one is considered an adolescent up to age 21. Are normal respiratory rate and normal pulse rate the same for a newborn, infant, toddler, preschooler, school age child, and adolescent? No, it is not. What is the normal respiratory rate for a newborn, infant, toddler, preschooler, school age child, and adolescent? Normal Respiratory Rates Newborn 30-60 breaths/min Infant (<1 yr) 30-60 Toddler (1-3yr) 24-40 Preschooler (4-5yr) 22-34 School age child (6-12yr) 18-30 Adolescent (13-18yr) 12-20 What is the normal pulse rate for a newborn, infant, toddler, preschooler, school age child, and adolescent? Normal Pulse Rates Newborn () >100 Infant (<1 yr) 100-160 Toddler (1-3yr) 90-150 Preschooler (4-5yr) 80-140 School age child (6-12yr) 70-120 Adolescent (13-18yr) 60-100 What is the lower limit of normal systolic blood pressure in a newborn, infant, toddler, preschooler, school age child, and adolescent? Lower Limit of Normal Systolic BP Newborn Infant (<1 yr) >60 Or Strong Pulses Toddler (1-3yr) >70 Or Strong Pulses Preschooler (4-5yr) >75 School age child (6-12yr) >80 Adolescent (13-18yr) >90 What is expected of a neonate, infant, toddler, preschooler, school ager, teen, and adolescent? | ||||||||||||||
Neonatology
What do you assess to calculate the apgar score in a newborn? Pulse, respiration, tone, reflex, color. When do you assess the apgar score in a newborn? Take score at one minute and five minutes after birth. Continue every five minutes if newborn is unstable. Q: Do you, as a medical doctor, pediatrician, or state health care organization endorse newborn screening tests at 24 hours of age in which a heel-prick usually is used to sample the baby's blood for phenylketonuria (PKU), congenital hypothyroidism, galactosemia, sickle cell disease, maple syrup urine disease, homocystinuria, biotinidasedeficiency, tyrosinemia? Q: What does the term low birth weight mean? A: Low birth weight means the baby's weight is less than 2,500 grams or approximately 5 pounds. Q: Who should know about normal child growth and development? A: A medical doctor, pediatrician, teachers, parents, administrators, head of the state, governing council, and others. Q: What is child development? Q: Child development and Child Growth: What's the difference? Q: What are developmental milestones? Q: Infant development: What happens from birth to 3 months? Q: Breast-feeding vs. formula: What's right for your baby? Q: Breast-feeding: Is your baby getting enough milk? Q: Do boys and girls grow at different rates? | ||||||||||||||
Infants
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Toddlers Toddlers (1-2 years old) Toddlers (2-3 years old) Q: What should medical doctors, pediatricians, teachers, and parents include in children's annual community or school health care screening, diagnosis, and treatment? | ||||||||||||||
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Pre-school Preschoolers (3-5 years old) | ||||||||||||||
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School age Middle Childhood (6-8 years old) Middle Childhood (9-11 years old) | ||||||||||||||
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Teens & adolescents Adolescence: 11 - 21 years Early Adolescence (12-14 years old) Middle Adolescence (15-17 years old)
Q: What foods do children need? Q: What Foods Should Be Avoided?
Q: What is puberty? Q: When does puberty occur? Q: What determines when puberty begins? Q: What are the physical changes of puberty? Q: What other changes in the body occur during puberty? Q: What are the medical concerns associated with normal puberty? Q: What are medical conditions associated with early, or late, puberty? | ||||||||||||||
Child Abuse
Q: What Are the Major Types of Child Abuse and Neglect? Reporting Suspected Child Abuse Sample Report of Suspected Child Abuse and Neglect Abuser Administrator Principal Teacher Staff Others | ||||||||||||||
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Nutrition 1. Nutrition Overview 2. Breast Feeding 3. Infant Formulas 4. Fluids and Electrolytes 5. Failure to Thrive 6. Malnutrition and Vitamin Deficiencies | ||||||||||||||
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Infants (0-1 year old) Toddlers (1-2 years old) Toddlers (2-3 years old) Preschoolers (3-5 years old) School age Middle Childhood (6-8 years old) Middle Childhood (9-11 years old) Teens & adolescents Adolescence: 11 - 21 years |
Orphanage Services
Q: What information and facts are mandatory to know about an orphan? Q: What was the age when he or she became an orphan? Q: Where and when was he or she born? Q: Does he or she have any brothers or sisters? Q: Where are they now? Q: How and where did his or her father die? Q: How and where did his or her mother die? Q: How did his or her mother die? Q: Who are relatives of his father and mother? Q: What was his age at the time of death? Q: What were the circumstances of the death? Q: What was the place of death? Q: How old was he or she at that point? Q: Did they tell him or her about the facts? Q: What was the day, date, month, and year of death? Q: Who provided and verified this information? Q: Where is the burial or cremation site? Q: Who witnessed the burial or cremation? Q: What was the ethnicity of his father and mother? Q: What was their mailing address from the time of birth until death? Q: What are the sources of this information? Q: Who verified this information? Q: How credible is the information? Q: Why will a woman bear a child up to full term and later intentionally abandon that child? Q: In the past 50 years, obstetrics and gynecology have advanced so much, in addition to global systems and investigative methods. Do you think this is going to remain a secret? Q: Don't you think hypothetical assumptions will face rebuttal? Q: What questions need to be answered in this scenario? Q: Where and when was the child located? Q: What were the date, time, and place? Q: What clothes was the child wearing? Q: What should be listed as the date of birth of the child? Q: Who should decide what should be listed as the date of birth of the child? Q: Did the child need any medical resuscitation? Q: Was the child able to crawl, walk with support, walk without support, write, or speak a word? Q: Who located the child? Q: What was done after the child was located? Q: Was child transferred from another location intentionally? Q: Who else is involved? Q: Was the child abducted? Q: Who abducted the child? Q: What was the motive behind this? Who were the previous and subsequent heads of the state, police, judiciary, and concerned departments? Where are their children now? Will they prefer to have this happen to their families? This is what happens when harmful, fraudulent, and incompetent heads of the state and associates are planted to manage administration. What were the ages of the father, mother, and sibling at the time of death? What was the cause and location of the death of the father and mother? What was the cause and location of the death of the sibling? What is the profile of those who inflicted harms? If the father and mother were deprived of rights, did the oppressors get punishment? If the father and mother were killed, did the killers and conspirators get punishment? If the sibling was killed, did the killers and conspirators get punishment? In some regions, people intentionally force others into harms and then try to come as saviors. What should a person answer who tries to get involved in these activities? Have you answered all relevant questions listed above? Do you know the difference between a neonate, infant, toddler, preschooler, school ager, teen, and adolescent? What is the difference between a neonate, infant, toddler, preschooler, school ager, teen, and adolescent? What is expected of a neonate, infant, toddler, preschooler, school ager, teen, and adolescent? All of their needs have to be fulfilled from the annual state budget, like any other state resident. What concepts of law are applicable to any harms relevant to this scenario? Human rights violation; deprivation of rights under the color of law, and various other concepts of law applicable to these harms. Who should be punished in this scenario? From head of the state down the hierarchy. | ||||||||||||||||||||||||||||
Vaccine
Q: What is the schedule for vaccination? Q: Whose schedule and recommendations should be followed? Q: Are there any regional variations in the schedule and the recommendations? Q: Can these regional variations be harmful? Q: What do immunizations do? Q: What is your immunization policy? Q: How do I get a copy of my child's immunization record? Q: Who Needs Immunizations and When? Q: Which vaccines do pre-teens/adolescents need? Q: Are there any vaccine side-effects? Q: Why is vaccinating so important? Q: What are the ingredients / additives of vaccines? Q: What vaccines do adults need? Q: What vaccines do children need? Q: What diseases do vaccines prevent? Q: How are vaccine-preventable diseases tracked? Q: What are some of the common misconceptions about vaccinating? Q: What would happen if we stopped immunizations? | ||||||||||||||||||||||||||||
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Behavior
Q: What is good character? Q: What is good behavior? Q: What is normal behavior for a child? Q: What can I do to change my child's behavior? Q: How do I stop misbehavior? Q: How do I use the time-out method? Q: How do I encourage a new, desired behavior? Q: What are some good ways to reward my child? Q: What else can I do to help my child behave well? Q: What is Discipline? Q: How Can I Discipline My Child Without Spanking? Q: How Can I Help My Child Develop Healthy Self-Esteem? Q: How do children acquire good behavior? | ||||||||||||||||||||||||||||
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Q: What are the best things about your specialty? Q: Why did you choose your specialty? Q: What types of clinical cases do you commonly see? Q: Briefly describe a typical day. Q: What are the varieties of lifestyles within your field? Q: What are you looking for specifically in an impressive candidate? Q: What local, regional or international conferences would be of benefit to candidates interested in your program? Q: How do you see your discipline changing over the next decade? Do you have better answer? Do you have a question? Do you have any questions for me? Does anyone else have a better answer? Does anyone else have an answer better than the answers I already have, we have? Would you like to print Dr. Qureshi's research and development in Pediatrics? admin@qureshiuniversity.com | ||||||||||||||||||||||||||||
Common Pediatric conditions
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| Toilet Training | ||||||||||||||||||||||||||||
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Q: What is a pediatrician? Q: What is a Neonatologist? Q: What kind of training do neonatologists have? Q: What types of treatments do neonatologists provide? Q: What's the difference between Med-Peds and Family Practice? Q: What type of family centric counseling is mandatory before conception? Prenatal
Q: Why is prenatal care important? | ||||||||||||||||||||||||||||
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Newborn Q: Do you, as a medical doctor, pediatrician, or state health care organization endorse newborn screening tests at 24 hours of age in which a heel-prick usually is used to sample the baby's blood for phenylketonuria (PKU), congenital hypothyroidism, galactosemia, sickle cell disease, maple syrup urine disease, homocystinuria, biotinidasedeficiency, tyrosinemia? Q: What does the term low birth weight mean? A: Low birth weight means the baby's weight is less than 2,500 grams or approximately 5 pounds. | ||||||||||||||||||||||||||||
| Premature Infant What is premature birth? Why is premature birth a problem? What causes premature birth? What kind of treatments might a premature infant need? Does premature birth cause long-term problems? What can you expect when you take your baby home? | ||||||||||||||||||||||||||||
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Child Development milestones Q: Who should know about normal child growth and development? A: A medical doctor, pediatrician, teachers, parents, administrators, head of the state, governing council, and others. Q: What is child development? Q: Child development and Child Growth: What's the difference? Q: What are developmental milestones? Q: Infant development: What happens from birth to 3 months? Q: Breast-feeding vs. formula: What's right for your baby? Q: Breast-feeding: Is your baby getting enough milk? Q: Do boys and girls grow at different rates? | ||||||||||||||||||||||||||||
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Are normal respiratory rate and normal pulse rate the same for a newborn, infant, toddler, preschooler, school age child, and adolescent? No, it is not. What is the normal respiratory rate for a newborn, infant, toddler, preschooler, school age child, and adolescent? Normal Respiratory Rates Newborn Infant (<1 yr) 30-60 Toddler (1-3yr) 24-40 Preschooler (4-5yr) 22-34 School age child (6-12yr) 18-30 Adolescent (13-18yr) 12-20 What is the normal pulse rate for a newborn, infant, toddler, preschooler, school age child, and adolescent? Normal Pulse Rates Newborn Infant (<1 yr) 100-160 Toddler (1-3yr) 90-150 Preschooler (4-5yr) 80-140 School age child (6-12yr) 70-120 Adolescent (13-18yr) 60-100 What is the lower limit of normal systolic blood pressure in a newborn, infant, toddler, preschooler, school age child, and adolescent? Lower Limit of Normal Systolic BP Newborn Infant (<1 yr) >60 Or Strong Pulses Toddler (1-3yr) >70 Or Strong Pulses Preschooler (4-5yr) >75 School age child (6-12yr) >80 Adolescent (13-18yr) >90 Normal Values | ||||||||||||||||||||||||||||
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Bluish discoloration or cynosis in a child is an emergency. Yellowish discoloration in a child is an emergency. Tachycardia at rest in a child is an emergency. How do you define tachycardia at rest in children? Normal heart rate in children is age dependent. Heart rate define as tachycardia in children
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How do you interpret Glasgow coma scale in children 2 years of age and under? The lowest possible PGCS (the sum) is 3 (deep coma or death) whilst the highest is 15 (fully awake and aware person). PEDIATRIC GLASGOW COMA SCALE (for use in children 2 years of age and under) Eye opening (4) spontaneous (3) to speech (2) to pain (1) none Verbal Response (5) coos, babbles (4) irritable cry (3) cries to pain (2) moans to pain (1) none Motor Response (6) normal spontaneous movement (5) withdraws to touch (4) withdraws to pain (3) abnormal flexion (2) abnormal extension (1) none | ||||||||||||||||||||||||||||
Infants
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Toddlers Toddlers (1-2 years old) Toddlers (2-3 years old) Q: What should medical doctors, pediatricians, teachers, and parents include in children's annual community or school health care screening, diagnosis, and treatment? | ||||||||||||||||||||||||||||
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Pre-school Preschoolers (3-5 years old) | ||||||||||||||||||||||||||||
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School age Middle Childhood (6-8 years old) Middle Childhood (9-11 years old) | ||||||||||||||||||||||||||||
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Teens & adolescents Adolescence: 11 - 21 years Early Adolescence (12-14 years old) Middle Adolescence (15-17 years old)
Q: What foods do children need? Q: What Foods Should Be Avoided? | ||||||||||||||||||||||||||||
| Juvenile Justice | ||||||||||||||||||||||||||||
| Puberty | ||||||||||||||||||||||||||||
| Child Abuse | ||||||||||||||||||||||||||||
| Malnutrition | ||||||||||||||||||||||||||||
| Nutrition | ||||||||||||||||||||||||||||
| Parenting Advice | ||||||||||||||||||||||||||||
| Orphanage Services | ||||||||||||||||||||||||||||
| Attention-Deficit Disorder | ||||||||||||||||||||||||||||
Vaccine
Q: What is the schedule for vaccination? Q: Whose schedule and recommendations should be followed? Q: Are there any regional variations in the schedule and the recommendations? Q: Can these regional variations be harmful? Q: What do immunizations do? Q: What is your immunization policy? Q: How do I get a copy of my child's immunization record? Q: Who Needs Immunizations and When? Q: Which vaccines do pre-teens/adolescents need? Q: Are there any vaccine side-effects? Q: Why is vaccinating so important? Q: What are the ingredients / additives of vaccines? Q: What vaccines do adults need? Q: What vaccines do children need? Q: What diseases do vaccines prevent? Q: How are vaccine-preventable diseases tracked? Q: What are some of the common misconceptions about vaccinating? Q: What would happen if we stopped immunizations? | ||||||||||||||||||||||||||||
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Q: What are the best things about your specialty? Q: Why did you choose your specialty? Q: What types of clinical cases do you commonly see? Q: Briefly describe a typical day. Q: What are the varieties of lifestyles within your field? Q: Range of incomes? Q: What are you looking for specifically in an impressive candidate? Q: What local, regional or international conferences would be of benefit to candidates interested in your program? Q: How do you see your discipline changing over the next decade? Do you have better answer? Do you have a question? Do you have any questions for me? Does anyone else have a better answer? Does anyone else have an answer better than the answers I already have, we have? Would you like to print Dr. Qureshi's research and development in Pediatrics? admin@qureshiuniversity.com | ||||||||||||||||||||||||||||
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Breath Sounds Altered tone of voice or stridor suggests upper airway obstruction. Grunting is a technique the body evokes to keep lower respiratory air sacs or alveoli open, during certain illness states, for maximum gas exchange. Grunting means hypoxia and lower airway disease. Wheezing indicates lower airway obstruction. | ||||||||||||||||||||||||||||
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http://www.uen.org/Lessonplan/preview.cgi?LPid=4414 http://www.peds.arizona.edu/medstudents/PedsHistoryandPhysicalExam.asp www.ped.med.utah.edu/cai/howto/H&P%20write-up.pdf www.peds.arizona.edu/.../PedsHistoryandPhysicalExam.asp www.medicine.nevada.edu/.../pediatrics/ www.calvarypediatrics.com/ purcellvillepediatrics.com/ www.speckmanrehab.com/ www.uticaparkclinic.com/ www.flagelmedicine.com/ https://www.mysrhs.com/srhs-clinics/grand.../ www.riversideonline.com/ www.fmccleveland.com/pediatric_patient_history_form.pdf www.eyes4wellness.com/PediatricHistoryForm.pdf www.dupagemedicalgroup.com/.../webdocuments/np-history-form-peds.pdf www.gwinnettpeds.com/new-patient-history-form.php www.phillipsmedicalgroup.com/forms/PediatricPatientHistoryandReview.doc www.bluestonepediatrics.com/.../bluestone_pediatrics_patient_history_form.pdf www.enttx.com/ www.medscape.org/ http://www.hawaii.edu/medicine/pediatrics/pedtext/pedtext.html |