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Pediatrics.
  1. Emergency Medical Problems
    Here are further guidelines: Answer

  2. Nonemergency Medical Problems
    Here are further guidelines: Answer

  3. What were the 11 leading causes of child and adolescent death in the U.S. in 2018? Answer

  4. Pediatrics conference in Sringar scheduled for August 3, 2022: What are the issues? Answer

  5. What is a pediatrician? Answer

  6. What is a Neonatologist? Answer

  7. What kind of training do neonatologists have? Answer

  8. What types of treatments do neonatologists provide? Answer

  9. What's the difference between Med-Peds and Family Practice? Answer

  10. What type of family centric counseling is mandatory before conception? Answer

  11. How should you diagnose and treat a pediatric emergency? Answer

  12. What is the difference between a neonate, infant, toddler, preschooler, school ager, teen, and adolescent? Answer

  13. What are developmental milestones? Answer

  14. What difficult cases do you have that are challenging to diagnose or, in our opinion, do not have viable treatments? Answer

  15. Where is the profile of the person? Answer

  16. What is the profile of the person? Answer

  17. What reference resources should you use for the International Classification of Diseases (ICD-10-CM) codes? Answer Answer Answer Answer

What were the 11 leading causes of child and adolescent death in the U.S. in 2018?
1. Congenital anomalies
2. Injuries
3. Fire or burns
4. Heart disease
5. Chronic lower respiratory disease or influenza/pneumonia
6. Drug overdose/poisoning
7. Drowning
8. Suffocation
9. Malignant neoplasm
10. Firearm-related injury
11. Motor vehicle crash

Pediatrics
Pediatrics conference in Sringar scheduled for August 3, 2022: What are the issues?
At 2:41 PM on August 1, 2022, I was updated about this conference. At this point, I was in Chicago, Illinois, United States. I had to circulate this presentation quickly. On August 3, 2022, the deliberations relevant to pediatrics at the one-day scientific conference focused on the topic of pediatric pulmonary updates. They should have further elaborated on the issue before August 3, 2022, Including the reasons for selecting this topic and any specific and/or difficult issues you are facing that should have been displayed. You have to do lots of research.

Questions that should have been answered before deliberations on August 3, 2022.

What led to organizing such deliberations?
What cases would you like to present that need input and insights from others?
What difficult cases do you have that are challenging to diagnose or, in our opinion, do not have viable treatments?


Dr. Asif Qureshi takes pride in working on the most difficult cases. Public deliberations would be better.
Where is the profile of the person?
What is the profile of the person?


What were the 11 leading causes of child and adolescent death in the U.S. in 2018?
1. Congenital anomalies
2. Injuries
3. Fire or burns
4. Heart disease
5. Chronic lower respiratory disease or influenza/pneumonia
6. Drug overdose/poisoning
7. Drowning
8. Suffocation
9. Malignant neoplasm
10. Firearm-related injury
11. Motor vehicle crash

How could the related deaths have been prevented?
1. Enhancing the juvenile justice system
2. Reminding legal guardians and supervising administrators about their responsibilities to prevent harms/deaths from fire or burns, drug overdose/poisoning, drowning, suffocation, firearm-related events, and motor vehicle crashes.
3. Requiring further research to enhance diagnoses and treatments of diseases that are not curable and can cause premature death.
4. Enhancing healthcare and developmental disabilities departments: https://www.qureshiuniversity.com/healthcared.html
5. Hosting regular public deliberations of these issues, including the public education of specific physicians.


Emergency Medical Situations
Situations that require emergency medical care:
  1. Abducted child

  2. Emergency medico legal case

  3. A cut that is large, deep, or to the head, chest, or abdomen

  4. A burn that is large or involves the hands, feet, groin, chest, or face

  5. Any venomous bites or stings with spreading local redness and swelling, or evidence of general illness

  6. Any loss of consciousness, ongoing or worsening confusion, headache, or vomiting after a head injury​

  7. Bleeding that does not stop after applying pressure for 5 minutes

  8. Breathes at a faster rate than usual. Struggles to breathe.

  9. Bulging Soft Spot. This means the brain is under pressure.

  10. Croup / Loud barking cough that's made worse by crying and coughing, as well as anxiety and distress. Fever. Hoarse voice. Noisy or labored breathing.

  11. Chronic Diseases with acute

  12. Confusion

  13. Can't Walk

  14. Dehydration

  15. Difficulty breathing or bluish tinge to lips, skin, fingertips, or nail beds Vomiting or coughing up blood

  16. Eye pain

  17. Fever of >100.42 F in a child younger than 60 days (2 months) old

  18. Fever (over 100.4°F or 38 °C) in the First 3 Months

  19. Fever over 105° F (40.6° C)

  20. Inconsolable Crying

  21. Increasing effort or trouble with breathing

  22. Increasing or severe persistent pain

  23. Large lacerations/wounds with bleeding that won't stop

  24. Lethargy

  25. Loss in consciousness

  26. Neck Injury

  27. Neck stiffness with fever

  28. New or worsening psychiatric or behavioral health issue

  29. Pain in Testicle or Scrotum

  30. Poisonings

  31. Purple or Blood-Red Spots or Dots. When present with fever, they could be a sign of a serious bloodstream infection. The

  32. Rhythmic jerking (a seizure)

  33. Sick Newborn

  34. Seizure lasting more than 2 minutes in a child.with.no prior history of a seizure Any of the following conditions after a head injury: decrease in level of alertness, confusion, headache, vomiting, irritability, difficulty walking

  35. Severe Pain

  36. Severe abdominal pain

  37. Severe bone fractures

  38. Severe burns

  39. Severe neck stiffness or rash along with a fever

  40. Skin or lips that look blue, purple, or gray

  41. Stiff Neck

  42. Strange or more withdrawn and less alert behavior

  43. Swallowed object with difficulty breathing or swallowing

  44. Tender Belly

  45. Trouble Breathing

  46. Unconsciousness or no response when you talk with your child

  47. Vomits Bile

  48. Worsening of most chronic illnesses such as diabetes, asthma, etc.

Abducted child
What questions need to be answered in this scenario?
What happened?
Where and when was the child located?
What were the date, time, and place?
What clothes was the child wearing?
What should be listed as the date of birth of the child?
Who should decide what should be listed as the date of birth of the child?
Did the child need any medical resuscitation?
Was the child able to crawl, walk with support, walk without support, write, or speak a word?
Who located the child?
What was done after the child was located?
Was child transferred from another location intentionally?
Who else is involved?
Was the child abducted?
Who abducted the child?
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?


What is the best solution for these issues?
No two cases have similar circumstances. No two cases have similar situations. Cases have to be managed on a case-by-case basis. This was also declared in the United States by former Secretary of State Condoleezza Rice.

Public deliberations would be better.
How should you diagnose and treat a pediatric emergency?
Emergency medico legal case

Is there any conspiracy, harm, intention to cause harm, or abuse in the case scenario?

__________________________________________________________________
If yes, involve police, community, state department of law, or others as soon as possible.

This is a case scenario of conspiracy, harm, intention to cause harm, or abuse.
Your consultation/opinion is required.
Proceed for a criminal investigation.

If the child does not have any caregiver, put an ankle or wrist band with emergency identification number on him/her and further details of person managing the case.

How should you diagnose and treat a pediatric emergency?

Emergency pediatric diagnosis and treatment is linked to the age of the patient.

A proper evaluation can rarely be made if the child's age is not known.

Here are further guidelines.

Pediatric History:

How old is she/he?
What is the child's gender?
What is her/his name?
Where and when was she/he born?
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?


These are basic questions.
There are many more.

What best describes the diagnosis among the listed diagnoses?

__________________________________________________________________
Emergency diagnosis and treatment in neonatal period.
Emergency diagnosis and treatment after neonatal period.
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.
What emergency diagnosis and treatment should emergency medical doctors and pediatricians know relevant to pediatrics?

Pediatric medical emergencies
What is the treatment?

__________________________________________________________________
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

1. Routine Newborn Care
Which is better, breastfeeding or formula-feeding?
2. Neonatal Hyperbilirubinemia
3. Newborn Resuscitation
4. High Risk Pregnancy
5. Common Problems of the 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?
6. Respiratory Distress in the Newborn
7. Cyanosis in Newborns
8. Neonatal Hypoglycemia
9. Neonatal Seizures
10. Neonatal Sepsis
11. Congenital and Perinatal Infections
12. Necrotizing Enterocolitis
13. Medico-legal problem
Newborn

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
    Infants (0-1 year old)
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?
Pre-school
Preschoolers (3-5 years old)
School age
Middle Childhood (6-8 years old)
Middle Childhood (9-11 years old)
    Does she enjoy her subjects?
    Does he enjoy his subjects?
    When Should Kids Bathe Alone?
Teens & adolescents
Adolescence: 11 - 21 years
Early Adolescence (12-14 years old)
Middle Adolescence (15-17 years old)
    Q: What's the right kind of exercise?
    Q: What foods do children need?
    Q: What Foods Should Be Avoided?
Puberty
    Q: When Should Puberty Start?
    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?

You are the specific physician on duty.
Medical emergency situation: What questions will you ask?
Medical nonemergency situation: What questions will you ask?
How will you further proceed in this situation?

Non-Emergency
  1. Antenatal Care

  2. Newborn care and safety

  3. Breastfeeding

  4. Infant Mortality Reduction Initiative

  5. Infant and toddler health

  6. Role of Law Enforcement in Responding to Child Abuse and Neglect

  7. Vaccines & Immunizations

  8. State School Immunization Requirements and Vaccine Exemption Laws

  9. What Checkups Include

  10. How to Start Homeschooling Your Child

  11. School education

  12. What is the purpose of school?
    “without a purpose, schools are houses of detention, not attention”

  13. How much are other resources with substandard curriculum asking for tuition?
    Is it justified?
    How do you plan to resolve these issues?

  14. Many more

Antenatal Care
Prenatal
What is another word for antenatal?
Antenatal: What is it?
What is prenatal care?
Why is prenatal care important?
What tests will you have during pregnancy? Answer
How big will your bump get? Answer
How often do you need prenatal visits? Answer


What is another word for antenatal?
Prenatal

Antenatal: What is it?
Being or happening before birth

Prenatal care, also known as antenatal care, is a type of preventive healthcare. It is provided in the form of medical checkups, consisting of recommendations on managing a healthy lifestyle and the provision of medical information such as maternal physiological changes in pregnancy, biological changes, and prenatal nutrition including prenatal vitamins, which prevents potential health problems throughout the course of the pregnancy and promotes the mother and child's health alike.[1][2] The availability of routine prenatal care, including prenatal screening and diagnosis, has played a part in reducing the frequency of maternal death, miscarriages, birth defects, low birth weight, neonatal infections and other preventable health problems.

How often do you need prenatal visits?
Recommended Schedule for a Healthy Pregnancy
For a healthy pregnancy, your doctor will probably want to see you on the following recommended schedule of prenatal visits:

Weeks 4 to 28: 1 prenatal visit a month
Weeks 28 to 36: 1 prenatal visit every 2 weeks
Weeks 36 to 40: 1 prenatal visit every week

American Academy of Pediatrics
https://www.aap.org/
American College of Obstetricians and Gynecologists
https://www.acog.org/#

https://www.acog.org/clinical-information/physician-faqs/-/media/3a22e153b67446a6b31fb051e469187c.ashx

Preventing problems for mothers and babies depends on an operational continuum of care with accessible, high quality care before and during pregnancy, childbirth, and the postnatal period.

Vaccines & Immunizations
Vaccine
  1. What are the sources for verifying these facts? Answer

  2. Are vaccines safe? Answer

  3. What is the schedule for vaccination? Answer

  4. Whose schedule and recommendations should be followed? Answer

  5. Are there any regional variations in the schedule and the recommendations? Answer

  6. Can these regional variations be harmful? Answer

  7. What do immunizations do? Answer

  8. What is your immunization policy? Answer

  9. How do I get a copy of my child's immunization record? Answer

  10. Who Needs Immunizations and When? Answer

  11. Which vaccines do pre-teens/adolescents need? Answer

  12. Are there any vaccine side-effects? Answer

  13. Why is vaccinating so important? Answer

  14. What are the ingredients / additives of vaccines? Answer

  15. What vaccines do adults need? Answer

  16. What vaccines do children need? Answer

  17. What diseases do vaccines prevent? Answer

  18. How are vaccine-preventable diseases tracked? Answer

  19. What are some of the common misconceptions about vaccinating? Answer

  20. What would happen if we stopped immunizations? Answer

  21. What vaccines does your child need? Answer

  22. Vaccines for adults: Which do you need? Answer

  23. What vaccines are available in the United States as of November 24, 2020? Answer

  24. What vaccines are available in the United States as of September 21, 2023? Answer

Vaccines & Immunizations
Vaccine
What are the sources for verifying these facts?
Centers for Disease Control and Prevention
1600 Clifton Road Atlanta, GA 30329-4027 USA
https://www.cdc.gov/about/

2023 Immunization Schedules

What vaccines does your child need?
Vaccines for adults: Which do you need?


Children (Birth to 18 Years)
Adults (19 and Older)
Pregnancy and Vaccination
Travelers
https://www.cdc.gov/vaccines/index.html

Pregnancy
Newborns
1 – 2 months
4 months
6 months
7 – 11 months
12- 23 months 2 – 3 years
4 – 6 years
7 -10 years
11 – 12 years
13 – 18 years
https://www.cdc.gov/vaccines/parents/index.html

At birth

Hepatitis B

Your child's age indicates that they need this vaccine.
Hepatitis B is a 3-dose series, usually given at birth, 1-2 months, and 6-18 months of age. Children older than 18 months and adolescents should be vaccinated if they have not yet completed the series.
https://www2a.cdc.gov/vaccines/childquiz/

Available vaccines

What vaccines are available in the United States as of November 24, 2020?
1. Adenovirus
2. Anthrax
3. Cholera
4. Diphtheria
5. Hepatitis
6. Hepatitis B
7. Haemophilus influenzae type b (Hib)
8. Human Papillomavirus (HPV)
9. Seasonal Influenza (Flu) only
10. Japanese Encephalitis (JE) (Ixiaro)
11. Measles
12. Meningococcal
13. Mumps
14. Pertussis
15. Pneumococcal
16. Polio
17. Rabies
18. Rotavirus
19. Rubella
20. Shingles
21. Smallpox
22. Tetanus
23. Tuberculosis
24. Typhoid
25. Varicella
26. Yellow Fever

Child Abuse
Child Abuse and Neglect
What is child abuse?
Any intentional harm or mistreatment to a child under 18 years old is considered child abuse. Child abuse takes many forms, which often occur at the same time.

What Are the Most Common Types of Child Abuse?
  1. Physical abuse. Physical child abuse occurs when a child is purposely physically injured or put at risk of harm by another person.

  2. Sexual abuse. Child sexual abuse is any sexual activity with a child. This can involve sexual contact, such as intentional sexual touching, oral-genital contact or intercourse. This can also involve noncontact sexual abuse of a child, such as exposing a child to sexual activity or pornography; observing or filming a child in a sexual manner; sexual harassment of a child; or prostitution of a child, including sex trafficking.

  3. Emotional abuse. Emotional child abuse means injuring a child's self-esteem or emotional well-being. It includes verbal and emotional assault — such as continually belittling or berating a child — as well as isolating, ignoring or rejecting a child.

  4. Medical abuse. Medical child abuse occurs when someone gives false information about illness in a child that requires medical attention, putting the child at risk of injury and unnecessary medical care.

  5. Neglect. Child neglect is failure to provide adequate food, clothing, shelter, clean living conditions, affection, supervision, education, or dental or medical care. In many cases, child abuse is done by someone the child knows and trusts — often a parent or other relative. If you suspect child abuse, report the abuse to the proper authorities.

  6. What is emotional and psychological abuse in children?
    Emotional and psychological abuse in children is defined as behaviors, speech, and actions of parents, caregivers, or other significant figures in a child’s life that have a negative mental impact on the child.

    According to the U.S. government, “emotional abuse (or psychological abuse) is a pattern of behavior that impairs a child’s emotional development or sense of self-worth.”

    Examples of emotional abuse include:
    name calling
    insulting
    threatening violence (even without carrying out threats)
    allowing children to witness the physical or emotional abuse of another
    withholding love, support, or guidance

    This is an example of physical child abuse.

    Teresa had just changed 18-month-old Dale's dirty diaper when he had another messy diaper; this made Teresa angry. She thought that putting him in hot water would punish him for the dirty diaper. When she put him in the tub, he cried loudly. Teresa slapped him to stop the crying and didn't notice the scald marks until after the bath was over.

    What is child abuse or neglect? What is the definition of child abuse and neglect?
    There are various types of abuse and neglect, and the symptoms of abuse and neglect may vary from child to child.

    Examples of physical child abuse

    Shaking or shoving.Slapping or hitting.Beating with a belt, shoe or other object.Burning a child with matches or cigarettes.Scalding a child with water that is too hot.Pulling a child's hair out.Breaking a child's arm, leg, or other bones.Not letting a child eat, drink or use the bathroom.

    Warning signs of abuse and neglect

    Cuts and bruises.Broken bones or internal injuries.Burns.Constant hunger or thirst.Lack of interest in surroundings.Dirty hair or skin, frequent diaper rash.Lack of supervision.Pain, bruising, or bleeding in the genitals.More knowledge about sex than is normal for the child's age.Hard-to-believe stories about how accidents occurred. What happens to abused and neglected children? Abuse and neglect have harmful effects on children. At worst, a child could die. More often, abused or neglected children live with fear or pain.

    Abused or neglected children often experience:

    Frequent injuries.Learning problems.Fear or shyness.Bad dreams.Behavior problems.Depression.Fear of certain adults or places. The effects don't end when the abuse or neglect stops. When abused or neglected children grow up, they are more likely to:

    Abuse their own families.Use violence to solve their problems.Have trouble learning.Have emotional difficulties.Attempt suicide.Use alcohol or other drugs.
    Abuse and neglect are hard on the whole family. Some families need help in dealing with practical problems—for example, getting help to buy groceries or learning how to discipline a child without resorting to violence. In other cases, a child protection agency might move abused or neglected children away from their parents to a safe, temporary home. If abuse or neglect is severe, or if it continues, the children can be permanently moved away from their parents into a safe situation.

    Examples of physical child abuse
    Shaking or shoving.Slapping or hitting.Beating with a belt, shoe or other object.Burning a child with matches or cigarettes.Scalding a child with water that is too hot.Pulling a child's hair out.Breaking a child's arm, leg, or other bones.Not letting a child eat, drink or use the bathroom.

    What is sexual child abuse?
    This is an example of sexual child abuse.

    Examples of sexual child abuse
    Fondling a child's genitals.Having intercourse with a child.Having oral sex with a child.Having sex in front of a child.Having a child touch an older person's genitals.Using a child in pornography.Showing X-rated books or movies to a child.

    What is child neglect?
    This is an example of neglect.

    John worked nights at the grocery store, but the family needed more money. Ellen looked for work, but the only job she could find required her to leave home at 3 a.m. The children, ages two and six, were alone for a few hours until John got home.

    Examples of child neglect

    Not meeting a child's need for food, clothing, shelter or safety.Leaving a child unwatched.Leaving a child in an unsafe place.Not seeking necessary medical attention for a child.Not having a child attend school. Why do abuse and neglect happen? Parents and caretakers don't always know that they are being abusive or neglectful. Few adults actually intend to hurt or neglect children.

    Sometimes a caretaker just doesn't know a better way to discipline a child. Sometimes an adult is just too frustrated with life and takes it out on a child.

    An adult is more likely to abuse or neglect a child:

    If the caretaker was abused as a child.If the caretaker is being abused by a spouse or partner.If the caretaker uses alcohol or other drugs.If the adult expects too much of a child.If the child is the result of an unplanned pregnancy. Some adults don't know how to correct a child without causing physical harm. An adult who has this problem can learn new ways to discipline without hurting a child.

    Look for times when the child is behaving well. Praise that behavior.Agree on a code word to use when things reach the boiling point. The code word signals that everyone needs some time to cool down before talking about the problem.When a child misbehaves, give the child a "time-out", a few minutes alone to think about what happened.Talk to the child about the misbehavior and its effects. Sometimes, parents and caretakers need to learn to control their own anger. They need to identify the things that make them more likely to hurt the children in their care.

    Caretakers who abuse or neglect a child might be:

    Worried about not having enough money.Having problems with spouses or partners.Coping with a family member's illness or death.Acting the way their parents acted.Stressed from their jobs or other problems.Expecting unrealistic behavior for example, thinking a five-year-old can handle the same tasks as a nine-year-old, and do them as well. Often people who abuse or neglect children experience more than one of these situations at the same time.

    Hurting a child or not filling a child's basic needs never makes things better. No matter what the problem, help is available.

    Do you know a child who is abused or neglected?

    How can we end abuse and neglect?
    Sometimes, people are afraid to report abuse or neglect because they don't want to break up a family. Sometimes, people are afraid to get involved in someone else's problem.

    When you report suspected child abuse or neglect, you could be saving that child's life The goal of stopping abuse and neglect is to keep children safe. Part of keeping children safe is finding help for the adults who have hurt them. Adults who have abused or neglected a child have many places to turn for help.

    The child's doctor can explain children's needs at every age. He or she can recommend places to learn more about parenting and child care.Local health and social service departments often have parenting classes. Social service workers also can help parents get assistance to ease their financial situations.Hospitals and community centers often have classes on stress reduction, parenting, discipline, and nutrition.Psychologists, counselors, and social workers can help parents and caregivers deal with problems like drug use, anger and previous experiences of abuse.Religious groups often provide food, counseling, and other types of support for anyone in the community—not just their members.
    If you see that a relative, neighbor or friend is under a lot of stress and might hurt children in their care, suggest that the person get help from one of these services. Stop the problem before it starts.

    What should I do if I suspect a child is being hurt?
    Report your suspicion to a local, county or state child protection agency. Call a crisis hotline or find the agency number in the blue government pages of a telephone directory.

    Who must report abuse?
    In every state, the following people are required by law to report suspected abuse:

    DoctorsNursesDentistsMental health professionalsSocial workersTeachersDay care workersLaw enforcement personnel When you make a report, the agency will make a judgment about how serious the situation is. If necessary, a child protection worker will visit the family to see whether abuse or neglect has occurred and to determine what needs to be done. The goals of child protection are to:

    Stop the abuse.Give needed services to the family.Help the family become safe and loving.
    No child should have to live in fear of abuse or neglect.

    Protect the children you love—help stop child abuse and neglect.

    Bullying

    Bullying occurs among children from all walks of life and can take many forms e.g., teasing, physical assault, harassment based on race, gender, sexual orientation, religion and/or weight.

    Where to go for help

    Several organizations can provide information and advice about child abuse and neglect:

    American Humane AssociationChild Help USAAmerican Bar Association Center on Children and the LawAmerican Professional Society on the Abuse of ChildrenChild Welfare Information Gateway Children's Bureau/ACYF/ACF/HHSInstitute on Violence, Abuse and TraumaNational Organization for Victim AssistancePreventChildAbuse.orgRape, Abuse, and Incest National Network

    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
Nutrition

1. Nutrition Overview
2. Breast Feeding
3. Infant Formulas
4. Fluids and Electrolytes
5. Failure to Thrive
6. Malnutrition and Vitamin Deficiencies
Parenting Advice
Criminal activities while making various excuses about orphans or orphanages.
Orphanage Services
Questions essential in these situations.
    What are basic human rights?
    What are the elements of effective case management?
    What are various criminal offenses?
    When is a person a ward of the state in Kashmir?
    Is anyone covering up criminal activities under the excuse of orphans and orphanages?
    Are you dealing with repeated criminal conspiracies?
    Who is regarded as an orphan?
    What information and facts are mandatory to know about an orphan?
    What was the age when he or she became an orphan?
    Where and when was he or she born?
    Does he or she have any brothers or sisters?
    Where are they now?
    How and where did his or her father die?
    How and where did his or her mother die?
    How did his or her mother die?
    Who are relatives of his father and mother?
    What was his age at the time of death?
    What were the circumstances of the death?
    What was the place of death?
    How old was he or she at that point?
    Did they tell him or her about the facts?
    What was the day, date, month, and year of death?
    Who provided and verified this information?
    Where is the burial or cremation site?
    Who witnessed the burial or cremation?
    What was the ethnicity of his father and mother?
    What was their mailing address from the time of birth until death?
    What are the sources of this information?
    Who verified this information?
    How credible is the information?
    Why will a woman bear a child up to full term and later intentionally abandon that child?
    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?
    Don't you think hypothetical assumptions will face rebuttal?
    What questions need to be answered in this scenario?
    Where and when was the child located?
    What were the date, time, and place?
    What clothes was the child wearing?
    What should be listed as the date of birth of the child?
    Who should decide what should be listed as the date of birth of the child?
    Did the child need any medical resuscitation?
    Was the child able to crawl, walk with support, walk without support, write, or speak a word?
    Who located the child?
    What was done after the child was located?
    Was child transferred from another location intentionally?
    Who else is involved?
    Was the child abducted?
    Who abducted the child?
    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.
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?
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?
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Common Pediatric conditions
Pharyngitis
Sinusitis
Laryngitis
Gastroenteritis
Rheumatic Fever
Peritonsillar Abscess
Pneumonia
Asthma
Allergic Rhinitis
Urinary Tract Infection
Attention Deficit Disorder
Attention Deficit Hyperactivity Disorder

Hematuria
Atopic Dermatitis
Contact Dermatitis
Diaper Dermatitis
Diabetes Mellitus, Type 1
Growth Failure
Short Stature
Anemia
Lymphadenopathy
Fever Without a Focus
Fever in the Toddler
Fever in the Young Infant
Food Poisoning
Influenza
Measles
Mononucleosis and Epstein-Barr Virus Infection
Osteomyelitis
Nephritis
Disorders of Bone Mineralization
Failure to Thrive
Rickets
Scurvy
Childhood Cancer
Amebiasis
Ascariasis
Pneumothorax
Malaria
Common and Rare Pediatric conditions
Allergy and Immunology

Allergic Rhinitis
Agammaglobulinemia
Angioedema
Asplenia
B-Cell and T-Cell Combined Disorders
Bruton Agammaglobulinemia
Cartilage-Hair Hypoplasia
Common Variable Immunodeficiency
Complement Deficiency
Complement Receptor Deficiency
Delayed-type Hypersensitivity
DiGeorge Syndrome
Exercise-Induced Anaphylaxis
Graft Versus Host Disease
Hypereosinophilic Syndrome
Hyperimmunoglobulinemia E (Job) Syndrome
IgA and IgG Subclass Deficiencies
Kostmann Disease
Leukocyte Adhesion Deficiency
Mold Allergy
Myeloperoxidase Deficiency
Omenn Syndrome
Purine Nucleoside Phosphorylase Deficiency
Serum Sickness
Severe Combined Immunodeficiency
Systemic Sclerosis
T-Cell Disorders
Thymoma
Transient Hypogammaglobulinemia of Infancy
Urticaria
Wiskott-Aldrich Syndrome
X-linked Immunodeficiency With Hyper IgM
Cardiology

Congestive Heart Failure
Acyanotic Congenital Heart Disease
Cyanotic Congenital Heart Disease
Rheumatic Fever
Carditis
Arrhythmias
Vascular Rings and Slings
Vasculitis and Thrombophlebitis
Dermatology

Acrodermatitis Enteropathica
Acropustulosis
Atopic Dermatitis
Caf� Au Lait Spots
Contact Dermatitis
Diaper Dermatitis
Dyshidrotic Eczema
Epidermolysis Bullosa
Erythema Toxicum
Frostbite
Gianotti-Crosti Syndrome
Hypomelanosis of Ito
Ingrown Nails
Keratosis Pilaris
Milia
Molluscum Contagiosum
Neonatal Pustular Melanosis
Nevoid Basal Cell Carcinoma Syndrome
Pediculosis (Lice)
Pityriasis Alba
Pityriasis Rosea
Pyogenic Granuloma
Scabies
Sunburn
Tinea Versicolor
Zoster
Endocrinology

17-Hydroxylase Deficiency Syndrome
3-Beta-Hydroxysteroid Dehydrogenase Deficiency
5-Alpha-Reductase Deficiency
Adrenal Hypoplasia
Adrenal Insufficiency
Allgrove (AAA) Syndrome
Androgen Insensitivity Syndrome
Beckwith-Wiedemann Syndrome
Cerebral Salt-Wasting Syndrome
Congenital Adrenal Hyperplasia
Congenital Hypothyroidism
Constitutional Growth Delay
Diabetes Insipidus
Diabetes Mellitus, Type 1
Diabetes Mellitus, Type 2
Familial Glucocorticoid Deficiency
Gigantism and Acromegaly
Glucocorticoid Resistance Syndrome
Glucocorticoid Therapy and Cushing Syndrome
Graves Disease
Growth Failure
Growth Hormone Deficiency
Hyperaldosteronism
Hypercalcemia
Hyperinsulinemia
Hypermagnesemia
Hyperparathyroidism
Hyperpituitarism
Hyperthyroidism
Hypocalcemia
Hypoglycemia
Hypogonadism
Hypomagnesemia
Hypoparathyroidism
Hypophosphatemic Rickets
Hypopituitarism
Hyposomatotropism
Hypothyroidism
Laron Syndrome
McCune-Albright Syndrome
Microphallus
Multiple Endocrine Neoplasia
Nelson Syndrome
Panhypopituitarism
Persistent Hyperinsulinemic Hypoglycemia of Infancy
Polycystic Ovarian Syndrome
Precocious Pseudopuberty
Precocious Puberty
Pseudohypoaldosteronism
Short Stature
Solitary Thyroid Nodule
Syndrome of Inappropriate Antidiuretic Hormone Secretion
Thyroid Storm
Thyroiditis
VIPoma
Gastroenterology

Alagille Syndrome
Appendicitis
Autoimmune Chronic Active Hepatitis
Biliary Atresia
Budd-Chiari Syndrome
Caroli Disease
Cholecystitis
Cholelithiasis
Cholestasis
Colic
Colitis
Congenital Hepatic Fibrosis
Congenital Microvillus Atrophy
Constipation
Crohn Disease
Cronkhite-Canada Syndrome
Cyclic Vomiting Syndrome
Diarrhea
Dubin-Johnson Syndrome
Duodenal Atresia
Encopresis
Esophagitis
Fulminant Hepatic Failure
Gastroesophageal Reflux
Gastrointestinal Foreign Bodies
Glucuronyl Transferase Deficiency
Helicobacter Pylori Infection
Hemochromatosis, Neonatal
Hirschsprung Disease
Imperforate Anus
Intestinal Enterokinase Deficiency
Intestinal Malrotation
Intestinal Polyposis Syndromes
Intestinal Volvulus
Intussusception
Irritable Bowel Syndrome
Lactose Intolerance
Malabsorption Syndromes
Mallory-Weiss Syndrome
Meckel Diverticulum
Pancreatitis and Pancreatic Pseudocyst
Pediatric Hernias
Peptic Ulcer Disease
Primary Sclerosing Cholangitis
Progressive Familial Intrahepatic Cholestasis
Protein Intolerance
Protein-Losing Enteropathy
Pyloric Stenosis, Hypertrophic
Rectal Prolapse
Sandifer Syndrome
Short Bowel Syndrome
Small-Bowel Obstruction
Soy Protein Intolerance
Sprue
Superior Mesenteric Artery Syndrome
Ulcerative Colitis
Veno-occlusive Hepatic Disease
Volvulus
Zollinger-Ellison Syndrome
Hematology

Acanthocytosis
Anemia, Acute
Anemia, Chronic
Anemia, Fanconi
Anemia, Megaloblastic
Antithrombin III Deficiency
Autoimmune and Chronic Benign Neutropenia
Bernard-Soulier Syndrome
Chronic Granulomatous Disease
Cold Agglutinin Disease
Consumption Coagulopathy
Evans Syndrome
Factor VII Deficiency
Factor XIII Deficiency
Hemoglobin H Disease
Hemophilia A and B
Hemophilia C
Hereditary Disorders of Red Cell Permeability
Hereditary Elliptocytosis and Related Disorders
Histiocytosis
Hypoprothrombinemia
Inherited Abnormalities of Fibrinogen
Kasabach-Merritt Syndrome
Leukocytosis
Lymphadenopathy
May-Hegglin Anomaly
Methemoglobinemia
Myelodysplasia
Myelofibrosis
Osler-Weber-Rendu Syndrome
Paroxysmal Cold Hemoglobinuria
Pearson Syndrome
Pelger-Huet Anomaly
Polycythemia
Polycythemia Vera
Porphyria, Acute
Porphyria, Cutaneous
Pyruvate Kinase Deficiency
Shwachman-Diamond Syndrome
Sickle Cell Anemia
Splenomegaly
Thalassemia
Thalassemia Intermedia
Thrombasthenia
Thrombocytopenia-Absent Radius Syndrome
Thrombocytosis
Thromboembolism
Transient Erythroblastopenia of Childhood
Tropical Splenomegaly Syndrome
Von Willebrand Disease
White Blood Cell Function
Infectious Diseases

Actinomycosis
Animal Bites
Aphthous Ulcers
Arthritis, Septic
Aspergillosis
Atypical Mycobacterial Infection
Bacteremia
Bacterial Tracheitis
Blastomycosis
Botulism
Bronchiolitis
Brucellosis
Campylobacter Infections
Candidiasis
Catscratch Disease
Chlamydial Infections
Cholera
Chorioretinitis
Chronic Fatigue Syndrome
Coccidioidomycosis
Croup
Cytomegalovirus Infection
Dengue
Diphtheria
Echovirus
Ehrlichiosis
Enterococcal Infection
Enteroviral Infections
Epiglottitis
Escherichia Coli Infections
Fever Without a Focus
Fever in the Toddler
Fever in the Young Infant
Food Poisoning
Gastroenteritis
Gonorrhea
Haemophilus Influenzae Infection
Hantavirus Pulmonary Syndrome
Hepatitis A
Hepatitis B
Hepatitis C
Herpes Simplex Virus Infection
Herpesvirus 6 Infection
Hospital-Acquired Infections
Human Bites
Human Immunodeficiency Virus Infection
Human Metapneumovirus
Impetigo
Infections in the Immunocompromised Host
Influenza
Kawasaki Disease
Legionella Infection
Leprosy
Leptospirosis
Listeria Infection
Lyme Disease
Lymphadenitis
Lymphangitis
Lymphocytic Choriomeningitis Virus
Mastoiditis
Measles
Meningitis, Aseptic
Meningitis, Bacterial
Meningococcal Infections
Mononucleosis and Epstein-Barr Virus Infection
Mucormycosis
Mumps
Mycoplasma Infections
Naegleria
Nocardiosis
Osteomyelitis
Parainfluenza Virus Infections
Parvovirus B19 Infection
Peritonsillar Abscess
Pertussis
Pharyngitis
Plague
Pneumococcal Bacteremia
Pneumococcal Infections
Pneumonia
Poliomyelitis
Pseudomonas Infection
Pyelonephritis
Q Fever
Rabies
Respiratory Syncytial Virus Infection
Rhinovirus Infection
Rickettsial Infection
Rocky Mountain Spotted Fever
Rubella
Salmonella Infection
Scrub Typhus
Sepsis
Shigella Infection
Sporotrichosis
Staphylococcus Aureus Infection
Streptococcal Infection, Group A
Syphilis
Tetanus
Thrush
Toxic Shock Syndrome
Tuberculosis
Tularemia
Urinary Tract Infection
Varicella
Viral Hemorrhagic Fevers
Yellow Fever
Yersinia Enterocolitica Infection
Nephrology

Acute Poststreptococcal Glomerulonephritis
Acute Tubular Necrosis
Adipsia
Alport Syndrome
Anti-GBM Antibody Disease
Bartter Syndrome
Chronic Kidney Disease
Cystinosis
Fanconi Syndrome
Hematuria
Hemolytic-Uremic Syndrome
Hemorrhagic Fever With Renal Failure Syndrome
Henoch-Schonlein Purpura
Hypercalciuria
IgA Nephropathy
Medullary Cystic Disease
Medullary Sponge Kidney
Multicystic Renal Dysplasia
Myoglobinuria
Nephritis
Nephrotic Syndrome
Oligomeganephronia
Oliguria
Polycystic Kidney Disease
Potter Syndrome
Proteinuria
Renal Cortical Necrosis
Renal Glucosuria
Uric Acid Stones
Urolithiasis
Xanthinuria
Nutrition

Beriberi
Biotin Deficiency
Carotenemia
Disorders of Bone Mineralization
Failure to Thrive
Malnutrition
Marasmus
Obesity
Osteoporosis
Pellagra
Rickets
Scurvy
Vitamin B-6 Dependency Syndromes
Oncology

Acute Lymphoblastic Leukemia
Acute Myelocytic Leukemia
Adrenal Carcinoma
Astrocytoma
Bone Marrow Transplantation, Long-Term Effects
Carcinoid Tumor
Childhood Cancer, Epidemiology
Childhood Cancer, Genetics
Clear Cell Sarcoma of the Kidney
Colorectal Tumors
Craniopharyngioma
Ependymoma
Ewing Sarcoma and Primitive Neuroectodermal Tumors
Gonadoblastoma
Gorlin Syndrome
Hematopoietic Stem Cell Transplantation
Hepatoblastoma
Hepatocellular Carcinoma
Hodgkin Disease
Immunotherapeutic Targeting
Late Effects of Childhood Cancer and Treatment
Li-Fraumeni Syndrome
Liposarcoma
Lymphohistiocytosis
Lymphoproliferative Disorders
Malignant Rhabdoid Tumor
Medulloblastoma
Myelodysplastic Syndrome
Nasopharyngeal Cancer
Neuroblastoma
Non-Hodgkin Lymphoma
Nonrhabdomyosarcoma Soft Tissue Sarcomas
Oncologic Emergencies
Osteosarcoma
Pheochromocytoma
Rhabdomyosarcoma
Seminoma
Tumor Lysis Syndrome
Veno-occlusive Hepatic Disease
WAGR Syndrome
Wilms Tumor
Parasitology

Amebiasis
Amebic Meningoencephalitis
Ancylostoma Infection
Ascariasis
Babesiosis
Bancroftian Filariasis
Cryptosporidiosis
Cutaneous Larva Migrans
Cyclosporiasis
Cysticercosis
Dientamoeba Fragilis Infection
Diphyllobothrium Latum Infection
Dirofilariasis
Dracunculiasis
Echinococcosis
Enterobiasis
Fascioliasis
Filariasis
Giardiasis
Gnathostomiasis
Hookworm Infection
Hymenolepiasis
Intestinal Protozoal Diseases
Isosporiasis
Leishmaniasis
Malaria
Neurocysticercosis
Paragonimiasis
Schistosomiasis
Strongyloidiasis
Taenia Infection
Toxocariasis
Toxoplasmosis
Trichinosis
Trichomoniasis
Trypanosomiasis
Visceral Larva Migrans
Whipworm
Pulmonology

Airway Foreign Body
Alveolar Proteinosis
Aspiration Syndromes
Asthma
Atelectasis, Pulmonary
Bronchiectasis
Bronchitis, Acute and Chronic
Bronchogenic Cyst
Children's Interstitial Lung Disease (ChILD)
Congenital Central Hypoventilation Syndrome
Congenital Stridor
Cystic Adenomatoid Malformation
Cystic Fibrosis
Empyema
Goodpasture Syndrome
Hemosiderosis
Hemothorax
High-Altitude Cardiopulmonary Diseases
Histoplasmosis
Hydrocarbon Inhalation Injury
Hypersensitivity Pneumonitis
Inhalation Injury
Laryngomalacia
Loffler Syndrome
Obesity-Hypoventilation Syndrome and Pulmonary Consequences of Obesity
Obstructive Sleep Apnea Syndrome
Passive Smoking and Lung Disease
Pectus Carinatum
Pectus Excavatum
Pleural Effusion
Pneumatocele
Pneumomediastinum
Pneumothorax
Pneumonia
Primary Ciliary Dyskinesia
Pulmonary Hypertension, Idiopathic
Pulmonary Hypoplasia
Pulmonary Sequestration
Right Middle Lobe Syndrome
Sarcoidosis
Sleep Apnea
Sudden Infant Death Syndrome
Tracheomalacia
Wegener Granulomatosis
Rheumatology

Antiphospholipid Antibody Syndrome
Arthritis, Conjunctivitis, Urethritis Syndrome
Behcet Syndrome
Costochondritis
Fibromyalgia
Infantile Polyarteritis Nodosa
Juvenile Rheumatoid Arthritis
Mixed Connective Tissue Disease
Myositis Ossificans
Neonatal Lupus and Cutaneous Lupus Erythematosus in Children
Polyarteritis Nodosa
Rhabdomyolysis
Sjogren Syndrome
Systemic Lupus Erythematosus
Takayasu Arteritis
Transient Synovitis
Weber Disease

Last Updated: September 20, 2023