Bronchiolitis

Bronchiolitis

Bronchiolitis is an infectious, inflammatory process of the bronchioles. Primarily a disease of the very young (95% of cases occur in children < 2 years old). Always viral. Most commony caused by the Respiratory syncitial virus (RSV). Other causes include…

Bacterial tracheitis on lateral neck X-ray

Upper Airway Disease in Children

Overview Condition Pathogen Laryngitis Viral Laryngotracheobronchitis Parainfluenza virus Spasmodic croup Several viruses and allergic cause Epiglottitis Haemophilus influenza Type B; Gram + bacteria Bacterial tracheitis S. aureus Foreign body obstruction N/A (Foreign body) Laryngitis Inflammation of the larynx. Corynebacterium diphtheria…

Metaphyseal cupping

Rickets

Overview Rickets is an impairment of bone mineralization prior to epiphyseal closure. The most common cause of rickets is Vitamin D deficiency (does not occur naturally in foods, needs fortification/supplementation). Rickets manifests as skeletal malformations Vitamin D-related rickets Vitamin D…

Failure to Thrive

Overview Failure to thrive is failure to grow at the expected rate given the child’s age. Historically divided into organic and non-organic (environmental) causes. Perform investigations if non-organic causes are not suspected. Subtypes of FTT Misconceptions about FTT Common non-organic…

Mean Upper Arm Circumference

Severe Acute Malnutrition (SAM)

Overview Malnutrition is defined as a lack of macronutrients (calories) OR a lack of micronutrients (Vitamins, minerals). For this discussion, we will consider undernutrition in terms of inadequate consumption of macronutrients. Weight, height, and age For children, percentiles using growth…

Social Development

Summary of important social milestones Age Milestones 1 month old Prefers human faces, reacts to voice, establishes eye contact 2 months old Social smile 4 months old Sustained social smile, laughs 6 months old Prefers caretaker, stranger anxiety starts 9…

Motor Development

Summary of important motor milestones Age Milestones 1 month old Raise head off table 2 months old Hold head steady while sitting in lap 4 months old Lift head above plane; grasp objectsl; 2x birthweight 6 months old Transfer objects…

Advanced Cardiac Life Support

Overview Cardiac Arrest Refers to sudden loss of pulse, drop in blood pressure, and loss of perfusion. Death results in 5 minutes without proper resuscitation (but brain damage results earlier than this). This is a medical emergency. Can be idiopathic.…