Malaria in Children

Overview Malaria is an infectious disease caused by Plasmodium spp. It is one of the leading causes of morbidity and mortality, particularly in children < 5yo in Kenya. Plasmodium falciparum is the MCC of malaria. A parasitological dx of malaria…

Sudden Infant Death Syndrome (SIDS)

Sudden Infant Death Syndrome (Neonatal Death or Cot Death) Sudden infant death syndrome (SIDS), also known as cot death or neonatal death, is a sudden, unexplained death of a seemingly healthy infant < 1-year-old. It occurs during sleeping or when…

Pneumonia in Children

Pneumonia is an acute lower respiratory tract infection of the lungs. It is characterised by fast breathing and chest indrawing in children. It is still the leading killer of children worldwide, 29% of pediatric deaths worldwide, 158 million cases per…

Bronchiolitis

Bronchiolitis is an infectious inflammation of the bronchioles. It is primarily a disease of the very young – 95% of cases occur in children < 2 years old. It is almost always viral in origin, most commonly caused by the…

Upper Airway Disease in Children

Overview Causes of upper airway diseases in children Condition Pathogen Laryngitis Viruses, Corynebacterium diphtheria, in non-vaccinated individuals Croup (Laryngotracheobronchitis) Parainfluenza virus Spasmodic croup Several viruses and allergic causes Epiglottitis Haemophilus influenzae Type B; Gram-positive bacteria Bacterial tracheitis Staphylococcus aureus Foreign…

Rickets

Rickets Rickets is a serious condition that is due to impaired bone mineralization before epiphyseal closure. It is caused by a deficiency in vitamin D, calcium, or phosphorus, and mainly manifests as skeletal malformations. It peaks between 6 and 15…

Failure to Thrive

Overview Failure to thrive is characterized by insufficient weight gain or inappropriate growth at the expected rate given a child’s age. It is currently defined as a weight-for-age below the fifth percentile on a standardized age-based growth chart, a decrease…

Malnutrition

Malnutrition is defined as a lack of macronutrients (calories) OR a lack of micronutrients (vitamins and minerals). Here, we will consider undernutrition in terms of inadequate consumption of macronutrients. Anthropometric indices Indices Description Weight for age (W/A) This is used…

Social Development

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

Motor Development

Summary of important motor milestones Age Milestones 1 month old Raise their head off the table 2 months old Holds their head steady while sitting on the lap 4 months old Lifts head above plane; grasp objects; 2x birthweight 6…