By Vijay P. Makhija
This laptop reference includes 121 case reports of either universal and infrequent stipulations that could be encountered in paediatric perform. each one case includes a number of medical photos, a chain of questions with regards to the image(s), after which bargains a accomplished evaluate of the , in addition to acceptable analysis and remedy of the matter. Pediatric secrets and techniques comprises 224 medical, color images, in addition to an ancillary DVD illustrating cutaneous antagonistic drug reactions.
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Example text
The upper limb has most characteristic position. The shoulders are adducted and medially rotated, elbows are extended or flexed, forearm is pronated, wrists are flexed and have ulnar deviation and fingers are flexed. The lower extremities are less frequently involved. It is a sporadic condition; chances of recurrence are low and prognosis good. The cause is unknown. Fetal spinal disruption due to systemic hypotension producing anterior horn cell ischemia is the most likely explanation. Muscle biopsy may show evidence of myopathy and neuropathy.
No tuberculin testing is required before administration of BCG. It can be given with other vaccines simultaneously or at any gap. But a gap of minimum 4 weeks should be kept between BCG and measles/MMR vaccine. BCG may be repeated once in children less than 5 years of age if no reaction or scar is seen after BCG vaccination presuming that BCG has not taken up. Even many of these patients have shown in vitro evidence of cell mediated immunity against TB. Tuberculin testing is not required prior to administration of second dose of BCG.
Typical lesions consist of large confluent areas of moist denuded erythematous skin with an irregular macerated scaly border with characteristic satellite lesions as small vesicles or papules on an erythematous base. Obesity and diabetes predispose. Management Its management mainly involves topical application of antifungal powders as clotrimazole and trying to correct the predisposing factors. Oral fluconazole in 3-6 mg/kg for a week or longer is helpful in extensive cases. Weekly doses are recommended in recurrent cases.