Contents Chapter Topic Page Neonatology Respiratory Cardiology

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Neurology 34 Febrile Convulsions……………………………………………. 192 35 Epilepsy…………………………………………………………. 196 36 Meningitis……………………………………………………….. 204 37 Child with Altered Consciousness…………………………… 210 38 Brain Death…………………………………………………… 217 Endocrinology 39 Diabetes Mellitus ……………………………………………… 223 40 Congenital Hypothyroidism…………………………………… 234 41 Ambiguous Genitalia………………………………………… 240 42 Congenital Adrenal Hyperplasia……………………………. 246 Nephrology 43 Acute Glomerulonephritis…………………………………….. 251 44 Acute Renal Failure………………………………………….. 257 45 Acute Peritoneal Dialysis…………………………………….. 266 46 Nephrotic Syndrome………………………………………….. 271 47 Urinary Tract Infection……………………………………….. 279 48 Vesico-ureteric Reflux………………………………………… 285 49 Antenatal Hydronephrosis…………………………………… 288 50 Hematology / Oncology The Anaemic Child ……………………………………………. 294 51 Haemophilia…………………………………………………….. 298 52 Immune Thrombocytopenic Purpura………………………… 305 53 Thalassaemia…………………………………………………… 311 54 Oncologic Emergencies……………………………………… 317 55 General Guidelines for Acute Lymphoblastic Leukaemia Maintenance Therapy…………………………………………. 328 Gastroenterology 56 Acute Gastroenteritis…………………………………..………. 332 57 Acute Hepatic Failure………………………………………….. 343 58 Gastrointestinal Bleed…………………………………………. 346 Infections Diseases 59 Sepsis / Septic Shock………………………………………….. 348 60 Paediatric HIV………………………………………………….. 355 61 Malaria…………………………………………………………… 369 62 Tuberculosis……………………………………………………. 374 63 BCG Lymphadenitis…………………………………………… 381 64 Dengue Fever………………………………………………….. 384 65 Congenital Syphilis…………………………………………….. 393 66 Ophthalmia Neonatorum………….……................................ 396
Dermatology 67 Atopic Dermatitis……………………………………………… 399 68 Impetigo……………………………………………………….. 404 69 Scabies…………………………………………………………… 405 70 Steven-Johnson Syndrome…………………………………. 407 71 Metabolic / Genetics General Approach to Inborn Errors Of Metabolism……….. 410 72 Algorithm For The Sick Infant to Screen for Treatable IEM……………………………………………………………… 73 Approach to Hyperammonemia……………………………….. 419 74 Approach to Hypoglycaemia…………………………………. 423 75 Approach to Metabolic Acidosis…………………………….. 426 76 Down Syndrome……………………………………………….. 430 Surgical <strong>Topic</strong>s 77 Appendicitis……………………………………………………… 438 78 Persistent Vomiting in the Neonate and Child………………. 442 79 Intussusception………………………………………………… 448 80 Inguinal Hernias, Hydroceles………………………………… 452 81 Undescended Testis…………………………………………… 454 82 The Acute Scrotum……………………………………………... 456 83 Penile Conditions ……………………………………………… 459 Rheumatology 84 Juvenile Idiopathic Arthritis……………………………………. 461 Poisons and Toxins 85 Snake Bites……………………………………………………… 468 86 Common Poisons………………………………………………. 476 87 Anaphylactic Reactions………………………………………. 484 Appendix 88 Ward Procedures………………………………………………. 486 Drug Dosages…………………………………………………. 513 Growth Charts…………………………………………………. 565 Pediatric Advanced Life Support Algorithms……………….. 577 416
Page 1: Contents Chapter Topic Page 1 Norma
Page 5 and 6: Dato’ Dr. Lim Nyok Ling Consultan
Page 7 and 8: ISSN 1823-3856 Printed by: Perniaga
Page 9 and 10: Foreword One of the maxims of scien
Page 11 and 12: B. Anthropometric Measurements a) H
Page 13 and 14: Immunisation 1. Immunisation schedu
Page 15 and 16: 2 General Notes 2.1 Many vaccines (
Page 17 and 18: 3.5.6 Rubella - Contraindicated in
Page 19 and 20: 4.8 Rubella May have rash, fever,
Page 21 and 22: 5.5 Close contacts of immuno-defici
Page 23 and 24: Developmental Assessment Developmen
Page 25 and 26: Hearing Assessment Warning signs fo
Page 27 and 28: Global Developmental Delay History
Page 29 and 30: Developmental Milestones Table AGE
Page 31 and 32: AGE Gross Motor Vision & Fine Motor
Page 33 and 34: Principles of Transport of the Sick
Page 35 and 36: 3.1 Airway Management Establish a p
Page 37 and 38: 3.7 Environment Neutral Thermal Env
Page 39 and 40: 7. Special Surgical Conditions 7.1
Page 41 and 42: • Ventilation - Most of the babie
Page 43 and 44: Neonatal Resuscitation High Risk De
Page 45 and 46: • Drugs are available (and prepar
Page 47 and 48: Meconium stained liquor: Meconium i
Page 49 and 50: Summary: Use of medications during
Page 51 and 52: Definition Premature infant: < 37 w
Page 53 and 54:
8. Supplements: a. At birth : Vitam
Page 55 and 56:
Enteral Feeding in Neonates 1. Intr
Page 57 and 58:
32 weeks Well babies Start milk imm
Page 59 and 60:
Total Parenteral Nutrition for Neon
Page 61 and 62:
Clearance is usually monitored by m
Page 63 and 64:
Daily weight Meticulous care of th
Page 65 and 66:
Monitor BUSE and correct any imbala
Page 67 and 68:
C. UAC and UVC care UAC position Le
Page 69 and 70:
HIGH FREQUENCY OSCILLATORY VENTILAT
Page 71 and 72:
6. Infants must be monitored closel
Page 73 and 74:
pH , PaCO2, PaO2, HCO3 - , Bases Ex
Page 75 and 76:
Q. Name a likely diagnosis A. RDS 3
Page 77 and 78:
A. Definition Birth Asphyxia There
Page 79 and 80:
E. Management I. Good intrapartum c
Page 81 and 82:
c. All doctors managing such infant
Page 83 and 84:
Etiology Determination of etiology
Page 85 and 86:
FLOW CHART: MANAGEMENT OF NEONATAL
Page 87 and 88:
2. Klauss & Fanaroff: Care of The H
Page 89 and 90:
D. Asymptomatic Hypoglycaemia Feed
Page 91 and 92:
NEONATAL JAUNDICE What is jaundice?
Page 93 and 94:
Physical examination • General co
Page 95 and 96:
Once the baby is on phototherapy, v
Page 97 and 98:
Reference: extracted from MOH publi
Page 99 and 100:
- 1ml of 4.2% NaHCO3 given for ever
Page 101 and 102:
a. If unconjugated hyperbilirubinae
Page 103 and 104:
APNOEA IN THE NEWBORN Definition :
Page 105 and 106:
History NEONATAL SEPSIS Septic Neon
Page 107:
Antibiotic choice will depend on pr
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Contents Chapter Topic Page Neonatology Respiratory Cardiology

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