PAEDIATRICS IN PICTURE

DR SANA BUSHRA

STATION 1
Identify the spot How many grades does this condition have Name 3 diseases having this condition

ANSWER
a)Clubbing b)Four grades Grade 1 fluctuation and softening of the nail bed Grade 2 obliteration of the normal angle between nail and nail bed Grade 3 convexity of the nail ; drum stick appearance Grade 4 broadened terminal pulp of the digit C) I ) tetralogy of fallot ii) celiac disease iii) cystic fibrosis

STATION 2
Identify Give five causes of this condition

ANSWER
White pupillary reflex 1 Post infection congenital rubella 2 Galactosemia 3 Retinoblastoma 4 Coats disease 5 Wilson disease

STATION 3
Name the spots Give ten causes

ANSWER
Caf au-lait spots 1 neurofibromatosis type 1 and 2 2 McCune Albright syndrome 3 ataxia telangiectasia 4 fanconi anemia 5 Russell-silver syndrome 6 Tuberous sclerosis 7 Gaucher disease 8 Chediak Higashi syndrome 9 Turner syndrome 10 Proteus syndrome

STATION 4
Name the disease Name 10 complications

ANSWER
Measles 1 Giant cell pneumonia 2 Croup 3 Acute otitis media 4 activation of pulmonary TB 5 diarrhea and vomiting 6 encephalitis 7 myocarditis 8 appendicitis 9 hemmorraghic measles 10 subacute sclerosing panencephalitis

STATION 5
This chair has received the attention of a 3 years old boy What is the diagnosis Treatment

ANSWER
Pica Iron and calcium supplementation

STATION 6
Describe three features shown in the picture What is the inheritance

ANSWER
1 Depressed nasal bridge 2 Prominent maxilla 3 Prominent teeth Inherited as autosomal recessive

STATION 7
Name the sign Name the condition Name an associated syndrome

ANSWER
Double bubble sign Duodenal atresia Down syndrome

STATION 8
Name the associated lower limb abnormality What should the mother have taken to avoid this

ANSWER
Pes cavus ( club feet ) Folic acid

STATION 9
What do you see Give five differential diagnosis

ANSWER
Periorbital bruising 1 leukemia 2 neuroblastoma ( results in raccoon eyes) 3 basal skull fracture 4 bleeding disorder such as haemophilia 5 non accidental injury

STATION 10
This is an x ray of a 4 year old boy who presented with coarse facies , hepatosplenomegaly and short stature Name the x ray finding shown Name four other x ray findings

ANSWER
Bullet shaped metacarpals 1 oar shaped ribs 2 j shaped sella turcica 3 beaking of the vertebra 4 thickened calvarium