GERD in pediatric patientsintermittent regurgitation, ☆nighttime coughing, persistent wheezing, decreased food intake, food aversion, poor weight gain, nausea, and abdominal pain gastrointestinalpediatrics HirotoShishido
infection caused by the single strand DNA virus(Parvovirus)
fifth disease(erythema infectiosum)
☆prodromal phase that includes non specific findings such as a low-grade fever, headache, and gastrointestinal symptoms
(similar to roseola infantum but this present in children age<2)
→ these are follwed by
erythematous rash that looks like both cheeks have just been slapped
and then, a pruritic maculopapular rash spread over trunk and extremities microbiologypediatricsUWorld HirotoShishido
when should children be introduced to complimentary baby foodat 6 months of age
Breast milk contains very little iron, approximately 0.35 mg/liter. After 6 months, most infants’ iron stores have been depleted, so this iron needs to come from complementary foods +/- fortified formula biochemistrypediatrics HirotoShishido
where does rash start in the patients with roseola infantum, measles, rubellaroseola infantum(exanthem subitum)→starts on trunk and spreads to the face
measles→starts on the head/neck and spreads downward
rubella→starts on face and spreads centrifugally to involve trunk and extremities ☆(postauricular, occipital) lymphadenopathy microbiologypediatricsUWorld HirotoShishido
developmental milestone for a 1-year-old childmimicking scribbling
the difference between gonococcal and chlamydial conjunctivitisgonococcal→2-5 days after birth, bilateral prulent discharge, preauricular lymphadenopathy
IgA vasculitis(Henoch Schonlein purpura, HSP)
triad+1・skin (palpable purpura on the buttocks and lower extremities, 下腿伸側左右対称隆起性紫斑)
・GI (intermittent severe abdominal pain, upper and lower GI bleeding, intussusception)
・joints (migratory arthralgias and arthritis in large joints of the lower extremities)
・kidneys (IgA nephropathy)
