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)
neonatal intraventricular hemorrhage
sourse of bleeding, predisposing factor☆germinal matrix (sources of neurons and glial cells during brain development)
IVH almost always manifest within the first 5 postnatal age in patients born before 32 weeks gestation and/or with birth weight<1500 g neurologypediatricsUWorld HirotoShishido
congenital torticollistypically develops by 2 to 4 weeks of age
It is most commonly caused by birth trauma (eg, breech delivery) or ☆malposition of the head in utero (eg, due to fetal macrosomia or oligohydramnios),both of which can result in sternocleidomastoid muscle(SCM) injury and fibrosis. OBGYpediatricsUWorld HirotoShishido
Pierre Robin sequencemicrognathia, glossoptosis, cleft palate, airway obstruction(☆improve with prone position)
