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Pedia Notes
Pedia Notes
Lead poisoning
Sx:
1. beginning sx of lethargy
2. impulsiveness, learning difficulties
3. as lead increases, severe encepalopathy with seizure and permanent mental
retardation
Dx:
1. Blood smear
2. abd x ray
3. long bones
Mgt:
Amogenital
Female:
Male:
surgery – orchidopexy
Mgt:
Surgery
Mgt:
Circusicion
Tst of Dx:
7. normal or Decrease Na
decreased
BP
Complication :
1. hypersensive
encephalopathy
2. anemia
SPINA BIFIDA CYSTICA- failure of post laminae of vertebrae to fuse with a sac
Types:
• rupture of sac
• prone pos
• sterile wet dressing
2 types:
Dx:
1. uneven hemline
2. bend forward- 1 hip higher
Nsg care:
1. conservative – avoid obesity, exercise
EXTREMITIES:
check # of digits = 20
• birth injury caused by lateral & excessive traction during a breech injury
Sx:
1. unable to abduct arms from shoulders, rotate arm externally or supinate forearm
2. absence or asymetrical moro reflex
Mgt:
Types;
Sx:
Goal of Mgt:
Facilitate abduction
Mgt.
1. triple diaper
2. carry baby astride
3. Frejka splint
4. Pavlik harness
5. Hip Spica Cast
TALIPES – "clubfoot"
Assessment:
Mgt:
Fx: of cast –
- to immobilize
• bone alignment
• prevent muscle spasm
C- circulation
M- motion S- sensation
Cast – with bleeding
CRUTCHES
Principles in crutches
• wt of body on palm!
• Brachial pulsing – if wt of body in axila
• Do palm exercise- squeeze ball
1. Swing Through
2. Swing to