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Paediatrics- medical science relating to hygienic care of
children and treatment of diseases peculiar to them.
Some Diseases of Children are as follows -
Blood disorders-
Anaemias- Normal haematological levels vary with age
and sex. Hemoglobin level below 11 g/dL in children between 6
months to 6 years old or below 12 g/dL in older children is
suggestive of anemia. Hemoglobin level below 5 g/dL indicates
severe anemia, while those between 5-10 g/dL suggest moderate
anemia.
Deficiency Diseases-
Vitamin A Deficiency (VAD) - results in blinding several
hundred thousand children a year. It is now recognized not
only to harm the eyes but also to increase childhood and
mortality. Vitamin A is essential for normal maintenance and
function of body tissues, for vision, cellular integrity,
immune competence and growth. Vitamin A deficiency is
therefore a systemic disease, most specific effects involving
the eye.
Source- Rich sources of pre-formed vitamin A or retinol
are cod liver oil, shark liver oil and liver. Moderate sources
are butter, butter oil. & egg yolk.
B Complex deficiency-Vitamin B complex includes the
following compounds: thiamine (B1), riboflavin
(B2), niacin (B5), pyridoxine (B6), folic acid and
cyanocobalamin (B12), biotin etc.
Thiamine- exists in tissue mostly in the form of thiamine
pyrophosphate (TPP), also known as carboxylase. It is required
for the synthesis of acetylcholine; deficiency results in
impaired nerve conduction.
Sources- Dried yeast, whole grain cereals, pulses, oil seeds
and groundnut are good sources. Meat, fish and green
vegetables are relatively poor sources.
Infectious Diseases-
Fevers in childhood-Fever is defined as an elevation of
body temperature in response to a pathological stimulus.
American College of Emergency Physicians (ACEP) has published
a clinical policy on febrile children that chooses a rectal
temperature of >380 C (100.40 F) as the
most widely used definition of fever.
Whooping Cough-it is a highly contagious acute
infectious disease of the respiratory tract caused by
Bordetella pertussis. It is also known as the cough of 100
days.
Measles-It is a communicable disease manifesting
with fever, cough, coryza, lacrimation and Koplik spots in the
pre-eruptive phase and a maculopapular rash starting on 4th
or 5th day of the illness. The rash heals leaving
brawny pigmentation.
Diseases of Newborn-
Asphyxia-When
an infant is deprived of oxygen, an initial brief period of
rapid breathing occurs. If the asphyxia continues, the
respiratory movements cease, the heart rate begins to fall,
neuromuscular tone gradually diminishes, and the infant enters
a period of apnea known as primary apnea.
Convulsions- are caused by abnormal electrical
discharges from the brain resulting in abnormal involuntary,
paroxysmal, motor, sensory, autonomic or sensorial activity.
About five percent children experience convulsions during the
first five years of life. Motor movements consisting of tonic
and clonic components are the most commonly observed
phenomenon, except in the newborn period.
Neonatal sepsis- when pathogenic bacteria gain
access into the blood stream, they may cause an overwhelming
infection without much localization (septicemia), or may get
predominantly localized to the lung (pneumonia) or the
meningitis. Neonatal sepsis is the single most important cause
of neonatal deaths in the community, accounting for over half
of them. If diagnosed early and treated aggressively with
antibiotics and good supportive care, it is possible to save
most cases of neonatal sepsis.
Preterm or low birth weight babies-Preterm infants
are those born before 37 weeks of gestation. A preterm baby is
small in size (usually less than 47 cm long). The head is
relatively large, sutures are widely separated and fontanel is
large. The face appears small the buccal pad of fat is
minimum. The breast nodule is less than 5 mm wide. The ears
are soft. Testes are not descended into the scrotal sac.
General activity is poor.
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