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#paediatric medicine
mdrambles · 1 month
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On a recent shift, I had a 23-month-old bean who had run straight into a piece of furniture at home, resulting in a laceration on his forehead. He was very calm and comfortable after the topical anaesthetic gel had a chance to work, so he was totally chill for the entire exam. With the magic of our wonderful Child Life Specialists and some Coco Melon videos, he did not flinch even once as we cleaned out his cut and glued it shut. At the end of it all, we brought him a popsicle to eat while I explained care instructions to his mom--little guy took one lick of his popsicle, offered his mom a lick, then looked at me and offered me one, too! So cute 🥺🥺🥺
"Aw, thank you for sharing my little friend! I am okay and I don't want any popsicle right now, but you keep enjoying it."
Next lick, he followed the same process--lick, offer mama, then offer me. It was just so sweet and his mom chuckled, "He has 4 brothers and sisters at home so he's very used to sharing."
Thank you little bean for reminding us that kindness always comes first!! ❤️🍧
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obakanosandoitchi · 1 month
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paeds rotation is nearly coming to an end 🥹 I only hope internal medicine is not too hard on me.
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linastudyblrsblog · 1 year
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What paediatrics rotation look like
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thebtsladymaddy · 2 months
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instagram
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fencingthings · 28 days
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Every day in adult healthcare makes me realize that I'm a lot more empathetic and caring than I thought
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a-life-in-medicine · 5 months
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Highlights of the internship - Week 18:
• The last two days of paediatrics — FINALLY. And the start of internal medicine.
• When I said goodbye to the small surgical procedures room’s staff, they were like, “oh nooo. But we were so used to seeing you. We can gather signatures for you to keep you here ahaha.” 🥹🥹
• Going to miss only ob/gyn part of this hospital.
• At general medicine, I started in endocrinology clinic. We were supposed to get there 30 minutes earlier than the doctor and start admitting the patients, taking their history and getting them ready for the doctor. When she comes, we start admitting them together. This will be the sum of my two weeks here.
• I had the night shift of the first day. I don’t like the first day night shifts!! Nothing requiring an intern really happened so it was calm, at least.
• I got a text from my friend about our gynaecologic oncology attending. He told the nurses she and I are his favourites and firsts, the ob/gyn doctors of the future 🥹🥹🥹 stoppp 🥹🥹🥹
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eirianerisdar · 2 years
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No F this I am done
Some people don’t deserve to be parents
I am on yet another day and half shift and this 12 day old baby just came in with her bilirubin sky high and her weight super low (she’s still at birth weight and had lost weight since her fifth day of life) because THE FREAKING SHITS THAT CALL THEMSELVES HER PARENTS had been only breastfeeding her for 10 minutes every 3 hours and topping up with 20ml of formula BY CUP AND NOT BY BOTTLE and she’s so severely dehydrated she’s PEEING ONLY ONCE EVERY TWELVE HOURS
AND GUESS WHAT THE TOILET STAIN OF A FATHER SAID WHEN I WAS LIKE WHAT THE HECK DO YOU THINK A 12 DAY OLD BABY CAN DO WITH A CUP OF MILK
He was like Huh? I thought it was ok. The baby didn’t like drinking milk it’s not my fault
THIS IS THEIR SECOND CHILD HOW IS THE FIRST EVEN FREAKING ALIVE
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diseaseincontext · 9 months
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Looking at a Systematic Review of Environmental Risk Factors for Child Stunting
Child stunting, characterized by impaired growth and development, is a significant public health concern globally. While nutrition plays a crucial role, there are other environmental factors that contribute to this condition. In this blog post, we will delve into the findings of a systematic review conducted by Vilcins et al. (2018) to highlight the key environmental risk factors associated with child stunting. This research sheds light on the multifaceted nature of stunting, beyond nutritional aspects, and provides valuable insights for effective interventions.
Household Air Pollution:
The systematic review by Vilcins et al. emphasizes the impact of household air pollution on child stunting. Exposure to indoor air pollution from sources like solid fuel for cooking and heating, such as biomass or coal, can lead to respiratory infections and chronic inflammation. These conditions can impair a child's growth and development. For instance, in regions where solid fuel is commonly used, such as parts of Africa and Asia, children exposed to high levels of indoor air pollution have an increased risk of stunting.
2. Water, Sanitation, and Hygiene (WASH) Practices:
Inadequate access to clean water and sanitation facilities significantly contribute to child stunting. Vilcins et al. highlight how poor WASH practices, including limited access to clean water for drinking and hygiene, and inadequate sanitation facilities, increase the risk of infectious diseases and nutrient deficiencies. For example, in areas where open defecation is practiced, the risk of stunting is higher due to the increased likelihood of fecal-oral transmission of diseases like diarrhea and intestinal parasites.
3. Environmental Contaminants:
The presence of environmental contaminants, such as heavy metals and pesticides, is associated with child stunting. Exposure to these pollutants, either through contaminated soil, water, or food, can interfere with a child's growth and development. For instance, in agricultural communities where pesticides are extensively used, children may be exposed to these harmful substances, which can impair their cognitive development and contribute to stunting.
4. Poor Housing Conditions:
Inadequate housing conditions, including overcrowding, lack of ventilation, and dampness, are identified as risk factors for child stunting. These conditions increase the likelihood of respiratory infections, which can impact a child's nutritional status and growth. For example, in slum areas with crowded living spaces and insufficient ventilation, children are more susceptible to respiratory illnesses, leading to stunting.
Vilcins et al.'s systematic review highlights the environmental risk factors associated with child stunting beyond nutritional aspects. Household air pollution, poor WASH practices, exposure to environmental contaminants, and inadequate housing conditions all contribute to stunting. Addressing these factors requires comprehensive interventions that improve access to clean energy, promote proper WASH practices, reduce environmental pollution, and enhance housing conditions. By understanding and addressing the environmental risk factors associated with child stunting, policymakers, health professionals, and communities can work together to develop effective strategies for prevention and intervention. It is through targeted actions and investments in improving environmental conditions that we can reduce child stunting rates and ensure healthier futures for children worldwide.
References!
Vilcins, Dwan, Peter D. Sly, and Paul Jagals. "Environmental risk factors associated with child stunting: a systematic review of the literature." Annals of global health 84.4 (2018): 551.
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nelson-hospital · 15 days
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Paediatrician & Neonatal in Lucknow
For More Information about Feeding an Infant Beyond 6 Months. https://www.youtube.com/watch?v=u-6CuQp-uzs&t=170s
👆 go to my YouTube channel and watch the full video
Gmail Id: [email protected] Call: 8756111126 / 8756111129 Address: B1/37, Kapurthala Road, Sector F, Aliganj , Lucknow, Uttar Pradesh 226024
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motion-blur-crowley · 28 days
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I had a realisation and it started with fanfic (oops)
sometimes I think about difficult conversations and people being labelled "obstructive" and "behaviour that challenges" (I hate this phrase for various reasons) and go, oh, they just want to be heard.
and I think unconsciously, partly, I was processing this:
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mdrambles · 2 months
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entirely too much laughing
Hopefully this is slightly coherent because I'm on shift 3 out of 5 consecutive shifts in a row coming off of 3 night shifts in 1 week (with a few shifts in between) so I'm maybe a little delirious and actually that would probably explain all the word-finding difficulties I seem to be having recently at work (couldn't remember the word for sympathomimetic today on shift so literally turned to my colleague and was like, "Uh thing--heart rate, high? Big BP? Drugs?" which, to her credit, she responded, "Oh, like, stimulants? Sympathomimetics?" and we just both went back to charting like nothing happened).
Anyway, a 5-year-old kiddo came in today because his parent noticed he seemed to be tripping over his feet more than usual. Kiddo has a history of an acquired cardiac lesion (that has thankfully resolved since his last cardiology follow up!) but his parent was understandably stressed that it might be related to the heart function. While this didn't really fit any pathophysiologic explanation, I could tell that this parent's anxiety was probably not going to be easily assuaged, so I brought in the ultrasound machine when I went with my resident to assess him.
"This isn't as detailed as the--" I started to explain, when my new little friend piped up, "Oh, it's an echo!"
I laughed. "Well, these pictures aren't going to be as detailed as your echoes, little man, but they should be able to tell us if your heart is generally working well or not."
He eyed my gel bottle suspiciously. "Is that one warm?"
I tilted my head sympathetically. "Sorry my friend, it won't be as warm as the special jelly the echo people have. But you can touch it before we do your pictures if you want?"
He poked the gel and nodded.
"Okay. Echo time."
We got him positioned and he proceeded to laugh and giggle through the entire cardiac POCUS assessment. His parent was extremely relieved that his global cardiac function was normal, and was happy to follow up with his cardiology team. After all the giggling through the POCUS, I don't know why I thought the neurologic exam would be any more austere, but all I could think about as I proceeded to tickle the little guy through his sensory assessment was how the infant who was screeching and crying in the room next door was suddenly silent as my little friend squealed in laughter. (Maybe they were soothed by the giggles?)
We finished off the exam with a gait assessment during which we chased each other around in a very tiny little circle, first with regular walking, then on our tip toes, then on our heels, and made each other very dizzy, and laughed about this some more. There were no trips or falls, no ataxia, no gait abnormalities or foot drop or anything else that would signal a dangerous reason for the episodes of mechanical falls at home. As we concluded the exam, my little friend was very, very excited about his "go home" popsicle as he got his boots and jacket on.
As we exited the room, my resident turned to me and said, "We... just don't get that in the general emergency department. Seems like--"
"--entirely too much laughter for the grumpy adults?" I asked, waggling my eyebrows at her. She laughed.
"Entirely."
This is why we do pediatrics. Come join us--we have popsicles.
(Side note: one of the advice calls I received today was from a colleague assessing a child at one of the community EDs for poor oral intake secondary to significant oral lesions from hand-foot-mouth disease, and they were feeling distressed that they couldn't get the kiddo to drink. They'd only gotten acetaminophen and ketorolac into them so far, and still the little bean refused to drink. I suggested trying a topical analgesic like a tiny amount of viscous lidocaine, followed by a popsicle or a freezie, or even some ice chips. I was met by a brief silence on the other line. Then, my general emerg colleague, who works in an emergency department that sees mostly adults, said slowly, "We, uh, we don't have any popsicles OR freezies." I laughed sheepishly, "Oh, right, yeah, that's probably a peds thing, uh... sorry, yeah, what about the ice chips?" They chuckled. "Oh, yeah, we have those. Adults at least get ice chips." So... yeah, come to the peds side. We have popsicles. Oh! And stickers. We have stickers, too.)
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mapetitefeedeslilas · 4 months
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November 17th - World Prematurity Day
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linastudyblrsblog · 1 year
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But first coffee
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rohitheypills · 5 months
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At Heypills, we recognize the significance of homoeopathic dilutions as a fundamental aspect of homoeopathic practice. Buy Online Paediatric Disorders,Homeopathic Medicine from Heypills at affordable prices. for more details call now +91 9540046004
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jomebishop · 5 months
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Choosing a Specialty
One of the most difficult decision for any clinician to make is choosing a specialty. It is a very daunting decision for a lot of doctors because you get exposed to so many aspects of medicine during training and each one has its advantage over the other. So how do you choose? You go through an extensive training that gives you in-depth knowledge on a lot of topics from anatomy, physiology,…
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eirianerisdar · 2 years
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Me, on my first paediatrics 28 hour shift having somehow possibly made a bad impression on the senior resident due to a nursing communication error:
*sobs* *sniffs* I suuuck *eats pho*
I mean. I’ve done well in every rotation so far it’s just this I the first time I’ve literally had to start from square one because I haven’t touched paediatrics since I was a med student four years ago
I know it’ll get better but the pressure of trying to revise for mid-specialty exams this august while doing 90 hour weeks really just exploded all at once when combined with the pressure of being a resident for a specialty I haven’t touched in years
Haven’t sobbed in hospital like that since my internship days, boi
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