PED FINALS

What is complication of measles (western med)? (P17)

pneumonia, swollen sore throat and lost voice, mental disorder

Characteristics of skin lesions of chicken pox? (P21)

watery blisters appearing first on the scalp & face then spreading to the torso

Affected organs of mumps (3 glands) (P23)

parotid gland, sublingual and submandibular

Complication of mumps (P23)

swollen testicles/ovaries, pancreatitis, meningitis

Infantile diarrhoea etiology (P26)

External Cold, Heat, Dampness invading the body; Improper Diet; Def of SP & ST; Yang Def of SP & KI

Red flag S&S in severe case of infantile diarrhoea? (P26 but no notes in the book)

dehydration, no urine, lethargy, blood in the stool, abdominal pain, fever, rapid weight loss

Typical clinical manifestations of infantile malnutrition (P32)

emaciation, sallow complexion, dried and withered hair, anorexia, decreased appetite, cry without energy

Pathogen of whooping cough (western med) (P83)

Bordetella Pertusis Bacteria

Characteristic tongue appearance of scarlet fever (P87)

red tongue

Clinical manifestations of allergic purpura (P57)

sudden appearance of purpuric skin rash on the feet, legs, arms, buttocks. Most patients have fever and periarticular tenderness with swelling of the ankles, knees, hips, wrists and elbows. GI symptoms: colic and an tenderness. 20-50% of patients have hematuria and proteinuria.

Primary pathogenesis of allergic purpura (western med)

chronic vasculitis

Edema - nephrotic syndrome. What is the diagnostic criteria for this syndrome?

edema, hypertention, abnormal urine, hematuria or proteinuria

Characteristics of skin lesions in rubella

appears on face, neck, body, face and no rash on palms - sand like light rash

Characteristic of cough sound in whooping cough (P83)

whooping sound at the end of a series of coughs

Clinical manifestations of paediatric pneumonia

cough (yellow sputum), fever, SOB, chest pain, difficulty breathing (in severe cases), flaring of nostrils, cyanosis of the lips

S&S in the pattern Wind Heat common cold

severe fever, aversion to wind, sweating or scant sweatin2g, headache, nasal blocking, thick nasal discharge, sneezing, cough with white sticky or yellow sputum, red or swollen sore phylex, dry mouth with thirst, red tongue, thin white or yellow coating, floating rapid pulse

Prim evil causing infantile convulsion

wind

Western med exam for paediatric epilepsy

EEG

Typical manifestation of pediatric epilepsy

sudden episodes of LOC, suddenly falling down with upward rolling back of eyes, limbs convulsion, white frothy saliva drooling from mouth, urinary incontinence, guttural noises

SP and ST Qi def in infantile diarrhoea - learn this

chronic intermittent or lingering diarrhea, undigested food in stool, diarrhea after eating, light coloured stool with no foul odour, sallow yellow facial complexion, thin body, lassitude. T: pale with teeth marks, white cover, P: soft, soggy; TP: fortify SP and ST, benefit qi; Qi Wei Bai Zhu san

Which organ is primarily responsible for poor appetite?

Spleen (and stomach?)

Main differentiation method for diagnosis of cough? (P8)

int/ext

What is the primary pathogen for mumps?

mump virus (wind warm toxin)

Abdominal pain - Cold Invading Pattern - study this

acute and sudden abdominal pain that is better with heat, crying and pumping of legs to the abdomen, loose stool, cold hands and feet, white somber facial complexion, T: white greasy and slippery cover, P: deep, tight; TP: warm middle, dispel cold; Nourish Zang Organs powder

Infantile convulsion - to differentiate determine acute from chronic

both manifest with muscular spasm of the limbs, jaw tetany, clouding of consciousness; Difference - Acute: acute onset, high fever, nausea & vomiting, convulsions, often more serious. Chronic: slow onset, intermittent weak convulsions. Accompanied by def such as emaciations, pale complexion. T: pale

Technique applied on extra point Shixuan

blood letting

Location of special point Ye niao dian? In enuresis chapter

centre of the transverse crease on the palmar surface of the fingers or needle SP6 REN4

Which tissue/organ might be affected in pathology of allergic purpura?

Skin, GI tract, Joint, Kidney

Key pathogenesis in allergic purpura (TCM)?

Blood heat: acute eruption of fresh red purpura that covers a large portion of the body, bleeding, high fever

qi def: recurrent purpura with pale border, reddish ecchmoses

Spontaneous sweating - clinical manifestations? (besides spontaneous sweating)

Exterior Def fails to be consolidated - night sweats, worse with movement, tiredness, fatigue, pale complexion, cold limbs, easily catches colds;

Disharmony between Ying Wei - aversion to cold wind, tiredness, poor appetite;

Def of Qi & Yin - irritability, insomnia, profuse sweating after sleeping, dry mouth, heat sensation in the soles and palms

Wind Water pattern of edema - learn S&S

initially edema starts from eyelids then involves four limbs, sudden onset, more facial edema, lustrous skin with good elasticity. In severe cases general body edema; Also - aversion to wind, fever, cough, general body aches, scant urine or blood in the urine; T: thin, white; P: floating

Complication of scarlet fever in Western med

acute nephritis, RA, HT issues

Know physiological characteristics of children and pathological changes/characteristics of children (P1)

children’s internal organs are delicate; KI qi not prosperous; Develop quick; Pure Yang constitution; Wei qi is weak; Disease transmit from one organ to another; Recover quickly (zang organ qi is clear and pure)

Know the fontanelle - name of anterior fontanelle bone and when it is closed by? (P2-3)

frontal and parietal bones. Closes 12-18 months

Which organ rules forehead?

heart

What does red complexion indicate?

Heat

Know the finger vessel - (P3-4)

Depth: superficial = exterior; deep = interior; Colour: Fresh red - ext wind/cold; Purplish/red - interior heat; Light red - def cold or qi and blood def; Blue - pain or terror; Bluish/purple - blood stasis, spasm, terror; Light purple/reddish brown/red - normal; Pale - def; Shape: Single - mild; Multi branch - serious; Thicker than normal - excess; Thinner than normal - def; Location: Feng - mild/exterior pattern; Qi - entered channel and more serious; Ming - entered viscera, may be life threatening; Tou - very dangerous

Common Cold in children - What is the primarily evil of common cold? (P5)

EPI Wind

Key S&S of Food Stag (P30)

no desire for milk and food, indigestion after intake of food, ab distension and fullness, irregular BM

What points would you use for LR Qi Stag overacting on the ST in Infantile Vomiting? (P35)

he said here choose the option which contains Liver points

In retarded development what are 5 slows? (P51)

slow development in standing, slow movement, slow hair growth, slow growth of teeth, slow speech

What is primary pathogenesis of enuresis? (P54)

BL fails to consolidate

In enuresis know SP & LU Qi def clinical S&S (P55)

night time enuresis, lassitude, SOB, spontaneous sweating, white facial complexion, lack of appetite, loose stool, T: pale with white coating, P: weak

What is primary pathogen in oral thrush? (P61)

western - oral candidiasis

What are key S&S of Food retention (P30)

no desire for milk and food, indigestion after intake of food, abdominal distension and fullness, irregular bowel movement

what is key pathogenesis of pediatric epilepsy (P65)

phlegm

how does the rubella virus affect the fetus? (P69)

Congenital cataract (eyes), cleft lip (lips), Congenital deaf/mute (ear), Congenital heart disease (HT)

Organ related to disease of retarded development?

Kidney

S&S of heat asthma in attacking stage (P72)

wheezing with phlegm rattling in the throat, prolonged exhalation (LU Qi Excess), cough with yellow sticky sputum, fever red complexion, oppression and fullness in chest and diaphragm, thirst with desire for cold drinks, yellow, scant urination, dry stool or constipation, T: yellow greasy, P: slippery rapid

In Asthma which organs are affected in remission stage? (P71)

LU, SP, KI