Beruflich Dokumente
Kultur Dokumente
2 mos 3 4 5 6 7 8 9 10 11 12 15 2 yo 3 yo 4 yo 5 yo 7 yo
Head lag
Midline vision
Posterior fontanel closes, social smile Coos Carries hand to mouth Lifts head & chest from prone, no head lag Rolls over Sits with support (7- 8) Sits without support Sits without support Crawls/creeps Start to stand Cruises Walks with support Walks without support Jumps one level Walks backward, unbutton buttons Button buttons Hand dominance, tie shoe laces, throws and catch a ball Bicycle
Plan B ORS 75 cc/kg <4 mo 4-<1yr 1-<2 yr 2-<5yr ORS 1 L H2O 1 tsp salt 1 tsp sugar NEW 200-450 450 -800 800-960 960-1600 OLD 200-400 400-700 700-900 900-1400 Sugar 200 water 4 tsp sugar
Babbles, peripheral vision Reaches for objects Smiles at self in mirror Holds bottle Transfer objects one hand to another Close-open hand Pincer grasp Waves bye-bye, Object PERMANENCE, Shakes head NO Drinks from cup
Plan C 30 cc then 70 cc Infant (<12 mo.) 1 hr 5 hr Child (12-5yrs) 30 min-2 hr Give ORS: Addtl 5cc/kg/hr *if can drink
Zinc - 2mo 6mo = tab for 14 days - 6 - > = 1 tab for 14 days
IMCI Severe Pneumonia Very severe Disease, Pneumonia (BID x 3), Mastoiditis/Acute Ear Infection (BID x 5), Dysentery (Shigella) (BID x 3) Dysentery (Cholera) (QID x 3) Chronic Ear Infection Severe Malaria DOC Benzyl-Penicillin (20,000 u/kg) & Gentamicin (7.5 mg/kg) 1st: Amoxicillin 2nd: Cotrimoxazole 1st: Ciprofloxacin 2nd: Cotrimoxazole 1st: Tetracycline 2nd: Cotrimoxazole/Erythromycin Quinolone drops (2-3 drops) TID/DAY FOR 2 weeks Quinine (lying down for 1hr = BP) (X) > 1 wk. (X) < 1 mo. OLD 1st: Arthemeter Lumefantrine (3 days) 2nd: Chloriquine (watch for 30 min vomits=addtl tab.: itchiness = s/e) Tetracycline: *do NOT extend Gentian Violet/Salt water: BID *extend up to 2 days Alb (400 mg) = Meb (500 mg) = 1 Alb (400 mg) = 1 Meb (500 mg) = 1 2 days
Malaria
Pneumonia; Dysentery; Malaria; Fever:Malaria Unlikely; Fever: No Malaria; Measles with eye/mouth complications; Fever: DHF unlikely No pneumonia Some Dehydration; No dehydration; Persistent Diarrhea; Acute & Chronic Ear Infection Malnutrition Anemia No anemia
5 days 5 days
CD CNS Tetanus
Trismus
C.A.
C. Tetani N. Meningitidis Cryptococcal meningetidis H. influenza Listeria monocytogenes GBS Naegelria lowleri L.D. -Brunhilde -Lansing -Leon Rhabdo virus (bullet)
Meningitis
Spotted fever, Cerebrospinal fever
Polio
Heine-Medin Dse.
Prevention:
Salk (Jones Salk) Sabin
Rabies
Hydrophobia, Lyssa, Larage
Brain biopsy green FRA (Fluorescent Rabies Anti-body) FAT (Fluorescent Antigen Anti-body)
PCEC (lyssavac)
ID: 0,2,7,28,30 ()
CVS Dengue
Dandy Fever, Break bone fever, Phil./Thai/Singapore H fever, Sawbili, Acute thrombocytopenic purpura
C.A.
Arbovirus Chickungunga virus DV 1-4 Onyongyong virus
Dx. Clinically
Tourniquet Platelet count Hct (>20%)
Aedes P. falciparum
Ovale, vivax, malariae
Malaria
Ague, King of Tropical Disease
Chloroqunine
Quinine Primaquine (x pregnant) Fansidar (x FeSO4) Hetrazan (Diethylcarbamazine citrate)
Filariasis
Elephantiasis
Wuchereria Bancrofti
Brugia Malai B. Timori
Leptospirosis
Mud, Flood, Swamp, Trench, Japanese 7 day fever, Weils disease, Canicola disease
Doxycyxline
Integumentary Leprosy
Hansens dse
C.A. M. leprae
Measles
Rubeola, 1 dse,
st
Paramyxo v.
Clinical s/sx
German Measles
Rubella, 3 day measles, 3rd dse.,
Toga v. Zoster
Clinical s/sx
Clinical s/sx
Preventive: MMR Acyclovir (Zovirax) Prev: Varivax Acyclovir (Zovirax) Prev: Zostavax Lindane
Crotamiton ointment (Furax) 5% primethrin Cream
Chicken Pox
Varicella, Varicelle Zoster
Herpes Zoster
Shinges, Zora
Scabies Anthrax Woolsorters disease, Ragpicker;s disease` Respiratory TB Kochs Dse., Phthisis, Galloping consumption Paragomniasis
Sarcoptes scabiei
Pen G
C.A.
M. Tuberculosis M. avium M. bovis P. westermani P. seamensis Fresh water snails, crabs, cray fish
RIP RI
Sputum
Corynebacterium diptheriae
Bordetella Pertussis
Reproductive Gonorrhea Clap, Fores, Jack, Gleet, Morning drop, jack Trichomonas tricu
Candidiasis yeast inf, candidosis, moniliasis Syphilis :Sy, Bad blood, The pox, Lues Chlamydia Non-gonococcal urethitis
C.A. N. gonorrhea
Dx. VRDL C/S Gram staining Paps smear UA Osom Rapid test C/S, blood culture
DOC Doxycycline Ceftriaxome Acithrocyn Cefixime Metronidazole (Flagyl) Tinidzole Nystatin Ketoconazole, Fluconazole Pen G Doxycycline Doxycycline
Grandernella