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1 mo.

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

Tricycle Knows if Right/Left handed

Plan A Fluids <2 yo = 50-100 cc/LBM 2 - < 5 yo = 100200cc/LBM

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

Measles with Eye/Mouth Complic 12 mo 23 mo.: 24 59 mo.

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

If feeding is a prob: 5 days 30 days 14 days Feeding prob: 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)

Dx. Hx., Physical Assessment, wound culture CSF


CBC EEG Hemoculture

DOC Pen G, ATS, TIG, TAT Pen G


Metronidazole Mannitol Diazepam Dexamethasone

Meningitis
Spotted fever, Cerebrospinal fever

Polio
Heine-Medin Dse.

Pandys test/Lumbar Tap


EMG Stool Exam

Prevention:
Salk (Jones Salk) Sabin

Rabies
Hydrophobia, Lyssa, Larage

Brain biopsy green FRA (Fluorescent Rabies Anti-body) FAT (Fluorescent Antigen Anti-body)

Active: PVRV (verorab)


IM:

0 1L + 1R 7 1L/1R 21 1L/1R 90 - 1L/1R ID: 0,3,7,28-30, 90 ()

PCEC (lyssavac)
ID: 0,2,7,28,30 ()

HDCV Passive: HRIG: 0.133 cc/kg ERIG: 0.2cc/kg

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%)

DOC CLEAN (x) ASA, Dolan, FeSO4

Aedes P. falciparum
Ovale, vivax, malariae

Malaria
Ague, King of Tropical Disease

Malarial smear (peak of fever) thin/thick


Quantitative Buffy Coat LFT (AST/ALT)

Chloroqunine
Quinine Primaquine (x pregnant) Fansidar (x FeSO4) Hetrazan (Diethylcarbamazine citrate)

Filariasis
Elephantiasis

Wuchereria Bancrofti
Brugia Malai B. Timori

Nocturnal Blood Exam Immunochromatographic Test (ICT)


Circular Filarial Antigen (CFA)

Leptospirosis
Mud, Flood, Swamp, Trench, Japanese 7 day fever, Weils disease, Canicola disease

Aedes Poeclius Leptospira interrogans

LAT (Lep. Agglutination Test)


LAAT (Let Antigen-Antibody Test) MAT (Microscopic Examination Test)

Doxycyxline

Integumentary Leprosy
Hansens dse

C.A. M. leprae

Dx. Slit skin smear


Lepromin test

Measles
Rubeola, 1 dse,
st

Paramyxo v.

Heme Agglutination Inhibition

DOC Rifampicin Dapsone, Lamprine (clofaximine) Symptomatic

Clinical s/sx

Little red dse, Morbilli, 7 day

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

Tszanck smear (giant multinucleated cell)


Smear of vesicle fluid

Herpes Zoster
Shinges, Zora

Scabies Anthrax Woolsorters disease, Ragpicker;s disease` Respiratory TB Kochs Dse., Phthisis, Galloping consumption Paragomniasis

Sarcoptes scabiei

Scrapping, wound culture, sin biopsy

Bacillus antracis PCR

Pen G

C.A.
M. Tuberculosis M. avium M. bovis P. westermani P. seamensis Fresh water snails, crabs, cray fish

Dx. X-Ray AFB

DOC RIPE RIPES RI RIPE RIE

RIP RI

Sputum

Praziquantel (Biltrizide) Bithionol Pen G Sinecod Forte

Diptheria Klebs lufflers bacillus Pertussis Whooping

Corynebacterium diptheriae
Bordetella Pertussis

Schicks test Moloney test


Nasal swab

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

Trichomonas vaginalis Candida albicans Treponema pallidum

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

Dark filled illumination test RPR VDRL ELISA

Grandernella

Pap smear Sniff Test

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