Lean body mass, also called fat free mass, if calculated, can be useful to rule out PEM. Because catabolism in PEM tends to produce protein breakdown and thus reduce lean body mass early in the course. Changes in other parameters occur later. Ref. Nelson 21st Ed.
Sir On PEM there are two questions..one Lean body mass wala...and one question given with history of a child with swollen belly....and options are kwashorekore and marashmus
1)Sir..If i remember right, in the diphtheria ques ,it said child last immunization was 22 months before, not booster..So shouldnt the answer be toxoid + erythromycin?? 2)In the fever with rash ques, i felt the rash with strawberry like tongue could be scarlett fever so cant the complication be glomerulonephritis 3)The ques was 1st stool.Is green due to..Answer should be biliverdin right ( thats also the reason why children with rotavirus diarrhoea also pass greenish stools)
Measles complication makes the Q easier. Remember that all of this is recall based and i have only outlined the topic, not question because it keeps changing with more info added.
Sir,in pneumonia qstn,is there any need to refer?..only antibiotic nd follow up should be the ans?I'm really confused regarding refer to higher centre option..
Sandeep sir, in ques 18 it was the complication which was asked but there were 2 pictures and none was of strawberry tongue. ques was a child developed fever, conjunctivitis and lesion shown in first image ( showing multiple white spots in oral cavity btw teeth and cheeks which i thought were koplik spots) and in history it was given child developed rash(shown in figure on trunk, sorry not sure whether it resembled kawasaki or measles) after 3days of developing fever. what are the complication seen in this child? sir could this ques be of measles and not kawasaki. i was really confused in paper what should i mark myocarditis (because kawasaki was a dd i thought) or acute pancreatitis or acute nephritis or eididymorchitis
Ok.. in simple words. SpO2 is saturation of O2 in peripheral blood. Normally 98 to 100% in you and me. PaO2 is Partial pressure of O2 in arterial blood. This you get on doing ABG analysis. FiO2 is O2 concentration in inspired air. Room air has 21% O2 so our normal FiO2 is 0.21 or 21%. In ventilators, we usually start with an FiO2 of 50 to 70% and then increase or decrease.
No treatment wasn't a option as far as recall goes One was exchange transfusions Stop BF photo therapy And one more but that was definitely not Observation So out of all Phototherapy seemed better..
According to your answer all20 corrects but 3 Meconium was not answer according to some teacher i marked meconium and according to psm teacher it is very severe pneumonia I marked pneumonia and according to psm nothing to be done in diphtheria case i matked Erythromycin and follow up
I have not discussed Q but only topics and pattern. All things mentioned are cross checked with latest Nelson 21st Ed. You need to go with reliable resources, not outdated guidelines.
15 correct 5 incorrect:(😥😢😢 im feeling horrible sir all the answers that i got wrong was due to my silly mistakes and i changed them from correct to incorrect response during review
It happens bro .... we cannot avoid silly mistakes, we can try to reduce it .... even im in the same situation as you .... we should have done more revisions to avoid chances of silly mistakes ....
@@drsandeepsharma1088 sir there was a question regarding diagnosis of 1.5 year child having symptom of malnutrition and asking about type of malnutrition... Options r kwaahiorkor, marasmus...
Lean body mass, also called fat free mass, if calculated, can be useful to rule out PEM.
Because catabolism in PEM tends to produce protein breakdown and thus reduce lean body mass early in the course. Changes in other parameters occur later.
Ref. Nelson 21st Ed.
Sir one option was only prophylactic erythromycin and another one erythromycin and antitoxin what to choose kindly reply
Sir skin fold thickness is not reliable?? As we use it as age independent variable to rule out pem?
Sir please tell
I already gave all info i had. As per Nelson, only erythromycin. As per Park, nothing to do
Lean body mass affected earliest, even before skin fold thickness comes into play. And is more conclusive. Given in Nelson.
Beautiful ❤ had read from you in Kolkata just before pandemic hit in DAMs, still so relevant.
17 correct 1 wrong 2 left.
Thanks for discussion sir
You are welcome Prashanth
Sir very nicely explained..nd new criteria are actually explained
Thanks Shubham
Very nice sir.
sir greenish black stool(meconium) were due to:- (i)biliverdin (ii)bile salts n 1 other ws dere
Thank you sir. 5 wrong 15 correct
Which coaching institute ur in sir?
Perfect teaching ✔️✔️👌
Sir question was why meconium is green ?
Yup bro
Y not bilirubin... I too have the same doubt bro
Bilirubin is not green...answer should be biliverdin.please correct me?
@@drrakeshmaurya7689 s sry biliverdin
Sir On PEM there are two questions..one Lean body mass wala...and one question given with history of a child with swollen belly....and options are kwashorekore and marashmus
1)Sir..If i remember right, in the diphtheria ques ,it said child last immunization was 22 months before, not booster..So shouldnt the answer be toxoid + erythromycin??
2)In the fever with rash ques, i felt the rash with strawberry like tongue could be scarlett fever so cant the complication be glomerulonephritis
3)The ques was 1st stool.Is green due to..Answer should be biliverdin right ( thats also the reason why children with rotavirus diarrhoea also pass greenish stools)
In image of mouth I don't think Kawasaki was there it was mealses complications was asked
Measles complication makes the Q easier. Remember that all of this is recall based and i have only outlined the topic, not question because it keeps changing with more info added.
No it was Kawasaki
Sir plz make more videos on this channel, i really like ur videos and explainations, makes subject more imteresting to learn.😊
Sir MCQ nhi aayege exam ma 2020ma
11 correct ....7 wrong
hello sir is there individual paedia , at which app
Sir,in pneumonia qstn,is there any need to refer?..only antibiotic nd follow up should be the ans?I'm really confused regarding refer to higher centre option..
Nirlipta Bag : yes,the guidelines do say..no need to refer.just antibiotics..n make parents aware about it.
@@susomamahata6062 ohh,okk..thanks a lot☺
Yes some people saying it referral as answer I too doubt it
Stick to latest guidelines. Those saying referral probably have not read the updated guidelines.
Nice explanation sir
Thanks Sandeep
15 correct
Sandeep sir, in ques 18 it was the complication which was asked but there were 2 pictures and none was of strawberry tongue. ques was a child developed fever, conjunctivitis and lesion shown in first image ( showing multiple white spots in oral cavity btw teeth and cheeks which i thought were koplik spots) and in history it was given child developed rash(shown in figure on trunk, sorry not sure whether it resembled kawasaki or measles) after 3days of developing fever. what are the complication seen in this child?
sir could this ques be of measles and not kawasaki. i was really confused in paper what should i mark myocarditis (because kawasaki was a dd i thought) or acute pancreatitis or acute nephritis or eididymorchitis
Updated solutions in some days.
Sir.ques no 13 was green colured meconium is due to?meconium was mentioned in question
Green colour in meconium comes from bile pigment biliverdin.
Green Color meconium wasn't mentioned..if so,why would one of the options was meconium?
Sir both meconium and beliverdin was in the options ..
Green is due to meconium but meconium is due to beliverdin.. wat should have been marked sir ?
Sir question was greenish black color of the stools is due to
In options both biliverdin and meconium were there
0:25
1:33
3:20
5:07
5:54
7:04
Sir can u say a difference between Spo2 Pao2 Fi02 thanks in advance..☺️
Ok.. in simple words.
SpO2 is saturation of O2 in peripheral blood. Normally 98 to 100% in you and me.
PaO2 is Partial pressure of O2 in arterial blood. This you get on doing ABG analysis.
FiO2 is O2 concentration in inspired air.
Room air has 21% O2 so our normal FiO2 is 0.21 or 21%.
In ventilators, we usually start with an FiO2 of 50 to 70% and then increase or decrease.
@@drsandeepsharma1088 thank U sir☺️
Sir is chest indrawing is not considered severe???
No raghav. Not anymore. Probably you did not read updated guidelines of IMCI
Thank you so much,sandeep sir!
Please one video each on Development delays& their red flag signs
& One on fever with rash , differential dx & m/m
& sir,what exactly we mean by Coarse facies???
Sure
Thank u sir 18 correct.
How to retain better
Sir measles ques was also there classic kopliks spot
That makes peds Q almost 22 in the paper. I discussed koplik spots on my other video
Sir one was diagnosis of kawasaki and other image of koplik spots and mc complication was asked which was epididymoorchitis
Orchitis occurs with mumps, not measles
@@drsandeepsharma1088 sir it was given otitis media...for mealsels ques
The qntn paper is not easy as u all think
Sir ,in question no 19 , they asked ,which fetal cardiac chamber have highest O2 content , , IVC is considered as a fetal cardiac chamber ah sir ??
Yes, some texts use the term great vessel and chamber interchangeably when it comes to a fetus.
@@drsandeepsharma1088 thank you sir
thank you sir
You are welcome
Thank you sir...☺️
You are welcome
17 positive,3 negative
Sir in diphtheria que ans is only erythromycin or both vaccine and erythromycin??
I marked one dose of erythromycin as a booster dose to sibling!
I told you what the standard texts say.
Any live class in dehli, before may session??
At multiple places, yes. Not scheduled yet.
Sir question 6,s figure taken from where?Exactly that was the figure.
Recalled by students
Sir, in ques 17, size of l.n. or its unilaterality wasn’t mentioned.... though.
Number does not matter rachit
Thnku so much sir
You are welcome ajit
Q.20 age was 3 years
Total bilirubin 15 was mentioned
14 or 15, does not change the eventual answer.
No treatment wasn't a option as far as recall goes
One was exchange transfusions
Stop BF
photo therapy
And one more but that was definitely not Observation
So out of all Phototherapy seemed better..
14
Not 15,14.
According to your answer all20 corrects but 3
Meconium was not answer according to some teacher i marked meconium and according to psm teacher it is very severe pneumonia I marked pneumonia and according to psm nothing to be done in diphtheria case i matked Erythromycin and follow up
I have not discussed Q but only topics and pattern.
All things mentioned are cross checked with latest Nelson 21st Ed. You need to go with reliable resources, not outdated guidelines.
@@drsandeepsharma1088 ok thnku sir
15 correct 5 incorrect:(😥😢😢 im feeling horrible sir all the answers that i got wrong was due to my silly mistakes and i changed them from correct to incorrect response during review
It happens bro .... we cannot avoid silly mistakes, we can try to reduce it .... even im in the same situation as you .... we should have done more revisions to avoid chances of silly mistakes ....
Same here bro...I changed 6 questions and have done many silly mistakes...happens...let's be the console for each other😞
What is the imci guideline for less than 2 month? Is it the same?
Slightly different
I also did erythromycin sir but everyone is saying different answers..
Because Park PSM, OP Ghai and Nelson tell different things. What examiners will follow, only they know.
15correct &5wrong 😭😭
That's great score,
🙏🏻🙏🏻🙏🏻🙏🏻
You are welcome
14-6 score
14:05 10:21 17:23
Sir one Q based on PEM also
See the comments. Its there.
Sir u r very handsome
Thanks Sudhir. Although it does not matter in medical world. : )
😁
@@drsandeepsharma1088 sir 😁
R u gay???😘💛
16-4
Thank you sir
I Got 15 correct 2 wrong remaining I left unanswered.
2 correct all wrong😁
review your notes again this year😆
PEM question
See the pinned comment
@@drsandeepsharma1088 sir there was a question regarding diagnosis of 1.5 year child having symptom of malnutrition and asking about type of malnutrition... Options r kwaahiorkor, marasmus...
5 wrong 1skip
Thank you sir
You are welcome Subodh
Thank you sir
You are welcome Sreenu