IUGR and fetal malnutrition

Newborn babies with IUGR often appear thin, pale, and have loose, dry skin. The umbilical cord is often thin and dull-looking rather than shiny and fat. Babies with IUGR sometimes have a wide-eyed look. Some babies do not have this malnourished appearance but are small all-over.1

In FM, the subcutaneous tissues and underlying muscles are diminished and the skin of arms, legs, elbows, knees and interscapular regions is very loose. In severe FM, the neonate may look “emaciated” or “marasmic” as the skin appears “several sizes” too large for the baby.2

such horizontal peeling skin lines are very often seen in IUGR babies and that reflects the growth failure especially in the third trimester.

http://www.peditips.com/when a doctor completes his training without the real hands on experience, its mistaken by many that what you are taught in medical school is totally in contrast with what you see clinically in patients. This blog aims at making medical students and docs understand how every case is exactly the same as in books. The work done by senior docs over the years is really rewarding. Infact when one finds a contrast in what is taught, he should go to books and you will find the exact descriptions verbatim, or the images as they are explained in medical books.

rheumatic nodules

rheumatic nodules: one of the rare manifestations of rheumatic fever a major sign of acute rheumatic fever. the swelling on forearm and back are easy to make out. this was a 10 yr old boy with mitral regurgitation with acute rheumatic fever. for our surprise this child also had chorea , carditis joint pains and rheumatic nodules. may be we were not that expert to pick up the transient erythema marginatum.



rheumatic nodules can come in crops, various sizes rounded subcutaneus bulges on extensor aspects of body. This patient had them even on scalp and forehead. Although they range from sizes 1 cm to 10 cm in diameter; even they may be just solitary, however this patient had more than 50 nodules.



These theumatic nodules disappeared in 10-15 days after treatment along with settling of clinical features.

rheumatic nodules

www.peditips.com
when a doctor completes his training without the real hands on experience, its mistaken by many that what you are taught in medical school is totally in contrast with what you see clinically in patients. This blog aims at making medical students and docs understand how every case is exactly the same as in books. The work done by senior docs over the years is really rewarding. Infact when one finds a contrast in what is taught, he should go to books and you will find the exact descriptions verbatim, or the images as they are explained in medical books.

scabies lesions on trunk, in chronic dermatitis form

scabies lesions on trunk, in chronic dermatitis form

refer last post for more scabies lesions

www.peditips.com

when a doctor completes his training without the real hands on experience, its mistaken by many that what you are taught in medical school is totally in contrast with what you see clinically in patients. This blog aims at making medical students and docs understand how every case is exactly the same as in books. The work done by senior docs over the years is really rewarding. Infact when one finds a contrast in what is taught, he should go to books and you will find the exact descriptions verbatim, or the images as they are explained in medical books.

infantile scabies scabies in infant vulgar scabies norwegian scabies von vagabonds disease

infantile scabies scabies in infant vulgar scabies norwegian scabies von vagabonds disease

These are the burroughs of the itch mite scabies the sarcoptes scabei.

spreads due to overcrowding poor hygiene and skin to skin contact.

look for these pimple burroughs usually not on palms and soles as seen here but in the webspaces. It can come at palm sole and elsewhere mainly in immunocpomromised cases. Usually a second case or contact is surely there in family/mother/school .

good and complete treatment gives 100% cure.

The best way to treat is the medicine that stood in the course of time. that is benyl benzoate lotion. C6 H6 Cl6

Apply the lotion in all areas and allover body except above neck.

apply it on 3 consequtive nights before sleep and wash with bath.

wash all clothes and linen in warm water.

Treat all contacts.

Trim nails and keep hyegiene at home.

repeat same3 for 3 weeks.

Infected scabies will require antibiotics.

eMedicine - Scabies : Article by William D Binder, MD
Scabies - Scabies is a common parasitic infection of global proportion. Worldwide, an estimated 300 million cases occur annually www.emedicine.com/emerg/topic517.htm

Division of Parasitic Diseases - Scabies Fact Sheet - 3:51am
Scabies is an infestation of the skin with the microscopic mite Sarcoptes scabei. Infestation is common, found worldwide, and affects people of all races ... www.cdc.gov/ncidod/dpd/parasites/scabies/factsht_scabies.htm

www.peditips.com when a doctor completes his training without the real hands on experience, its mistaken by many that what you are taught in medical school is totally in contrast with what you see clinically in patients. This blog aims at making medical students and docs understand how every case is exactly the same as in books. The work done by senior docs over the years is really rewarding. Infact when one finds a contrast in what is taught, he should go to books and you will find the exact descriptions verbatim, or the images as they are explained in medical books.