วีดีโอ

I- History - Sarah 3 months old female child only issue of non-consanguinous parent came from Egypt aswell admitted with a complain of seizure for 2 month. - The seizure was sudden, brief contraction of neck and extremities. - It occurred in cluster (3 - 4) episodes per day and lasts for 3-5 min and during awakening. - There is no history of passing urine or defecation during the episode of seizure. - There was no post ictical phemenon. - Mother also complainted that her child was not responsive to surrounding. - She was treated with anti-epileptic drugs for 4 weeks but the condition didn't improve. - The child was delivered by LUCS, there is no H/O perinatal Asphyxia. II- On physical examination Sarah was alert ,playful, - vital signs BP - 70/40 mm of hg, RR - 40/min, HR - 120 beats/min, temperature - normal, - BCG mark present - - CNS examination -fontanels - open but not bulged, signs of meningeal irritation - absent ,lymph node - not enlarged, cranial nerve - intact, bulk- normal, tone - normal, jerks - Normal, plantar - b/l extension, - lungs - B/L equal breath sound - Abdominal examination -Liver just palpable. - Other systemic examination reveals unremarkable III- Assessment, impression 1. Early myoclonic infantile encephalopathy 2. Early infantile epileptic syndrome 3. West syndrome ( seizure in cluster, during awakening, developmental delay) VI- Plan of care 1. Pediatric neurology consultation 2. EEG 3. HUS unremarkable 4. Torch screening unremarkable 5. MRI brain 🧠 6. Septic work up unremarkable

I- History - Sarah 3 months old female child only issue of non-consanguinous parent came from Egypt aswell admitted with a complain of seizure for 2 month. - The seizure was sudden, brief contraction of neck and extremities. - It occurred in cluster (3 - 4) episodes per day and lasts for 3-5 min and during awakening. - There is no history of passing urine or defecation during the episode of seizure. - There was no post ictical phemenon. - Mother also complainted that her child was not responsive to surrounding. - She was treated with anti-epileptic drugs for 4 weeks but the condition didn't improve. - The child was delivered by LUCS, there is no H/O perinatal Asphyxia. II- On physical examination Sarah was alert ,playful, - vital signs BP - 70/40 mm of hg, RR - 40/min, HR - 120 beats/min, temperature - normal, - BCG mark present - - CNS examination -fontanels - open but not bulged, signs of meningeal irritation - absent ,lymph node - not enlarged, cranial nerve - intact, bulk- normal, tone - normal, jerks - Normal, plantar - b/l extension, - lungs - B/L equal breath sound - Abdominal examination -Liver just palpable. - Other systemic examination reveals unremarkable III- Assessment, impression 1. Early myoclonic infantile encephalopathy 2. Early infantile epileptic syndrome 3. West syndrome ( seizure in cluster, during awakening, developmental delay) VI- Plan of care 1. Pediatric neurology consultation 2. EEG 3. HUS unremarkable 4. Torch screening unremarkable 5. MRI brain 🧠 6. Septic work up unremarkable

@@priyankadey8795 What is Nonsyndromic aplasia cutis congenita? Nonsyndromic aplasia cutis congenita is a condition in which babies are born with localized areas of missing skin (lesions). These areas resemble ulcers or open wounds, although they are sometimes already healed at birth. 🌹🤲✔🙏🙏

@MelodyNadera God bless you and your family 🌹🙏🙏🙏🌹🌹🙏✅️✅️🙏🌹🌹

@medicallectures7120 Yes You are totally right ✅️ 👏 Ventilator respiratory graphic diagnosis of hiccupping in non-ketotic hyperglycinaemia

@medicallectures7120 Metabolic screening diagnosed non-ketotic hyperglycinaemia. Hiccups commonly occur in this condition and should not be misinterpreted as seizures, spontaneous breaths or gasps

@medicallectures7120 🌹✅️The infant had many sudden deep inspirations during this time which were initially thought to be seizures. 🌹✅️Hiccup Mis interpreted as seizures These were characterised by short, rapid, large inspirations when the airway pressure was reduced well below the positive end expiratory pressure level. 🌹✅️Ventilator analysis of hiccups Analysis of the ventilator data showed that these were hiccupping episodes misinterpreted by the ventilator as spontaneous breaths and triggering ventilator inflations. 🌹✔️Tidal volume during hiccups The expired tidal volumes during the hiccupping episodes were more than double the set 4.5 mL/kg. 🌹✅️EEG during hiccups attacks During these episodes, there was no change in the level of consciousness or in the amplitude-integrated electroencephalogram signal

@@knitpurlsquirrelwithgrannydee God bless you and your family 🙏🙏🌹🌹🙏🙏🌹🌹🙏🙏🙏✔️✅️

@RabinaRana-j7c 1. Infantile capillary hemangiomas (IHs) are common, benign, high flow, vascular tumors affecting children. 2. These lesions typically involute spontaneously leaving no long-term sequelae and require no treatment. 3. IHs can, however, be life and vision threatening depending on their extent and location.

@@RabinaRana-j7c How do you treat a facial hemangioma in an infant? 1.Propranolol is a beta blocker (part of a class of drugs used to manage problems in the heart) that is approved by the U.S. Food and Drug Administration to treat infantile hemangioma. 2. Propranolol is available as a liquid medicine taken by mouth. 3. It has been proven to cause infantile hemangiomas to shrink

How do you remove a capillary hemangioma? 1. Surgical Care 2. Laser surgery has been attempted to ameliorate capillary hemangiomas but is still controversial. 3. The hemostatic effects of the carbon dioxide laser have been used with success to surgically remove these lesions. 4. Other lasers used include the argon laser and the Nd:YAG laser

1. Due to immature renal and circulatory system in preterm babies 2. Decrease fluid clearance in preterm babies 3. Fluids intake there's difficulty to handle by preterm baby 🤲🙏🌹🌹🌹🙏🤲

@@dr.tageldinaly in this type of cases will the baby survive What can we do to reduce edema from baby body

@makhan9565 1.Diuretics may be given to help them release fluid. Furosemide is a common treatment for swelling in preemies. ... 2.Blood transfusions may also be given to help improve blood flow. 3.Corticosteroids may be given in severe cases to help reduce inflammation caused by capillary leaks.

@@sakibcasm8950 increased risk for 1. birth defects and stillbirth. 2. Perinatal asphyxia 3.Birth injury

@@mamtamudgal5953 God bless you and your family 🙏🙏🙏🙏🌹🌹🙏🙏🙏🌹🌹🙏🙏🌹

Neonatal autonomic seizures characterized by alteration in cardiovascular, sudomotor, vasomotor, pupillary, and thermoregulatory function as the predominant seizure type have been proposed as a distinct seizure semiology in neonates

What is the most common cause of seizures in neonates? By far the commonest cause is hypoxic-ischaemic encephalopathy. It may be responsible for 80% of all seizures in the first 2 days of life. Brain damage due to prenatal distress and malformations of cortical development is being increasingly recognised

The high rate of seizures in the neonatal period reflects age-specific developmental mechanisms that lead to relative excitability. Neonatal seizures are often caused by serious underlying brain injury such as hypoxia-ischemia, stroke or hemorrhage

What mimics a seizure in a neonate? Shivering or shuddering attacks Shivering or shuddering spells can mimic seizures in otherwise normal, healthy, and developmentally appropriate infants. These nonepileptic clinical events consist of rapid shivering of the head, shoulder, and occasionally the trunk, usually not lasting more than a few seconds

What are the autonomic features of seizures? However, focal seizures also may manifest with autonomic phenomena such as tachycardia and less often bradycardia and asystole, pallor, epigastric and cephalic sensations, hypersalivation, respiratory modifications, and pupillary changes

@@Ahmed-v1z2r Subtle Seizures They are described as subtle because the clinical manifestations are frequently overlooked. They imitate normal behaviours and reactions. These include the following. Ocular movements, which range from random and roving eye movements to sustained conjugate tonic deviation with or without jerking.

@Ahmed-v1z2r Symptoms of subtle seizures Symptoms include: Random or roving eye movements, eyelid blinking or fluttering, eyes rolling up, eye opening, staring. Sucking, smacking, chewing and protruding tongue. Unusual bicycling or pedalling movements of the legs

@mostafaelrifahy7327 Babies at risk for 1. Neonatal rickets 2.Oestopenia of prematurity 3. Preterm babies at risk for metabolic bone disease 4. Low birth weight babies 👶 رب يحفظك ويوفقك ويسعدك يارب 🙏🙏🌹🌹🌹🌹

the recommended amount of milk for baby's age.

@@dr.tageldinaly can you please give me a video link for this sir

You are so welcome 🌹🌹🌹🙏🙏🙏🙏🌹🌹🌹🌹🌹🙏🙏

History days old boy presented to ER with H/o irritability, abnormal movement, fever ,abnormal eyes 👀 ( staring look) Family history of contact to sick patients ( with URTI) Clinical examination CNS evaluation AF bulge, HC normal for his age and sex , staring look 👀 power and tone normal DTR +2 cranial nerves intact Chest Good breath sound No additional sound CVS S1, S2 normal No audible murmur GIT soft ,lax no HSM Assessment, impressions, evaluation 1. Late onset neonatal sepsis 2. Neonatal seizures r/ o IEM,meningitis, brain 🧠 malformation, hypoxic ischemic insults, hemorrhage Plan of care 1. Full Septic work up ( LP,CSF ) 2. ABX Ampicillin + cefotaxime) 3. Brain 🧠 images 4. Pediatric neurology consultation 5. EEG

@@maramsaeed3325 th-cam.com/play/PLBORvfhX7wu-cl_lXQVAePSZbNsaMI4GR.html&si=8bP0OnxGERg6OYyH رب يحفظك ويوفقك ويسعدك يارب 🙏🌹🌹🌹🙏🙏🙏

@@PlayerTenji95 God bless you and your family 🌹🙏🙏🙏🌹🙏🙏🙏🌹🌹🙏

@PlayerTenji95 Yes You are totally right ✅️ Blood stool indicate necrotizing enterocolitis NEC ,