Mnemonic for Indications of Bronchoscopy in a child

Indications for Bronchoscopy in Upper Airway Problems in Children use the mnemonic
"SPECS-R"

S - severity of the airway obstruction - Parents subjective impression of the severity of the problem.
P - progression of the obstruction.
E - eating or feeding difficulties.
C - cyanosis.
S - sleep apnea, especially with evidence of cor pulmonale.
R - radiologic abnormalities

See also this video

A PEANUT IN THE RESPIRATORY TRACT CAN CAUSE HUGE PROBLEMS.. WHEN IT IS NEGLECTED FOR WEEKS .... EVEN GREATER PROBLEMS

Erythema Multiforme Pic

Erythema multiforme is a type of hypersensitivity (allergic) reaction that occurs in response to medications, infections, or illness. Medications associated with erythema multiforme include .................

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Side effects of Prostaglandin E1 on neonates

Prostaglandin E1 used in:
 Maintain patency or reopen ductus arteriosus in case of
1. Cyanotic Congenital Heart Disease

• Transposition of the Great Vessels
• Tricuspid atresia

2. Aortic Coarctation

# Side effects are common and potentially lethal

1. Flushing
2. peripheral edema
3. Hypotension
4. Apnea
5. Hyperpyrexia
6. Jitteriness
7. Diarrhea
8. Hypoglycemia
9. Hypocalcemia
10. Renal Failure
11. Rhythm disturbance
12. Coagulopathies

Note that : Start with "x" mg of Prostaglandin E1( Where "x" = 0.3 x WeightKg )
-Add enough D5W or NS to Prostaglandin for 50 ml total
At this dilution: Infusion rate of 0.5 ml/min provides 0.05 ug/kg

Xanthelasma

Xanthelasma are tiny (1-2 mm) yellowish plaques that are slightly raised on the skin surface of the upper or lower eyelids. Xanthelasma is caused by tiny deposits of fat in the skin and is often associated with abnormal blood fat levels (hyperlipidemia).

Xanthelasma typically appears in or near the eyelids. Under the microscope, Xanthelasma can be seen to be composed of lipid-laden foam cells. These cells, termed histiocytes, contain lipid material in their cytoplasm (the nonnuclear zone of the cell). Xanthelasma may be associated with hypercholesterolemia.

The Ultimate Guide to Finding the Right Job After Residency

Koushik Shaw, "The Ultimate Guide to Finding the Right Job After Residency"
MgH | 2005 | ISBN: 0071461132 | 304 pages | PDF | 1,1 MB

This is a one-of-a-kind single source compendium of employment advice for residents looking for their first job and physicians looking to make career changes. For the first time, important issues such as geographic considerations, partnerships, salaries, legalities, starting an effective job search, interviewing tips, contract negotiation, are all discussed in detail by someone who's been there and lived it.

HERE