-kindly solve these mcqs 1-Sitagliptin effect on .. a-fbs b-rbs c-no effect/neutral d-postmeal 2-Post bariatric surgery …pt feel fatigue lethargy and difficulty in standing ,u suspect which deficiency… a-Vit d def, b-vit b12 cThiamine d- vit k 3-In obese patient leptin level a) increase b) decrease c )resistance d)no effect 4-in Sickle cell trait pt effect on hbA1c falsely a) increase b) decrease c-no effect 5-Pcos + insulin reistance rx of choice…. A-pioglitazone b-sitagliptin c-liraglutide d-ocp 6--16yr asymptomatic male with hbA1c 6.5 no f/h …diagnosis a-Lada b-mody c -t1dm d-t2dm -7-Asymptomatic pt having rbs 208..next step… a-Repeat rbs, b-fbs, c-hba1c, d-ogtt 8-Pco's pt having BMI 47,rx of choice A) bariatric surgery B) piolitazone c-ocp d-life style changes 9-12year obese male having aconthosis nigragance f/h of T2dm +ve having hbA1c 8.4… A) T1 dm B) T2 dm C) Lada D) mody 10-hep c pt treated now not active,having high cholesterol on flp.your plan a-niacin b-fibrate c- simva 20 d- rosuva 20 11-Pt well controlled t2dm on su +metformin …hba1c 6.4…admitted in icu… a-start insulin infusion+iv destrose b- insulin infusion +iv fluid C- S/C insulin d-same drugs 11-pt on statin & ezetamib for dlp add other drug which is not known by pt now develop myalgia which drug is responsible a niacin b simvastatin c ezetamib d-fibrate 12-person having Significant wt loss leptin level will be… a) increase b) decrease c )resistance d)no effect 13-Patient on insulin doctor write the dose instead of 15units to 50units , patient developed severe hypoglycemia subsequently managed by the hospital now okay what will be next step of the doctor a) doctor will not inform any body as patient is okay now b) doctor should admit his mistake Infront of patient c) dr should inform the higher authority about this mistake
Our Prof. I think there is a misspoken at 1:52:44 you said ( ... the testosterone need to be converted to DHT in order to develop the (female) external genitalia
Dear Prof. You said at 2:31 Growth velocity:crossing percentiles toward parent genetics 9-12 mo at 8:23 Genetic short stature :from 3 to 4 year starting to cross percentiles down below 5th percentile ..... this is a classic example of familial short stature. What is the accurate age for crossing percentiles OR this is just for example?
Clarification for the management of DKA slide..... Deficit is calculated as 5% dehydration in patients with DKA, which is 50cc/kg divided evenly over 48 hours...Thanks.
PEDIATRIC BOARD A LAST MINUTE REVIEW thanks alott for the informations really it is the best lectures i ever seen , alot of informations in the short time with nice slides thank you
Yes very nice videos, the way of elaboration makes it a jewel.....thank you. Just wanted to share that now in 2022-2024 UK guidelines 5% deficit for mild and moderate DKA and 10% for severe DKA......
Bone age. Will help you to understand the possible causes of short stature, narrow your differential, advanced bone age typically hit a growth spurt early on but stop growing at an earlier age, Possible causes: prolonged elevation of sex steroids levels, as in precocious puberty, CAH. Delayed bone age: commonly seen in cases of constitutional growth delay, but also can be seen in cases of hypothyroidism and growth hormone deficiency. Means understanding the underlying condition, will help with the appropriate management of short stature. Chronological age is age of child.
Thanks Dr. Osama. An excellent presentation as usual. In adrenal crisis , how to calculate the dose in m 2, any table to correlate body weight in Kg with body surface area? Thanks again.
salam, do you consider a child who is 5 and half yrs old and barely measures 40 and a half inches average? considering mother being 4,11 and father 5'11, though it's very possible he's short cause of me.
+babylina hajj I plotted the number you have provided assuming he is a boy, his height on 5th percentile for age, the expected final adult height will be the average between the mother and the father, for this case, it is about 5 feet 3 inches predicted final adult height (if boy), or 4 feet and 11(if she is a girl). This just a prediction, also you have to consider bone age, if delayed or equal to chronological age, more detailed family history e.g. grandparents statures, family history of constitutional delay, he or she can be a little taller than that or shorter, close follow up is important and following his growth curve periodically with his pediatrician.
+PEDIATRIC BOARD A LAST MINUTE REVIEW oh my that's extremely low stature. According to online estimated calculations and what his pediatrician said he will be 5'7. 5'3 isn't normal 😞😞😫 is it even possible that he is just growing slow his height is of a 4 yr old .
+babylina hajj This just a predicted height according to Mid-paternal height. Also he is on 5th percentile according to the number you have provided which is good, he is not below 5th percentile, the most important is to plot his correct height "standing straight, looking forward", on a growth curve for boys and measure the growth velocity, normally is 5-6cm/years. You can measure over 4 months period then multiply by 3. Growth velocity is more important predictor than the actual height now.
Good morning prof ..l want to ask about Glucose intolerance ,,is it consider a pre stage before DM ??or is it a different disorder ??and how to deal with a child with glucose intolerance ???thanks ,,,
ADA definition of prediabetes. Patients are at increased risk for diabetes if they have 1 of the following 3 states: 1-Impaired fasting glucose (IFG): IFG is a fasting plasma glucose level of 100-125 mg/dL 2-Impaired glucose tolerance (IGT): A plasma glucose level (obtained 2 hours after a 75-g oral glucose challenge) > 140 mg/dL but < 200 mg/dL 3-Hemoglobin A1c (A1c): Beginning in 2010, the ADA included an A1c level of 5.7%-6.4% as an indicator of prediabetes Most commonly associated with obesity. Lifestyle change focusing on development of healthier dietary and activity habits is the mainstay of treatment, Limited data to support pharmaceutical interventions in adolescents with prediabetes
If the HbA1C is less than 9% the treatment is usually diet, exercise, and metformin. if more than 9% usually they need insulin to control the diabetes.
Calculate mid-paternal height, this will give you the predicted mean height, and plot this value on growth curve at age 18-20 years, potential height will be +/- 5 cm. Some uses +/-10 cm.
+Nadeem Rauf Chaudhry Dr. Chaudhry, thank you so much for the correction. truly the postaxial is (little finger) or ulnar side. Pre-axial is (thumb) or radial side. I appreciate your note, I will go back to the slide and correct it.
For most part of the presentation you just reading the slides and not explaining the little concepts and physiology that will make us understand the disease and its pathophysiology easily😫
Thank you very much for your excellent presentatio, may you please send me your mobile ? your email as well . I wonder if you have PDF or PowerPoint for this presentation. Dr Sameh Tawfik
Growth 00:21
Thyroid disorder 44:26
Adrenal disorder 1:19:51
DSD 1:29:37
Diabetes mellitus 2:05:41
wonderful lecture.. this is the lecture I was looking for... hope to find such great lectures for every system in paediatrics
Thanks
Thanks Dr. Osama ..... We not only learn from your videos but also enjoy them
You're very welcome !! Thank you.
مجهود رائع ومفيد ومنظم ربي يجعله في ميزان حسناتك .ويجزيك كل كل خير يارب ❤
ربنا يجازى حضرتك خير ويوفق حضرتك للخير شكرا جزيلا
شكراً د اسامة في ميزان حسناتك يارب.
Very nice and useful lecture sir. Thank you Dr
Thanks very much for the great effort you are taking to prepare these great tutorials.
You are very welcome. Thanks.
Diabetes Mellitus 2:05:38
Calcium and bone disorders 1:04:24
شكرا دكتور ويعطيك العافية .. جعله الله عملاً صالحاً جارياً ❤
Thank you!
Thank you,excellent summarised presentation
Many thanks Boss Osama for your great efforts.Very Nice lecture
You are very welcome !
Jazakallah,
Dr Osama Naga, itz really useful video.
Thanks
ربنا يجزى حضرتك كل خير...
Thank you!
رائع د. أسامة🎉
Very good review with excellent tables🎉
12:44
Postaxial polydactyly is an extra digit on the ulnar side. And it's benign.
And preaxial is assiciated with anomalies.
Check it!
Eman Amer Yes, you’re correct. It was corrected in one of the comments in the beginning. Thank you
PEDIATRIC BOARD A LAST MINUTE REVIEW
Oops, I have to check it then.
Thanx!
-kindly solve these mcqs
1-Sitagliptin effect on .. a-fbs b-rbs c-no effect/neutral d-postmeal
2-Post bariatric surgery …pt feel fatigue lethargy and difficulty in standing ,u suspect which deficiency… a-Vit d def, b-vit b12 cThiamine d- vit k
3-In obese patient leptin level a) increase b) decrease c )resistance d)no effect
4-in Sickle cell trait pt effect on hbA1c falsely a) increase b) decrease c-no effect
5-Pcos + insulin reistance rx of choice…. A-pioglitazone b-sitagliptin c-liraglutide d-ocp
6--16yr asymptomatic male with hbA1c 6.5 no f/h …diagnosis
a-Lada b-mody c -t1dm d-t2dm
-7-Asymptomatic pt having rbs 208..next step… a-Repeat rbs, b-fbs, c-hba1c, d-ogtt
8-Pco's pt having BMI 47,rx of choice A) bariatric surgery B) piolitazone c-ocp d-life style changes
9-12year obese male having aconthosis nigragance f/h of T2dm +ve having hbA1c 8.4…
A) T1 dm B) T2 dm C) Lada D) mody
10-hep c pt treated now not active,having high cholesterol on flp.your plan a-niacin b-fibrate c- simva 20 d- rosuva 20
11-Pt well controlled t2dm on su +metformin …hba1c 6.4…admitted in icu… a-start insulin infusion+iv destrose b- insulin infusion +iv fluid C- S/C insulin d-same drugs
11-pt on statin & ezetamib for dlp add other drug which is not known by pt now develop myalgia which drug is responsible a niacin b simvastatin c ezetamib d-fibrate
12-person having Significant wt loss leptin level will be… a) increase b) decrease c )resistance d)no effect
13-Patient on insulin doctor write the dose instead of 15units to 50units , patient developed severe hypoglycemia subsequently managed by the hospital now okay what will be next step of the doctor a) doctor will not inform any body as patient is okay now b) doctor should admit his mistake Infront of patient c) dr should inform the higher authority about this mistake
Thanks for the wonderful lectures
Thank you!
Nice video sir. Thank you
Thank you Dr osama
Amazing g lecture
You are welcome
what is diferent nelson pediatric and p board dr naga
Wow, that's what i need!! Just understand and keep in mind) thank you for explaining !!!!
Thank you!
Nice lecture Thank u dr osama
+sami ahmed You are very welcome!
Our Prof. I think there is a misspoken at 1:52:44 you said ( ... the testosterone need to be converted to DHT in order to develop the (female) external genitalia
Yes you are absolutely correct. I heard it, it is wrong. I meant male. Thank you. I will correct it in the future updated videos.
Dear Prof.
You said at 2:31 Growth velocity:crossing percentiles toward parent genetics 9-12 mo
at 8:23 Genetic short stature :from 3 to 4 year starting to cross percentiles down below 5th percentile ..... this is a classic example of familial short stature.
What is the accurate age for crossing percentiles OR this is just for example?
This was just an example
Worderful lectures sir. I am searching a lecture of your's on malnutrion
Thanks dr usama for u great work. also if u make playlist for every chapter it will be great
I will try my best
Thank you!
Thanks Prof Osama ,,please other question ,,,
Is there a clear definition to the polyuria and polydipsia according to the ADA ...???
AAP: It may be defined clinically as urine production of more than 2 L/m2/24 hours
Excellent lecture 🎉
Clarification for the management of DKA slide..... Deficit is calculated as 5% dehydration in patients with DKA, which is 50cc/kg divided evenly over 48 hours...Thanks.
PEDIATRIC BOARD A LAST MINUTE REVIEW thanks alott for the informations really it is the best lectures i ever seen , alot of informations in the short time with nice slides thank you
Yes very nice videos, the way of elaboration makes it a jewel.....thank you. Just wanted to share that now in 2022-2024 UK guidelines 5% deficit for mild and moderate DKA and 10% for severe DKA......
how can I use bone age to determine final height?
and also to determine chronological age??
thanks.
Bone age. Will help you to understand the possible causes of short stature, narrow your differential, advanced bone age typically hit a growth spurt early on but stop growing at an earlier age, Possible causes: prolonged elevation of sex steroids levels, as in precocious puberty, CAH. Delayed bone age: commonly seen in cases of constitutional growth delay, but also can be seen in cases of hypothyroidism and growth hormone deficiency. Means understanding the underlying condition, will help with the appropriate management of short stature. Chronological age is age of child.
Where did the 1800 number come from?
Just a suggested number for calculations and it works, as simple as that.
Thanks Dr. Osama. An excellent presentation as usual.
In adrenal crisis , how to calculate the dose in m 2, any table to correlate body weight in Kg with body surface area?
Thanks again.
BSA (m2) = (height (cm) x weight (kg)/3600)½eg, BSA (m2) = square root of (height (cm) x weight (kg)/3600)
Thanks.
Osama naga kindly update your lecture plzzzz
Amazing as usualy
Thanks
salam, do you consider a child who is 5 and half yrs old and barely measures 40 and a half inches average? considering mother being 4,11 and father 5'11, though it's very possible he's short cause of me.
+babylina hajj I plotted the number you have provided assuming he is a boy, his height on 5th percentile for age, the expected final adult height will be the average between the mother and the father, for this case, it is about 5 feet 3 inches predicted final adult height (if boy), or 4 feet and 11(if she is a girl). This just a prediction, also you have to consider bone age, if delayed or equal to chronological age, more detailed family history e.g. grandparents statures, family history of constitutional delay, he or she can be a little taller than that or shorter, close follow up is important and following his growth curve periodically with his pediatrician.
+PEDIATRIC BOARD A LAST MINUTE REVIEW oh my that's extremely low stature. According to online estimated calculations and what his pediatrician said he will be 5'7. 5'3 isn't normal 😞😞😫 is it even possible that he is just growing slow his height is of a 4 yr old .
+babylina hajj This just a predicted height according to Mid-paternal height. Also he is on 5th percentile according to the number you have provided which is good, he is not below 5th percentile, the most important is to plot his correct height "standing straight, looking forward", on a growth curve for boys and measure the growth velocity, normally is 5-6cm/years. You can measure over 4 months period then multiply by 3. Growth velocity is more important predictor than the actual height now.
+PEDIATRIC BOARD A LAST MINUTE REVIEW thank you for your quick reply ☺☺😊
Sir u r a blessing for us
Thank you
AoA
Sir
Hyperparathyriodism treatment calcitriol plz clear it
Good morning prof ..l want to ask about Glucose intolerance ,,is it consider a pre stage before DM ??or is it a different disorder ??and how to deal with a child with glucose intolerance ???thanks ,,,
ADA definition of prediabetes. Patients are at increased risk for diabetes if they have 1 of the following 3 states:
1-Impaired fasting glucose (IFG): IFG is a fasting plasma glucose level of 100-125 mg/dL
2-Impaired glucose tolerance (IGT): A plasma glucose level (obtained 2 hours after a 75-g oral glucose challenge) > 140 mg/dL but < 200 mg/dL
3-Hemoglobin A1c (A1c): Beginning in 2010, the ADA included an A1c level of 5.7%-6.4% as an indicator of prediabetes
Most commonly associated with obesity.
Lifestyle change focusing on development of healthier dietary and activity habits is the mainstay of treatment,
Limited data to support pharmaceutical interventions in adolescents with prediabetes
i cant find rheumatology part
Not done yet. Thanks
Good morning prof
How to treat type 2DM in children and adolescents???
If the HbA1C is less than 9% the treatment is usually diet, exercise, and metformin. if more than 9% usually they need insulin to control the diabetes.
♥️
شكرا #2
Thank you! #2
السلام عليكم.انا لا استطيع تحميل الكتاب .ارجو مساعدتي.
Unfortunately, I am not the owner of the book, the copyright belongs to Springer the publisher. I just edited the book. Thank you.
Thank you for the video, i passed part 1 thanks to you.
Congratulations!!...Thank you!
value of target height??
Calculate mid-paternal height, this will give you the predicted mean height, and plot this value on growth curve at age 18-20 years, potential height will be +/- 5 cm. Some uses +/-10 cm.
?? Many thanks for great efforts...have you any lectures regarding stastistics
Thanks. Not yet.
Jazak Allah , Nice lecture
+ QARAR QATAR Thanks.
Thank you sir
Thank you!
Thank you very much
You are welcome
Sorry but, I think post axial polydactyly is not on the radial side. Rather its on the little finger side.
+Nadeem Rauf Chaudhry Dr. Chaudhry, thank you so much for the correction. truly the postaxial is (little finger) or ulnar side. Pre-axial is (thumb) or radial side. I appreciate your note, I will go back to the slide and correct it.
Excellent!!!
Thanks
Great Lecturar
Thank you.
Love as always!! Thanks
You are very welcome!
Nice 👍👍👍
Thanks
For most part of the presentation you just reading the slides and not explaining the little concepts and physiology that will make us understand the disease and its pathophysiology easily😫
Nice
Thanks
Thank you very much for your excellent presentatio, may you please send me your mobile ? your email as well .
I wonder if you have PDF or PowerPoint for this presentation.
Dr Sameh Tawfik
Sameh Tawfik osama.naga@ttuhsc.edu
Thank you!
Diabetes topic starts at 2 hours 5 minutes
good
Thanks.
Nice lecture Thank u
can I get the slides plz
Thanks.
18:34 neonatal hypoglycemia
Nice
Thank you!