Nutrition in childhood
Infant Nutrition Milk provides all the nutrients needed by newborn infants for the first 6 months of life. Breast milk is the ideal milk for human babies, but formula milk…
The paediatric consultation
Communication Skills in Paediatrics Paediatricians need to be happy with informality, enjoy humour and appreciate the unpredictability that children bring to consultations! Young children do not have a full understanding…
HEMATOLOGY
Clinical Manifestations • Fatigue, IUGR, preterm deliv, perinatal mortality, pica, restless leg syn • Hb <6 g/dL a/w NRFHT, oligohydramnios, fetal death, CHF (Hb <4 g/dL) • Signs: Pallor (conjunctiva),…
AND CARDIOVASCULAR DISEASE
Cardiovascular Changes in Pregnancy Blood Volume • Plasma vol ↑ 45% from 6–32 w gest to 4700–5200 mL • RBC mass ↑ by 20–30% (from ↑ production of RBCs) •…
ENDOCRINOLOGY
Hormones of Pregnancy • hCG is secreted by placental trophoblast. Detected in the mother’s bld 8 d after conception. Maintains corpus luteum progesterone production. Structurally similar to LH, FSH, &…
WOMAN VISIT AND PRIMARY CARE
Cancer Screening Guidelines • Cervical dysplasia: See below • Breast cancer: See below (Obstet Gynecol 2011;118:372) • Colorectal cancer: Begin age 50 yo. Consider 45 yo if AA. Younger if…
LABOR AND DELIVERY
Testing Modalities (Obstet Gynecol 2009;113:687) • Fetal mvmt count (“kick count”) (Cochrane Database Syst Rev 2007:CD004909) Variable protocols, usually 2 h, 3–7× per week 10 mvmts → reassuring; insuff evid…
