MUSCLE WEAKNESS

Aug 17, 2016 by in PEDIATRICS Comments Off on MUSCLE WEAKNESS

49 MUSCLE WEAKNESS General Discussion The first step in the evaluation of muscle weakness is differentiating true muscle weakness from fatigue and asthenia. Fatigue is the inability to continue performing…

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LEUKOPENIA

Aug 17, 2016 by in PEDIATRICS Comments Off on LEUKOPENIA

48 LEUKOPENIA General Discussion The normal peripheral white blood cell count ranges from 5.0 to 10.0 × 109/L. Leukopenia is defined as a total WBC count below 4.5 × 109/L….

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LEUKOCYTOSIS

Aug 17, 2016 by in PEDIATRICS Comments Off on LEUKOCYTOSIS

47 LEUKOCYTOSIS General Discussion Leukocytosis is defined as a white blood cell (WBC) count greater than 11 000 per mm3. Circulating leukocytes consist of neutrophils, monocytes, eosinophils, basophils, and lymphocytes….

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CHRONIC KIDNEY DISEASE

Aug 17, 2016 by in PEDIATRICS Comments Off on CHRONIC KIDNEY DISEASE

13 CHRONIC KIDNEY DISEASE General Discussion Chronic kidney disease (CKD) is defined by the presence of sustained abnormalities of renal function and results from different causes of renal injury. CKD…

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INSOMNIA

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46 INSOMNIA General Discussion Insomnia is a symptom complex consisting of inadequate or poor-quality sleep characterized by one or more of the following problems: difficulty falling asleep, difficulty staying asleep,…

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CHRONIC COUGH

Aug 17, 2016 by in PEDIATRICS Comments Off on CHRONIC COUGH

12 CHRONIC COUGH General Discussion The cough reflex is complex, but cough generally results from irritant stimulation of one or more receptors in the respiratory system. Estimating the duration of…

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INFERTILITY, MALE

Aug 17, 2016 by in PEDIATRICS Comments Off on INFERTILITY, MALE

45 INFERTILITY, MALE General Discussion Infertility, defined as the inability to conceive after 1 year of unprotected intercourse, affects 15% of couples. Half of these couples have a component of…

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INFERTILITY, FEMALE

Aug 17, 2016 by in PEDIATRICS Comments Off on INFERTILITY, FEMALE

44 INFERTILITY, FEMALE General Discussion Infertility affects one couple in six and becomes more common with increasing age. Clinical evaluation of infertility is indicated if a pregnancy has not occurred…

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HYPOTHYROIDISM

Aug 17, 2016 by in PEDIATRICS Comments Off on HYPOTHYROIDISM

43 HYPOTHYROIDISM General Discussion Hypothyroidism usually results from decreased thyroid hormone production and secretion by the thyroid gland. Hypothyroidism can either be primary or central, which involves the pituitary gland…

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HYPOKALEMIA

Aug 17, 2016 by in PEDIATRICS Comments Off on HYPOKALEMIA

41 HYPOKALEMIA General Discussion Hypokalemia is defined as a serum potassium level less than 3.6 mEq per liter. Hypokalemia has been associated with an increased risk of hypertension, ischemic stroke,…

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