Diseases of the Blood… Vitamin B12 Levels 28 Aug 202228 Aug 2022 WHO DefinitionsVitamin B12 cut-offB12 adequacy> 221 pmol/LLow B12148 -221 pmol/LB12 deficiency< 148 pmol/L Pitfalls of Serum Vitamin B12 Neither sensitive, nor specificVitamin B12 levels mostly reflect the predominant but functionally…
INFECTIOUS DISEASES… When it is NOT congenital syphilis 21 Aug 202220 Aug 2022 Congenital syphilis is unlikely in following scenario- Any neonate who has a normal physical examination and a serum quantitative nontreponemal serologic titer (VDRL) equal to or less than four-fold the…
The Fetus and the Neonatal Infant APT Test For Swallowed Maternal Blood 18 Aug 202216 Aug 2022 In a newborn infant with rectal bleeding or a blood streaked gastric aspirate, we need to determine whether the blood originated from infant’s gut or whether it’s the swallowed maternal…
Antimicrobials… Trimethoprim-Sulfamethoxazole 14 Aug 202214 Aug 2022 Always used as a fixed dose combination of Trimethoprim-Sulfamethoxazole in ratio of 1:5. Dose of Trimethoprim(TMP) is used for calculation purposes. Mild to Moderate Infections 4 mg TMP/kg/dose PO - 12…
Anti Parasitic Drugs… Permethrin- Therapeutic uses 7 Aug 202212 Aug 2022 Scabies Infants ≥2 months, Children, and Adolescents: Topical Permethrin 5% cream : Apply and massage in cream from head to toe (average adult requires 30 g); leave on for 8 to 14…
Pediatric Practice... Pearls for your Pediatric Office Practice 