Structured long cases with history, examination findings, differential diagnosis, investigations, and management โ exactly how the FCPS examiner expects it.
Clinical pearls and real-world wisdom from experienced pediatricians โ updated regularly.
๐ด Neonatal FeverAny neonate 0โ28 days with fever โฅ38ยฐC needs admission and full septic workup. Empiric Ampicillin + Gentamicin. Do not send home.
๐ง Fluids in Septic Shock20 ml/kg NS bolus, reassess, repeat up to 60 ml/kg. If no improvement by third bolus โ inotropes. Document cap refill time every cycle.
๐ซ Wheeze in PreschoolerFirst episode of wheeze: trial of salbutamol first. Steroids only if atopy history or recurrent episodes. Not all wheeze is asthma.
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