PEDIATRICS OSCE

Done By:
Mohammed I. Alhefzi.
Othman M. Omair

Dec. 2011
 Bronchodilator
Patient may look cushingoid.
 Chest Tube
Indications? Side Effects?
Oropharyngeal Airway
Convulsive patient or in CPR
 Central Line
3 channels
Complications; Thromobsis
Space Inhaler
 NGT
For feeding; severe RD, Cleft palate, Comatosed.
NGT + Lock
For (suction)
Nasal Pronge
Gives 95% O2
 ETT
Endotracheal tube.
 Ambu Bag
With Reservior (left) to increase O2 Sat.
Laryngeal Mask
 Foleys Catheter
Urine catheter, dont forget the inflation and deflation when removal
Pneumothorax (M.C. Staph)
If hydrothorax (M.C. Iatrogenic)
NGT + ECG + ETT + Central Line
Many tubes showing in X-Ray
 Foreign Body
Needs lateral view to confirm
Pneumothorax
Pneumothorax (lateral view)
 Tension Pneumothorax
With shifting of the heart.
Rx; Needle or Chest Tube Insertion
 Lung Abcess (Air-Fluid Level)
M.C. organism (Staph)Happens also in immunocompromised.
Ground Glass Apperance
Neonate with RDS.
 Active Rickets
1) Wide Joint space. 2) Clubbing. 3) Broad wrist. 4).
5) Decreased Bone Density.
In healing stage: White line with .
It may be a # (Greenstick) or decreased bone age
Management? (Vit. D)Complications? (Nephrosclerosis).
Cardiomegaly
Signs of HF also Rx
Dextrocardia (isolated, if alone)
(if all organs, it is called; Situs Inversus)
Tension Pneumothorax
With collapsed lung.
M.C. organism; (Staph)
Bronchopneumonia (BPN)
Chronic under Treatment
Calcification (Brain CT)
Causes? (Toxo, CMV )
Ground Glass Apperance
Diaphragmatic Hernia
Scaphoid abdomen
 Cleft lip
(Poor feeding) Always associated with (CLEFT PALATE)
Ambiguous Genitalia
 Cushings
Due to steroids? NOT WITH DECREASED GH
 Measles
Conjunctivitis, runny nose
Staphylococcal Scalded Skin Syndrome (4Ss)
May not come on exam! Doctor skipped it.
 Malar Rash
If (alone) give topical steroids.
 Ear Drum
OM? Absence of light cone!
Plasmodium malariae
Plasmodium malariae
Thalasemia / Chronic Hemolytic Anemia
Check for organomegalies.
SCD
Crises?
Hand Foot Syndrome
Syndactyly, Showering with IE.
Encephalocele
May not come on exam; but it could be either:
DIC or Abuse
 ECG
Respiratory Sinus Arrhythmia (in relation with inspiration and expiration)
 Vent. Tachy
(doctor emphasized on it, dont miss it)
a

ECG
a) Vent. Tachy. b) Vent. Fibrillation.
Hypotonia
Floppy infant.
 Growth Delay
Questions will be about development; e.g. how old are they? Plotting growth chart..etc
Chocking
Brush Field Iris
Downs?
Downs Syndrome
Features of Downs?
 Clubbing
Always indicates a chronic illness (manifests after 6 months of the diseases)
Duchenn Muscular Dystrophy
HSP
Skin Bx.
 Rickets
Late, secondary type
Myelomeningocele
Complications?
 Hydrocephalus
Sings? CNS manifestations?
 Shunting
Indications? Complications?
VP Shunt X-Ray
 Oral Thrush
immunodeficient? Or Fungal (artificial milk feeding)
Red Currant Jelly
Intussusception?
 Napkin Dermatitis
Caused by (Diarrhea)
If by Zinc deficiency it is called (Acrodermatitis Enteropathy)
Mongolian Spots
No intervention needed
 CBC
Decrease Plts, or Hypochromic microcytic or all decreased
 Trisomy (45 XO)
Another pictures of karyotyping like; XXY (Klienfilter) or XYY (Superman)
AD
AD
AR
AR
 It has taken us a lots of time to rearrange this pictures and
make it as clear as possible for all of you guys.
Sorry for not completing all data, but we wrote a highlights and
you should know the rest.
Please dont forget to pray for us both!

Wish you guys all the best, all the time

Mohammed I. Alhefzi (Abu AlWateen).

Othman M. Omair (Abu Anas).

Cheers!
Best of luck.