Lessons from the cat

4year child with Tracheotomy on home ventilator. His parent had difficulty in putting back the dislodged tracheotomy tube.

Describe "Macklin effect".


Hint: Drawn by the author in his original paper

credit:
Can Med Assoc J. 1937 April; 36(4): 414–420.
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1562024/

Asthma comorbidity

7yr girl with asthma but has inspiratory dyspnea as well

This is a spirometry  (illustration is not related to this patient)

Hint:

What phase of breathing does stridor usually manifest?

Resource:

Wheezing and vocal cord dysfunction mimicking asthma

PMID: 11140406 [PubMed - indexed for MEDLINE]

"Rash"ionale 1

This is an infant on a parent lap. (The following questions are not linked to each other and describes seperate entity)

1.What is the most life saving management if the child is "ill appearing" with high fever?



2.What is the role of steroids if your diagnosis is a "vasculitis disorder" in a well appearing child?

http://www.ncbi.nlm.nih.gov/pubmed/22311342


3. Name the childhood vaccine associated with "autoimmune" disease presenting like this.


4. What is the indication for bone marrow aspiration in this child?

Arch Pediatr Adolesc Med. 1998 Apr;152(4):345-7.