Pediatric post graduate exam guide. Your Smart Companion
High-yield MCQs, clinical cases, viva preparation and exam-focused pediatric topics designed for postgraduate learners.
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Featured Clinical Case Reviews.
Congenital Adrenal Hyperplasia
Congenital adrenal hyperplasia (CAH) is a group of autosomal-recessive disorders of adrenal steroid synthesis. Impaired cortisol synthesis causes ↑ ACTH, adrenal hyperplasia and accumulation of steroid precursors. The clinical picture depends on the enzyme affected and the severity of the defect. 21-hydroxylase deficiency accounts for >90% of CAH cases and is the most important form for pediatric exams.
Severe Acute Malnutrition
Clinical Scenario: A 3-year-old girl with severe acute malnutrition is admitted with lethargy and poor appetite. Her weight-for-height is −3.8 Z-scores and she has bilateral pedal edema. After initial stabilization, therapeutic feeding is started cautiously. On the third day, she becomes increasingly weak and tachypnoeic. She develops peripheral edema and a new irregular tachycardia. Blood glucose is normal.
MCQ: Joint pain | Rash
A 6-year-old boy is brought to the emergency department with high-grade intermittent fever for 4 days. Ten days earlier, he was bitten on the hand by a rat while playing near a garbage area. The bite wound healed without treatment.Over the last 2 days, he has developed painful swelling of both knees and ankles, followed by a faint maculopapular rash over his extremities. On examination, he is
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