The Children's hospital & ICH, Multan. Study Camp

Eid Mubarak

For "Dengue" care at home with gratitude to the original creator CDC for this image

Hypertension in 2025

Bronchodilators

Newborn assessment

Heart Boders on Xray

Approach to Pediatric ECG

🔴Approach to ECGs - Ischemia
🍁MI = Biomarkers + ECG or echo/angiogram findings
🍁Pathologic Q - 1/3 height of QRS in 2 leads or 1 small box wide, can be new/old infarct
🍁STEMI - J point STE >0.1 mV in any 2 contiguous leads, except
• V2-V3: ≥0.25mV men I
🍁STEMI Equivalents / Don't Miss Signs of Ischemia
- hyperacute T waves - broad, prominent asymmetrical, similar or bigger than QRS
- deWinter T waves - starts below isoelectric line; upsloping ST dep and peaked T in precordial leads with STE in avR
- Wellen's T - biphasic/deep-symmetric inverted T V2-4 can have no pain - LAD stenosis
- U wave inversion
- STE avR - proximal LAD or high burden triple vessel disease
- ST depression or T wave inversion in avL - early inferior MI
- R/S >1 or ST depression in VI-V2 - posterior infarct, get a 15 lead
- STE V1 >V2 or STE/isoeIectric in VI with depression in V2 - RV infarct
- New tall T wave in V1 - normal T is inverted in V1, unless LBBB/LVH/high voltage

Stomatitis

Acute Pericarditis

How to read a head CT scan.

Dental caries
Prop-feeding infants when put to sleep with a bottle containing milk or other fermentable liquids places them at high risk of severe dental caries and should be discouraged.