Do abdominal examination and relevant exam of 1 year old infant who presents with abdominal distension.
hepatosplenomegaly , with no signs of CLD
active, conscious ,
pale, no jaundice or edema,
no joints involved and bones normal.
D/D :
CH Malaria
Gaucher Disease(Non neuronopathic)
Neiman Pick disease type B
Thalassemia
SoJIA
I have examined 1 year old Ali who is an active,co-operative infant ,
Abdomen is distended with a central , inverted umbilicus circular in shape e no visible pulsations , striae or scar marks., abdomen is nontender, liver is palpable 4cm below RCM e upper border in 4th ics in MCL e total span of 8 cm,it is nontender firm in consistency ,regular margins, left lobe is not palpable.Spleen is enlarged 4cm below LCM towards Lt Iliac fossa,it is firm in consistency and splenic notch is palpable, and hand cannot be instituted beneath LCM, it is not balotable. Kidneys or no masses are palpable.BS are audible and are of normal intensity.
hernial orifices are intact , genitalia exam and examination of back is normal,testes are palpable in scrotum,
There is pallor but no jaundice , petechiae, bruises , lymphadenopathy, cataract, clubbing , palmer erythema, or edema.Examiantion of joints is normal.
I would like to do fundoscopy of the infant and do formal developmental assessment.
hepatosplenomegaly , with no signs of CLD
active, conscious ,
pale, no jaundice or edema,
no joints involved and bones normal.
D/D :
CH Malaria
Gaucher Disease(Non neuronopathic)
Neiman Pick disease type B
Thalassemia
SoJIA
I have examined 1 year old Ali who is an active,co-operative infant ,
Abdomen is distended with a central , inverted umbilicus circular in shape e no visible pulsations , striae or scar marks., abdomen is nontender, liver is palpable 4cm below RCM e upper border in 4th ics in MCL e total span of 8 cm,it is nontender firm in consistency ,regular margins, left lobe is not palpable.Spleen is enlarged 4cm below LCM towards Lt Iliac fossa,it is firm in consistency and splenic notch is palpable, and hand cannot be instituted beneath LCM, it is not balotable. Kidneys or no masses are palpable.BS are audible and are of normal intensity.
hernial orifices are intact , genitalia exam and examination of back is normal,testes are palpable in scrotum,
There is pallor but no jaundice , petechiae, bruises , lymphadenopathy, cataract, clubbing , palmer erythema, or edema.Examiantion of joints is normal.
I would like to do fundoscopy of the infant and do formal developmental assessment.
No comments:
Post a Comment