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video, computer time; personal care / hygiene, regular mealtimes, hobbies and sports '5 6
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rivalry, anticipated sibling, age-appropriate peer activities, preparation for school entrance, promotion of
school achievement, peer pressure, resolving conflicts without violence '5 6
1.8.4 '.%"   ) '/
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seat, seat belts), bicycle helmets, fire safety, hot water temperature (set at < 50o C), never shake baby,
sleeping position, sleep patterns, gun fire arms safety, safety toys, aspiratable foods and small objects,
discourage use of infant walkers, window and stair safety, water safety, constant supervision, hazards of
strangers and animals, dealing with strangers, poisoning ingestion, pedestrian safety, street safety, sports
safety; avoidance of violence, cigarette, alcohol or drug use; childproof home (electrical appliances,
poisons, medicines, gun), preparation parents for emergency service, advise first aid treatment, prevention
of burns and scalds '5 6
 34

1.8.5 J   d6! 7, developmental milestones, promote, bonding and
attachment, normal drive for autonomy, how to state clearly "no" and "yes", plays & toys, self-comforting
behaviors, positive outcome of desirable behavior, "time-out", promotion of responsibility, prevention of
substance use/abuse '5 6
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(8-12 yr), menstruation, wet dreams, give information about puberty (11-14 yr), sexual abstinence (16-21
yr), STD prevention '5 6
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encopresis, strawberry hemangioma, umbilical hernia, hydrocele, inguinal hernia, undes-cended testes,
phimosis, labial adhesion, torticollis, tongue-tie, strabismus, myopia, hyperopia, diaper rash, seborrheic
dermatitis, geographic tongues, dental caries, enuresis, night crying, obesity weight loss or poor weight
gain, irregular menstruation, premature sexual development, acne, dysmenorrhea, vaginal / urethral
discharge, etc. common orthopedic problems (metarsus adductus, knock knees, bowlegs, congenital hip
dislocation, tibia torsion, scoliosis, flat feet, Osgood-Schlatter disease) '5 6
2.2 'KY  d6!6-"! 7, infantile colic, vomiting and regurgitation, constipation,
food refusal, sleeping problems (night terror, nightmares, night waking), toilet training, toilet resistance,
tics, fears, thumb-sucking, temper tantrums, breath-holding spells, stuttering and stammering, tooth
grinding, nail-biting, speech and hearing problems, learning problems, aggressive behavior (lies, steals,
temper outbursts, fight excessively) '5 6
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sexual behavior
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1.4 Genitourinary: pregnancy, ectopic pregnancy and abortion, primary and secondary
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hydrocele, HIV, GU trauma, Bartholinˆs abscess, complicated PID
1.5 Musculoskeletal: patella dislocation, scoliosis > 20 o, bone tumors
1.6 Neuropsychiatric: anorexia nervosa, bulimia, chronic fatigue syndrome depression,
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 60
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 64
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1.8 *% / !": Sequestration and chest syndrome, fever in a child with leukemia,
anemia, thrombocytopenia, coagulopathy, hemophilia with acute trauma, possible tumor
(masses)
1.9 H6 7*G%: Otitis media / externa, pharyngitis, cervical adenitis, peritonsillar /
retropharyngeal abscess, cellulitis (especially facial /orbital), sinusitis, meningitis,
encephalitis, sepsis / bacteremia, fever without source, infected wounds, and bites
1.10 '$: Altered mental status, migraine and muscle contraction headache, febrile
seizures, afebrile seizures, status epilepticus, paresis / paralysis, ataxia, shunt malfunction /
infection, increased intracranial pressure
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globe, hyphema
1.12 %%H#'˜ Z: Gait disturbances, sprains, strains, fractures, arthritis, bone and joint
infection, common dislocations, Osgood-Schlatterˆs disease
1.13 H6 
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1.14 : Respiratory failure, pneumonia, asthma, status asthmaticus, pneumothroax,
bronchiolitis, pleural effusion, smoke inhalation, BPD, severe asthma
 91
1.15   / 3!: Burns, closed head injury, skull fractures, soft tissue injury including
lacerations, abrasions and contusions, common dental injuries
1.16 ) / 1 % 6: Ingestion / poisoning, bite and sting injuries, submersion,
electrical injury, heat and cold injury
1.17 6
7: depression, suicidal attempt / ideation, combative patient, conversion reaction,
panic attacks
1.18 "!: child abuse or neglect, sexual abuse, rape, substance abuse

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 92
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 95
1.3 
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1.6 H6 7*G%: Sepsis, meningitis, encephalitis
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infant 7, varicella
1.7 '$: Ischemic hypoxic encephalopathy, intraventricular hemorrhage,
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3 F1225?
3.1 _ 3
(INFECTIOUS AND PARASITIC DISEASES) ICD 10, I; A00-B99
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1.1 Microbiology
1.1.1 Clinical microbiology
1.1.2 Microbial virulence factor
1.1.3 Endotoxin and exotoxin
1.2 Immunology of infectious diseases
1.2.1 Immunologic response to infection
1.2.2 Basic immunology in immunization
1.2.3 Host defense mechanism
1.2.4 Host parasite relationship
1.2.5 Serologic study and skin test (principle and preparation)
1.2.6 Immunologic disorder
1.3 Host response to infection
1.4 Antimicrobial drugs
1.4.1 Principle of antimicrobial therapy
1.4.2 Pharmacodynamic and pharmacokinetic
1.4.3 Antimicrobial susceptibility test
1.4.4 Mechanism of drug resistance
2. %#$
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 106

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2.1.7 $ +'/
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1.1 $
1': Fever in neonate, immunocompromised host, fever without localizing
features or associated with rash / petechiae / purpura
1.2 : Ear pain, sore throat, runny nose, cough, sinus pain, stridor, chest
pain, dyspnea, tachypnea
1.3 ,%%: Vomiting, diarrhea, abdominal pain
1.4 'K
: Urinary pain or frequency, hematuria, penile or vaginal
discharge
1.5 ! *G%H",": Painful or swollen joints and bones, limp, puncture
wounds, skin changes, pain, or erythema
1.6  G*%": Adenopathy with or without fever or pain
1.7 )
$: Conjunctival drainage, orbital swelling or redness
1.8 7,%"': Tooth pain, facial swelling
1.9 '$": Convulsions, stiff neck, alteration of consciousness

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1.1.1 Viral exanthems: Measles, varicella, herpes simplex, parvovirus, rubella
1.1.2 Zoonoses /arthropod borne: Dengue, malaria, JE, scrub typhus, murine
typhus, rickettsial infection
1.1.3 %* V: Infectious mononucleosis syndrome (7, EB virus, CMV,
toxoplasma), RSV, influenza, enterovirus, adenovirus, Burkholderia
pseudomallei
1.2 %]%


1.2.1 $"  ,
 : URI, pharyngitis, otitis media and externa,
sinusitis, facial cellulitis, mastoiditis
1.2.2 7,%"' / %%: Herpetic gingivostomatitis, herpangina, oral thrush,
tonsillar-pharyngitis, glossitis enteroviral enanthems, Koplikˆs spots,
diphtheria, mumps parotitis
1.2.3 $"  ,
": Croup syndrome
 108

1.2.4 $"  ,

,": Pneumonia (including chlamydia, mycoplasma,
bacteria, viral), bronchiolitis, bronchitis, pertussis, pulmonary
tuberculosis, tracheitis (child with endotracheal tube)
1.2.5 $"  %: Esophagitis, enteritides (bacteria, viral and parasitic,
giardia, E. histolytica, cryptosporidiosis, antibiotic associated colitis,
hepatitis)
1.2.6 16: UTI (pyelonephritis, cystitis, urethritis)
1.2.7 %

* #Z: Urethritis, vaginitis, epididymitis, orchitis, cervicitis
1.2.8 ! *G%H",": Osteomyelitis (acute), septic arthritis, tropical
pyomyositis
1.2.9 '$": Aseptic meningitis, post-varicella encephalitis,
tetanus, rabies, bacterial meningitis, JE
1.2.10 +
 ": Bacterial (impetigo, cellulitis, furuncles, erysipelas,
carbuncles), dermatophytes, candida (oral and diaper), infestations
(scabies, lice), viral (warts, venereal warts, molluscum contagiosum,
herpes simplex)
1.2.11 6: Conjunctivitis, blepharitis, sty, preseptal cellulitis
1.2.12 '6: Pinworms, toxocara canis, ascariasis, hookworm,
microsporidium, cryptosporidium, Entamoeba histolytica, giardia,
tapeworm, Brugia malayi, trichuriasis, free living amoeba,
strongyloidiasis, cysticercosis, trichinosis, gnathostomiasis,
opisthorchiasis, paragonimiasis
1.3 ,"6!,!%
1.3.1  Z: CMV, rubella, syphilis, parvovirus B19, varicella,
toxoplasma, herpes simplex virus (HSV), lymphadenitis (bacterial,
tuberculous)
1.3.2 ' 
- Viral: varicella, enterovirus, HIV, HSV
- Bacterial: sepsis, group B strept., focal infections (scalp, mastitis,
omphalitis),
tuberculosis
- Fungal: candida
 109

1.3.3 $ /
,%  : Potential occult bacteremia
1.3.4
, : Cervicitis, vaginitis, genital ulcer/adenopathy, urethritis,
epididymitis / orchitis, cutaneous (syphilis, warts), PID, HIV, human
papilloma virus

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1.1.1 Zoonoses / arthropod borne: Brucella, leptospirosis, lyme, malaria,
rabies, scrub and murine typhus
1.1.2 %* V : Prenatal exposure to or congenital HIV, AIDS, disseminated or
active tuberculosis, systemic fungal infections, disseminated gonococcal
infection, endotoxin shock, fever of unknown origin, fever and
neutropenia, fever in immunocompromised patient, Kawasaki disease
1.2 %]%


1.2.1 $"  ,
 : Orbital cellulitis, mastoiditis
1.2.2 7,%"' / %%: Peritonsillar abscess, retropharyngeal abscess, dental
abscess
1.2.3 $"  ,
": Epiglottitis, bacterial tracheitis
1.2.4 $"  ,
,": Fungal pneumonia, empyema, lung abscess
1.2.5 
% *% : Endocarditis, thrombophlebitis, pericarditis,
myocarditis, acute rheumatic fever
1.2.6 $"  %: Gastritis, hepatic abscess, cholangitis, hemolytic uremic
syndrome, parasites
1.2.7  7,%"$%": Appendicitis, peritonitis, abscess
1.2.8 16: Renal and perinephric abscess
1.2.9 %

* #Z: Complicated PID, tubo-ovarian abscess
1.2.10 ! *G%H",": Osteomyelitis, septic arthritis, myositis
 110

1.2.11 '$": Brain abscess, epidural, subdural, and paraspinal

abscess, encephalitis, transverse myelitis, peripheral neuropathies
(diphtheria, botulism, tetanus), Guillain-Barre syndrome, poliomyelitis
1.2.12 +
 ": Staphylococcal scalded skin syndrome
1.2.13 6: Keratitis, endophthalmitis
1.3 Special hosts
1.3.1 Immunocompromised hosts: 
'K" %# empiric
treatment / management (7, AIDS, chemotherapy, steroid suppression,
malignancy)
1.3.2 $ : Toxoplasmosis (intrauterine), perinatal herpes, perinatal
systemic fungal, varicella

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3.1.7 _ 3@A 7    Human Immunodeficiency Virus 

#
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3. %# staging %" HIV infection H 76
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 111

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3. %#'6Z$"  $ rapid diagnostic techniques 
7*G%H$!% 7, particle agglutination, rapid strept tests,  monoclonal FA tests
4. %#   '  6Z $"   $  serologic tests 7, Western
immunoblot  ELISA
5. %# 1'7$" %"$ molecular biologic tests 7, PCR,
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susceptibility test 7, MIC, MBC, synergy and antagonism
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3.2 _ 7? ?H=

(MALIGNANT NEOPLASM) ICD 10, II; C00-C97
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 113

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1.2 Brain tumor
1.3 Hodgkinˆs  non-Hodgkinˆs lymphoma
1.4 Neuroblastoma
1.5 Wilms tumor
1.6 Retinoblastoma
1.7 Histiocytosis syndrome
1.8 Soft tissue sarcomas / rhabdomyosarcoma
1.9 Bone tumors (osteosarcoma and Ewing ˆs sarcoma)
1.10 Liver cancer
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 114

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1.1.2 Thalassemia / hemoglobinopathies : trait and diseases
1.1.3 Glucose-6- phosphate dehydrogenase deficiency (G-6-PD)
1.2. 
*% %%", (bleeding disorders)
1.2.1 Acquired platelet dysfunction with eosinophilia (APDE)
1.2.2 Idiopathic thrombocytopenic purpura (ITP)
1.2.3 Idiopathic vitamin K deficiency
1.2.4 Hemophilia
1.2.5 Von Willebrand disease
1.2.6 Disseminated intravascular clotting (DIC)
 117

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3.4 _
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(ALLERGY AND DISORDERS INVOLVING THE IMMUNE MECHANISM) ICD 10,
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1.1.2 Macrophage and mononuclear cell
1.1.3 Polymorphonuclear cell (PMN)
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1.1.5 Complement
1.2 Gell and Coombs hypersensitivity
1.3 Allergic inflammation (mast cell, eosinophil, lymphocyte, IgE, mediators etc)
1.4 Principle of allergen immunotherapy
1.5 Pharmacology of drugs used in various allergic disorders
1.6 Cytokines
1.7 Transplantation immunology and major histocompatibility complex (MHC)

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1.5 Latex allergy
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 calcium homeostasis
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1.2 Central nervous system: 7, increased intracranial pressure
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1.4 Respiratory system: 7, acute respiratory failure
1.5 Gastrointestinal and hepatobiliary system: 7, severe diarrhea, gut obstruction,
cirrhosis
1.6 Urinary system: 7, acute renal failure
1.7 Endocrine and metabolic system: 7, diabetic ketoacidosis, adrenal
insufficiency '5 6
1.8 Hematology and oncology: 7, tumor lysis syndrome, uric acid nephropathy,
acute hemolysis '5 6
1.9 Infectious diseases: 7, DHF, septic shock, malaria '5 6
1.10 Miscellaneous : 7, burns, near-drowning, salicylate poisoning, SIADH '5 6

3.7 ?_

(NUTRITIONAL DISORDERS) ICD 10, IV; E00-E68
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 131

1.2 Nutrient digestion, absorption and metabolism in health state

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1.4 Nutrition in lactation
1.5 Breast milk and breast-feeding
1.6 Infant formula and other milk formula
1.7 Complementary feeding

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1.2 Vitamin deficiencies
1.3 Mineral deficiencies
1.4 Obesity
1.5 Nutrient deficiencies in vegetarianism
1.6 Food faddish
1.7 Hyperlipidemia
1.8 Hypervitaminosis
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2.2 Cardiac beri-beri
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 132

3. %#1 H 
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1.1 Nutrient digestion, absorption and metabolism in diseases
1.2 Nutrition assessment : Nutrition history taking, physical examination,
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1.3 Enteral nutrition : Principles, special formula
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2.  )'KY$"H7  H / 
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2.1 AIDS
2.2 Burns
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2.4 Heart disease
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2.6 GI disease: Malabsorption, liver and biliary disease, pancreatic disorders, diarrhea,
constipation
2.7 Pulmonary disease
2.8 Renal disease
 133

2.9 Diabetes mellitus

2.10 Food allergy

3.8 _?F 5?6j

(MENTAL AND BEHAVIORAL DISORDERS) ICD 10, V; F00-F99
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 134

disorder (ADHD)
1.3 Tics disorder
1.4 Elimination disorder: Enuresis, encopresis
1.5 Eating disorder: Food refusal, pica, anorexia nervosa, bulimia nervosa
1.6 Disruptive behavior 7, conduct disorder, oppositional defiant disorder
1.7 Gender identity disorder
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handicaps  dying
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4.2 Headache
4.3 Abdominal pain
4.4 Cyclic vomiting
5. %#6%"organic mental disorder 7, acute organic mental disorder, chronic
organic mental disorder, HIV / AIDS   
6. %#6%" conversion disorder  somatoform disorder
7. %#6%" anxiety disorder "6,%1' G
7.1 Separation anxiety disorder
7.2 Post traumatic stress disorder
7.3 Phobic disorder
7.4 Panic disorder
7.5 Generalized anxiety disorder
7.6 Obsessive-compulsive disorder
7.7 Mood disorder 1 , depressive disorder
7.8 Substance use disorder
7.9 %* V 7, 'KY %  G
  trichotillomania  Munchausen
syndrome
 135

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1.1 Drug intoxication
1.2 Attempted suicide
1.3 Hyperventilation
1.4 Acute organic mental disorder
1.5 Aggressive and violent behavior

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3.8.4 IDHF  6jh@
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breath holding spell, feeding problem, sleeping problem, masturbation, stuttering, thumb
sucking
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3. %# psychosocial care of chronic illness and handicaps
4. 
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4.1 Mental retardation
4.2 Autistic disorder
4.3 Speech and language disorder
4.4 Motor incoordination disorder
4.5 Learning disabilities
4.6 Attention deficit hyperactivity disorder (ADHD)
4.7 Tic disorder
4.8 Elimination disorder: enuresis, encopresis
4.9 Eating disorder 1 , food refusal, pica
 136

4.10 Disruptive behavior 7, conduct disorder, oppositional defiant disorder

4.11 Adjustment disorder
4.12 Psychophysiologic disorder
4.13 Separation anxiety disorder
4.14 Reactive attachment disorder
4.15 Chronic headache and chronic abdominal pain

<=
3.8.5 ID
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1.2 Depressive illness
1.3 Repeated suicidal attempt
1.4 Anorexia nervosa
1.5 Bulimia nervosa
1.6 Aggression and violence $1!,6% %")*G%"6
1.7 Autistic disorder $1!,6% %")*G%"6
1.8 Substance abuse
1.9 Cyclic vomiting
1.10 Severe disorganized family
1.11 Obsessive compulsive disorder
1.12 Post traumatic stress disorder
1.13 Phobic disorder
1.14 Panic disorder
1.15 Generalized anxiety disorder
1.16 Gender identity disorder
1.17 Separation anxiety disorder $1!,6% %")*G%"6
1.18 ADHD and LD $1!,6% %")*G%"6
 137

<=
3.8.6 <? !
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 parenting, discipline, adoption/foster care, family life
education, impact of mass media, play and game, electronic media, child mental health
2.    '(  ) 
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adoption/foster care, family life education, impact of mass media, play and game,
electronic media, child mental health 1 %,"!!

3.9 _223
(DISEASES OF THE NERVOUS SYSTEM) ICD 10, VI; G00-G99
<=
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1.1 Neuroanatomy
1.2 Neurophysiology
1.3 Development of nervous system
1.4 Cerebrospinal fluid dynamic
1.5 Neurotransmitters
1.6 Pharmacology of antiepileptic drugs and other drugs used in nervous system
diseases
1.7 Basic principle of neuroimaging
1.8 Basic principle of neurophysiology examination (EEG, EMG, nerve conduction
study)
1.9 Basic principle of neurogenetics
1.10 Molecular and cellular biology of pediatric nervous system disorders
1.11 Environmental epidemiology of pediatric nervous system disorders
 138

<=
3.9.2
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1.1 Neural tube defect 1 , spina bifida, meningocele, meningomyelocele,
encephalocele, syringomyelia '5 6
1.2 Congenital malformation %* V %"'$

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1.1 Absence seizures
1.2 Febrile seizures
1.3 Static encephalopathy
1.4 H'
3), migraine '
3)
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1.5 Mild closed head trauma  simple linear skull fractures
1.6 
!+ '6$"'$7

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1.7 Generalized tonic-clonic seizures
1.8 Viral meningitis
1.9 Attention deficit disorder $1!,[[%
1.10 Bacterial meningitis $1!,!' KY[[%

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3.9.5

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1.1 Acute encephalopathy 7, metabolic, hypertensive, lead, anoxic, drug / toxin
induced
1.2 Bacterial meningitis
1.3 Brain abscess
1.4 Brain tumor
1.5 Cerebral palsy
1.6 Coma, increased intracranial pressure
1.7 Craniosynostosis
1.8 Encephalitis
1.9 '
3) " $'5 !(G *%1!,6% %"6,%)6!'6 *%!
 140

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1.10 Hydrocephalus
1.11 Movement disorders (chorea, ataxia, tics)
1.12 'KYY%,% J + '6, autism
1.13 ! *G%%,% ", hypotonia *% flaccidity 7, anterior horn cell disease,
Guillain-Barre syndrome, muscular dystrophy, myasthenia gravis
1.14 Neurocutaneous syndromes
1.15 %7[("
 ]1  ) *%! #ZH$"'$$!
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1.16   "$3), complicated skull fractures,  %"1 "
1.17 H%"% *% %"!%"
1.18 6 7*G%*%Y $%" ventriculoperitoneal shunt
1.19 Parasitic CNS infestation
1.20 Cryptococcal meningitis
1.21 Tuberculous meningitis
1.22 Spinal cord disorders

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3.9.6  !I
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1.1 Electroencephalogram (EEG)
1.2 Head computerized tomography scan (CT)
1.3 Head magnetic resonance scan (MR)
1.4 Lumbar puncture
1.5 Psychometric testing
1.6 Electromyography (EMG) and nerve conduction velocity (NCV)
1.7 IQ test
2. '+6
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2.1 6
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2.2 CT scan $!)L+ '6 , 7 7, brain abscess, brain tumor, cerebral
hematoma
2.3 EEG $!)L+ '6] 7, absence, localized spike
2.4 IQ test
 142

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1.2 $7,%$!+6,%'$" 7, antihistamine, antidepressants,
stimulants, tranquilizers '5 6

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3.10 _5?3C25?
(DISEASES OF THE EYE AND ADNEXA) ICD 10, VII; H00-H59
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1.2 Corneal abrasion   
1.3 Periorbital cellulitis
1.4 Hordeolum
1.5 Blocked lacrimal duct
1.6 Simple foreign bodies
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1.2 Cataract
1.3 Chemical burns
1.4 Complicated and intraocular foreign bodies
1.5 Decreased visual acuity
 144

1.6 Esotropia, exotropia, ptosis

1.7 Glaucoma
1.8 Herpetic keratitis / chronic conjunctivitis
1.9 Orbital cellulitis
1.10 Retinopathy of prematurity
1.11 Significant eye trauma manifested by hyphema, extraocular muscle palsy, globe
penetration, or orbital fracture
1.12 White pupillary reflex

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1.2 Iritis (collagen vascular disease)
1.3 Cataracts (metabolic disorders)
1.4 Papilledema (increased intracranial pressure)
1.5 Chorioretinitis (congenital infections)

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3.10.5 <??Fg4= 6  $$%"!$Z 
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phorias)
5.2.2 Visual acuity
5.2.3 Abnormal red reflex / pupils
5.3 % 1-5 'E
5.3.1 Visual acuity
5.3.2 Visual tropias  phorias
5.3.3 Abnormal red reflexes / pupils
5.4 % 5-11 'E
 146

5.4.1 Visual acuity (Snellen chart)

5.4.2 Visual tropias, phorias
5.4.3 Color blindness (,"'()+7
7Y)
5.4.4 Refractive errors (,"'()+7
7Y)
5.5 Adolescence
5.5.1 Visual screening
5.5.2 Refractive errors
6. " %
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(DISEASES OF THE EAR AND MASTOID PROCESS) ICD 10, VIII; H60-H95
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1.1 Allergic rhinitis
1.2 Blunt nasal trauma
1.3 Cervical adenitis
1.4 Epistaxis
1.5 Otitis media and externa (uncomplicated)
1.6 Parotitis (mild)
1.7 Pharyngotonsillitis
 147

1.8 Routine care for the child with a tracheostomy

1.9 Simple nasal and ear canal foreign bodies
1.10 Acute bacterial sinusitis
1.11 Stridor (mild): 7, croup, tracheomalacia
1.12 Uveitis
1.12 Viral enanthema (herpes, herpangina, measles)
<=
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1.2 Airway obstruction (acute, chronic)
1.3 Cholesteatoma, chronic otitis media
1.4 Congenital anomalies of the pinna, lip, palate, jaw
1.5 Complicated otitis media, sinusitis, epistaxis, parotitis
1.6 Epiglottitis
1.7 Chronic hypertrophic tonsillitis, adenoiditis
1.8 Foreign body of the aerodigestive tract
1.9 Head and neck masses
1.10 Nasal polyp
1.11 Significant hearing loss 7, congenital neurosensory hearing loss
1.12 Significant trauma to the middle or external ear, nose, lip, palate, pharynx
1.13 Sleep apnea (obstructive sleep apnea)
1.14 Tympanic membrane perforation (traumatic or persistent)
1.15 Chronic sinusitis acute sinusitis with its complication
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4. 
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syphilis, congenital CMV, hereditary deafness, acoustic neuroma, atresia of the ear,
ototoxicity, noise-induced hearing loss, bacterial meningitis  vestibular disorders
 149

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(DISEASES OF THE CIRCULATORY SYSTEM) ICD 10, IX; I00-I99; Q20-Q28
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 murmur  organic %% functional
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1.1 Peripheral pulmonic stenosis
1.2 Tachycardia $! #Z1
1.3 Functional heart murmur
1.4 Small VSD
1.5 Small PDA
1.6  %

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1.1 Cyanosis
1.2 Severe hypertension
1.3 Supraventricular tachycardia
1.4 Bradycardia
1.5 Congestive heart failure
1.6 Cardiovascular collapse
1.7 Syncope
1.8 Pathologic heart murmur
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 151

2.1 Ventricular septal defect (VSD)

2.2 Atrial septal defect (ASD)
2.3 Tetralogy of Fallot (TOF)
2.4 Patent ductus arteriosus (PDA)
2.5 Coarctation of the aorta
2.6 Transposition of great arteries (TGA)
2.7 Atrial stenosis (AS)
2.8 Pulmonic stenosis (PS)
2.9 Mitral valve prolapse
2.10 Total anomalous pulmonary venous return (TAPVR)
2.11 Supraventricular tachycardia
2.12 Myocarditis / cardiomyopathy
2.13 Kawasaki's disease
2.14 Acute rheumatic fever
2.15 Rheumatic heart disease
2.16 Bacterial endocarditis

<=
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3.13 _22=AF
(DISEASES OF THE RESPIRATORY SYSTEM) ICD 10, X; J00-J99, Q30-Q34
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1.2 Web of larynx
1.3 Congenital laryngeal stridor, laryngomalacia
1.4 Subglottic stenosis
1.5 Congenital tracheomalacia
1.6 Bronchial stenosis
1.7 Congenital malformation of the lung: cystic, sequestration, agenesis hypoplasia and
dysplasia
1.8 Bronchogenic cyst
1.9 Vascular ring
1.10 Pulmonary AV fistula
 154

1.11 Diaphragmatic hernia/ eventration of diaphragm

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1.1.2 Pharyngotonsillitis
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1.2.3 Bacterial tracheitis
1.2.4 
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1.2.5 Acute bronchitis
1.2.6 Acute bronchiolitis  wheezing associated respiratory infection
 155

(WARI)
1.2.7 Pneumonia (bacterial, viral)
1.2.8 Bronchiectasis
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1.3.2 Apnea of prematurity
1.3.3 Asthma (

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1.2 Apnea
1.3 Apparent life threatening event
1.4 Bronchopulmonary dysplasia
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1.6 Foreign body in the airway
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1.8 % "
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1.9 Recurrent / persistent pneumonia
1.10 Refractory *% severe asthma (

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1.11 Persistent atelectasis
1.12 Bronchopleural fistula
1.13 Respiratory failure 66,"V 7, pulmonary edema, ARDS near
drowning
1.14 Significant pneumothorax
1.15 Congenital disorders of respiratory system
1.16 Volatile substance abuse
 156

1.17 Intrathoracic tumor

1.18 Obstructive sleep apnea
1.19 Pulmonary tuberculosis

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(DISEASES OF THE DIGESTIVE SYSTEM) ICD 10, XI; K00-K93; Q38-Q45
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1.1 GI development
1.2 Bilirubin and bile acid metabolism
1.3 Digestion and absorption of nutrients
1.4 Gut immunology
 157

1.5 Liver function

1.6 Gut peptide
1.7 Basic GI pharmacology
1.8 Physiologic gastroesophageal reflux

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1.1 Tongue tie
1.2 Cleft lip, cleft palate
1.3 Trachea-esophageal fistula
1.4 Hiatal hernia
1.5 Congenital pyloric stenosis
1.6 Congenital absence, atresia and stenosis of intestines
1.7 Omphalomesenteric duct
1.8 Meckelˆs diverticulum
1.9 Hirschsprung disease
1.10 Duplication of intestine
1.11 Recto-vaginal, urethrorectal fistula
1.12 Atresia of bile duct
1.13 Choledochal cyst
1.14 Annular pancreas

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1.2 Vomiting
1.3 Hematemesis
1.4 Hematochezia
1.5 Abdominal pain
1.6 Constipation
1.7 Diarrhea
1.8 Ascites
1.9 Jaundice
1.10 Abdominal mass
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2.1 Stool examination
2.2 Stool reducing substance
2.3 Liver function test
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2.5 Ascitic fluid examination
2.6 Scotch tape test for pinworm
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3.2 Colonoscopy
3.3 Sigmoidoscopy
3.4 pH monitoring
3.5 D-xylose test
3.6 Ultrasonography and CT abdomen
3.7 Liver biopsy

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1.2 Lactose intolerance
1.3 Vomiting
1.4 Constipation, encopresis
1.5 Cow milk protein  food intolerance
1.6 Antibiotic associated diarrhea
1.7 Recurrent abdominal pain
1.8 Infantile colic
1.9 Primary peritonitis
1.10 Acute viral hepatitis, uncomplicated
1.11 Anal fissure
1.12 Intestinal parasites
1.13 Jaundice associated with breast feeding
1.14 Gastroesophageal reflux (mild)
 160

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hepatitis, hepatic failure
1.2 Hepatobiliary disease: Hepatitis, undiagnosed hyperbilirubinemia, Wilson
disease, choledochal cyst, liver abscess, biliary atresia, pancreatitis,
hepatosplenomegaly, portal hypertension, cholangitis
1.3 Gastrointestinal conditions : Constipation, encopresis, gastroesophageal reflux,
peptic ulcer disease, H. pylori gastritis, intestinal pseudoobstruction, abnormal
swallowing, Hirschsprung disease, cyclic vomiting, inflammatory bowel disease,
short bowel syndrome, malrotation, colitis, significant GI bleeding, inguinal
hernia
1.4 Malabsorption entities : Celiac disease, cystic fibrosis, persistent diarrhea
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1.1 Anatomy of skin
1.2 Physiology of skin of the normal newborn infant and premature infant
1.3 Pharmacology of topical and systemic drugs used in dermatology
1.4 Dermatoimmunology

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1.1 Scaling lesions
1.2 Macular or papular lesions
1.3 Plaque and nodule
1.4 Vesiculobullous lesions
1.5 Pustular lesions
1.6 Purpuric lesions
1.7 Pruritic rashes
1.8 Hypopigmented and hyperpigmented lesions
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2.1 KOH preparation
2.2 Gram stain and AFB stain
2.3 Tzanck ˆs smear
2.4 Scrape for scabies
2.5 Scotch tape test for tinea versicolor
2.6 Woodˆs lamp examination
2.7 Skin biopsy
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1.1 Infections and infestations
1.1.1 Bacterial infections : Impetigo, ecthyma, folliculitis, furuncle,
carbuncle, erysipelas, cellulitis, staphylococcal scalded skin syndrome,
sexually transmitted diseases (congenital syphilis)
1.1.2 Superficial fungal infections : Candidiasis, dermatophytosis (tinea
capitis, tinea corporis, tinea pedis), tinea versicolor
1.1.3 Viral infections : Molluscum contagiosum, warts, herpes simplex,
herpes zoster, chickenpox, viral exanthems, HIV infection
1.1.4 Insect bites and parasites : Insect bite reaction, scabies, pediculosis,
creeping eruption
1.2 Common dermatitis
1.2.1 Atopic dermatitis (mild to moderate)
1.2.2 Seborrheic dermatitis
1.2.3 Pityriasis alba
1.2.4 Dyshidrotic eczema
1.2.5 Contact dermatitis
1.2.6 Autosensitization dermatitis
1.2.7 Diaper dermatitis
1.3 Urticarial disorders
1.4 Cutaneous drug reactions
1.5 Maculopapular eruption
1.6 Erythema multiform
 165

1.7 Fixed drug eruption

1.8 Neonatal skin problem
1.8.1 Transient skin lesions (7, erythema toxicum, milia, miliaria, neonatal
acne)
1.8.2 Birthmarks and developmental defects (vascular and nevi)
1.9 Papulosquamous diseases 7, pityriasis rosea
1.10 Acne
1.11 Cutaneous manifestations of systemic diseases
1.11.1 Gram negative septicemia
1.11.2 Lupus erythematosus and connective tissue diseases
1.12 Genodermatoses
1.12.1 Neurofibromatosis
1.12.2 Tuberous sclerosis
1.13 Alopecia (traction, trichotillomania, tinea or drugs)
1.14 Hemangioma (uncomplicated)

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1.1 Infections
1.1.1 Tuberculosis and other mycobacterial diseases
1.1.2 Leprosy
1.2 Dermatitis
1.2.1 Atopic dermatitis (severe)
1.2.2 Photodermatitis
1.3 Cutaneous drug reactions
1.3.1 Stevens-Johnson syndrome and toxic epidermal necrolysis
1.4 Papulosquamous diseases
 166

1.4.1 Psoriasis
1.5 Vesiculobullous diseases
1.5.1 Chronic bullous dermatosis of childhood
1.5.2 Bullous pemphigoid
1.5.3 Dermatitis herpetiformis
1.5.4 Pemphigus
1.6 Acne (severe)
1.7 Cutaneous manifestations of systemic diseases
1.7.1 Histiocytosis X
1.7.2 Malnutrition dermatosis
1.8 Genodermatoses
1.8.1 Incontinentia pigmenti
1.8.2 Congenital ichthyosis
1.8.3 Epidermolysis bullosa
1.9 %* V
1.9.1 Vitiligo
1.9.2 Urticaria pigmentosa
1.9.3 Hemangioma (complicated)

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1.2 $ : Tibia torsion, metatarsus adductus
1.3 1-5 'E : In-toeing, out-toeing, metatarsus adductus, interior and external tibia
torsion, femoral anteversion and retroversion bow-legs, knock-knees, external
rotary contraction infancy
1.4 5-11 'E : Scoliosis, muscle strain, flat feet, low back pain
1.5
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1.2 '
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1.3 Growing pain (idiopathic limb pain in childhood)
1.4 Henoch-Schoenlein purpura
1.5 Hypermotility syndrome
1.6 Patellofemoral syndrome
1.7 Transient synovitis
1.8 Acute rheumatic arthritis (
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1.9 Juvenile idiopathic arthritis 7  1!,[[%
 169

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1.2 Arthritis associated with malignancy, viral infection, bleeding diathesis
1.3 Dermatomyositis
1.4 Juvenile rheumatoid arthritis
1.5 Fibromyalgia
1.6 Kawasaki syndrome (
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1.7 Mixed connective tissue disease
1.8 Takayasu ˆs arteritis
1.9 Pain and somatization syndrome
1.10 Reflex sympathetic dystrophy
1.11 Scleroderma
1.12 Spondyloarthropathies
1.13 Systemic lupus erythematosus including neonatal lupus syndrome
1.14 Polyarteritis nodosa
1.15 Systemic vasculitides
1.16 Avascular necrosis of femoral head (Perthesˆ disease)
1.17 Compartment syndrome
1.18 Osteochondritis dessican
1.19 Slipped capital femoral epiphysis
1.20 Osteomyelitis
1.21 Septic arthritis
1.22 Kyphosis
1.23 Cerebral palsy
1.24 Poliomyelitis
 170

1.25 Arthrogryposis congenita

1.26 TB hip, TB spine

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3.16.5 Limping Child 
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1.2 Complement component, 7, C3, C4, C50
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3.17 _5?22326K4@CI33
(DISEASES OF THE GENITOURINARY SYSTEM) ICD 10, XIV; N00-N39,N99
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1.2 Cystic kidney disease: Polycystic kidney renal dysplasia, sponge kidney
1.3 Congenital obstructive defects: Congenital hydronephrosis, megaloureter,
malposition of ureters, vesico-ureteral reflux, duplication of ureters
Other congenital malformation: Horseshoe kidney, ectopic kidney, posterior urethral
valves
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2.1 Imperforate hymen

2.2 Congenital malformation of uterus, cervix, genitalia
2.3 Undescended testicle
2.4 Hypospadias, epispadias
2.5 Hydrocele
2.6 Indeterminate sex and pseudohermaphroditism

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1.2 Orthostatic proteinuria
1.3 Balanitis
1.4 Nonspecific urethritis
1.5 Prepubertal vaginitis
 173

1.6 Labia minora adhesions

1.7 Scrotal pain of swelling, mild
1.8 Genital trauma
1.9 Mild hypertension
1.10 Steroid responsive nephritic syndrome
1.11 Acute postinfectious glomerulonephritis

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3.17.5
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1.2 Hemolytic uremic syndrome
1.3 Hypertension
1.4 Renal mass or cyst
1.5 Obstructive uropathy 7, posterior urethral valve, neurogenic bladder
1.6 Nephrogenic diabetes insipidus
1.7 Urolithiasis
1.8 Tubular defect: 7, renal tubular acidosis. Fanconiˆs syndrome, Bartterˆs
syndrome, tubulointerstitial disease
1.9 Nephrotic syndrome; steroid non-responsive, resistant
1.10 IgA nephropathy
1.11 Congenital nephritic syndrome
1.12 Derangements of renal function in the acutely ill child 7, acute tubular necrosis
1.13 Toxic nephropathy
1.14 Vesicoureteric reflux
1.15 Voiding dysfunction
1.16 Phimosis and paraphimosis
1.17 Orthostatic proteinuria
1.18 Wilms tumor
 174

1.19 Scrotal pain or swelling (moderate and severe)

1.20 Ambiguous genitalia
1.21 Sexual abuse

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3.17.6 ?22C?=
 
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1.2 Systemic lupus erythematosus
1.3 Bacteremia (shunt nephritis, endocarditis)
1.4 Systemic infection, bacteremia

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PERIOD) ICD 10, XVI; P00-P96
(

Neonatal Intensive Care Unit)
 176

3.19 6C1  C?___o

(CONGENITAL MALFORMATIONS, DEFORMATIONS AND CHROMOSOMAL
ABNORMALITIES) ICD 10, XVII; Q00-Q99
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syndrome, Apert syndrome  Marfan syndrome
2.2.2 Autosomal recessive 7, thalassemia, phenylketonuria, maple syrup
urine disease, urea cycle defects, mucopolysaccharidosis (Hurler,
Hunter, Sanfilippo, Morquio)
2.2.3 X-linked dominant 7, incontinentia pigmenti, hypophosphatemic
rickets
2.2.4 X-linked recessive 7, hemophilia A, B, G-6-PD deficiency, Duchenne
muscular dystrophy, Fragile-X
2.3 'K+ '6 (Multifactorial disorders) 7, neural tube defects, cleft lip / palate,
congenital heart disease, pyloric stenosis, congenital hip dislocation
2.4 
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imperforate hymen, ambiguous sex, Potter syndrome, polycystic kidney disease,
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5.6 
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syndrome, Crouzon syndrome, arthrogryposis, polydactyly, syndactyly,
congenital hip dislocation, achondroplasia, osteogenesis imperfecta,
thanatophoric dysplasia, osteopetrosis, tibia torsion, talipes equinovarus
(congenital club foot), metatarsus adductus '5 6 (
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!+ '66,  %"+
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incontinentia pigmenti, ectodermal dysplasia, epidermolysis bullosa '5 6
5.8 H$!6HH!H[!+ '6 7, Downˆs syndrome, Trisomy 13,
Trisomy 18, Turner syndrome, Klinefelter syndrome, ataxia telangiectasia,
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 178

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(INJURY, POISONING AND CERTAIN OTHER
CONSEQUENCES OF EXTERNAL CAUSES)
ICD 10, XIX; T00-T07, T15-T32, T36-T79, T90-T98, XX; V01-V99, W00-Y89
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3.1 Mechanism and diagnosis of injury : Fall, animal bites (snake bites, dog bites),
road accident, thermal injuries (burn, scald, heat stroke), submersion, sharp and
blunt injuries, electrical injury, foreign body, insect sting, radiation injury, sport
injuries, child abuse (physical , sexual, mental)
3.2 Mechanism and diagnosis of poisoning
3.2.1 Drugs : Analgesics and antipyretics (salicylate, acetaminophen
 181

ibuprofen) opiates compound (morphine, heroine), narcotics (cocaine,

LSD, amphetamines, ecstacy, marijuana), sedative and hypnotics
(barbiturate, benzodiazepine), antidepressants (tricyclic anti-depressant),
major tranquilizers (chlorpromazine, haloperidol), anticonvulsants
(phenobarbital, carbamazepine, sodium valproate, dilantin),
antihistamines, vitamins and minerals (iron, fluoride, vitamin A, D, E,
iodide), antidiarrheal drugs and antispasmodic drugs (loperamide,
atropine), inotropic and antihypertensive drugs (digitalis, clonidine,
beta-blocker, calcium channel blocker), bronchodilators (theophylline,
beta-agonists) , antibiotics (penicillin, co-trimoxazole, aminoglycosides)
3.2.2 Heavy metal : Lead, arsenic, mercury, cadmium
3.2.3 Household product poisoning : Hydrocarbon (benzene, gasoline,
thinner), methanol and ethanoil, corrosive agents, detergents, nail
remover and supernail remover, cyanide, bleaching agents, hair spray
3.2.4 Pesticides : organophosphate, organochlorine, carbamate, pyrethrum,
diethyl toluamide (DEET), paraquat, 2-4 D, 2-4-5 T, warfarin, zinc
phosphide
3.2.5 Environment hazards : carbon monoxide, sulfur dioxide, nitrogen
dioxide, ozone, mushroom, nitrate & nutrite, hydrocyanide, timson
weed (H"), cfc ( hair spray, foam, G6 vv)
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1.1 Prehospital management
1.2 Emergency management
1.2.1 First aid treatment
1.2.2 Shock (hypovolemic, cardiogenic, anaphylactic)
1.2.3 Respiratory failure
1.2.4 Renal failure
1.2.5 Hepatic failure
 182

1.3 Specific management

1.3.1 Proper transportations
1.3.2 Decontamination: gastric lavage, hemodialysis
1.3.3 Increase excretion
1.3.4 Specific antidotes
1.4 Ethical, legal, social issues
1.5 Rehabilitation
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- Developmental factors: correlation of age and type of accident and
poisoning
- Environmental factors
- Temperamental factors
2.3.2 Health and health maintenance
- Pharmacology and pharmacokinetic
- Principles of management
- Health supervision
2.3.3 Epidemiology (morbidity and mortality) of poisoning
2.3.4 Impact and prevention of all poisoning
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1. THERAPEUTIC AND TECHNICAL PROCEDURES

Abscess (simple), I & D
Abdominal paracentesis
Airway management : laryngoscopy, endotracheal intubation
Arterial puncture
Bladder catheterization, transurethral
Bleeding time
Blood and blood component transfusion
Cardiopulmonary resuscitation, basic and advanced life support (newborn & pediatric)
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Gastric tube placement (NG)
Gynecologic examination (pre-pubertal)
Heimlich maneuver
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- nebulizer
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Intravenous line placement
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- Bilirubin measurement
- Gavage feeding (gastric & transpyloric)
- Phototherapy
- Silver nitrate cauterization
- Umbilical vessel catheterization
Oxygen delivery systems: select and use
Pericardial tapping
Peritoneal dialysis
Physiologic monitoring:
- Blood pressure ; automated, Doppler, sphygmomanometer
- Body temperature
- Cardiac
- Respiratory
Pneumatic otoscopy
 186

Proctoscopy
Pulmonary function tests : Peak flow meter, spirometry
Pulse oximetry
Sexual abuse : Examination / evaluation
Sterile technique
Skin biopsy
Suctioning of : Nares, trachea, tracheostomy
Subdural tapping
Suprapubic aspiration of urine
Thoracentesis, needle, intercostals drainage for air/fluid
Tourniquet test
Tuberculin test (place & read) : Mantoux, PPD, Tine
Universal precautions
Venepuncture
Ventilation : Bag-valve-mask, CPAP
Ventilation support, initiation
Venous cut down and CVP placement
Wound care (simple)
X-ray interpretation (initial or emergency reading) :
- Abdomen
- Cervical spine
- Chest
- CT of head
- Fractures in extremities
- Lateral neck
- Skeletal surveys for suspected abuse
2. DIAGNOSTIC AND SCREENING PROCEDURES
Antropometric measurement : Weight, height, chest/head circumference, U/L ratio, span
Apt test for maternal blood swallowing
Blood gases determination : Arterial and capillary
Developmental screening : DDST II, Gasell figure, drawing test, DAP test, Bender • Gestalt Test
Growth chart : Recording & interpretation
Growth velocity determination
Intellectual screening in mental retardation
Skin fold thickness, mid-arm circumference measurement
Visual screening : Acuity , strabismus
Pubertal staging : Tanner
Testicular volume measurement
Transillumination test
3. LABORATORY PROCEDURES AND SPECIMEN COLLECTION
3.1 Collection techniques & proper handling for :
Abscess fluid, pus
Blood culture
CBC with differential count
Conjunctival swab : Bacteria, chlamydia
 187

Hair collection (tinea)

Nasal smear for PMNs
Newborn blood screening : Hypothyroid, PKU
Pleural fluid
Skin scraping : Scabiasis, fungal
Scotch tape for pinworms
Spinal fluid
Throat swab
Tracheal aspirate (include child with tracheostomy)
Urine culture
Urethral culture
Vaginal culture
3.2 Perform and interpret :
Bedside glucose determination
Bone marrow : Aspiration, biopsy, smear & stain
Capillary blood gases
CBC : - Wright stain smear for RBC morphology, WBC and platelets
- Staining for reticulocytes, inclusion body, Heinzˆs body
- Buffy coat smear & Wright stain
- Interpret RBC indices read out on automated CBC
Coagulogram (screening), venous clotting time, clot retraction, clot lysis, and
platelet function test
CSF cell count
ESR
Gram stain and AFB stain
Hematocrit
KOH preparation : Hair, skin, vaginal
Lymph node imprint
Nasal smear for PMNs
Rapid test : Cold agglutinin, mononucleosis agglutination test
Stool : Occult blood, reducing substances, pH, parasites
Throat swab culture : Selective media for group A presumptive diagnosis
Tzanck smear
Urinalysis : Dip and microscopic
Urine culture & colony count
Urine ferric chloride test
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