Lean body mass, also called fat free mass, if calculated, can be useful to rule out PEM. Because catabolism in PEM tends to produce protein breakdown and thus reduce lean body mass early in the course. Changes in other parameters occur later. Ref. Nelson 21st Ed.

@m4motivation181

4 жыл бұрын

Sir one option was only prophylactic erythromycin and another one erythromycin and antitoxin what to choose kindly reply

@BiswajitDas-pn7lk

4 жыл бұрын

Sir skin fold thickness is not reliable?? As we use it as age independent variable to rule out pem?

@m4motivation181

4 жыл бұрын

Sir please tell

@drsandeepsharma1088

4 жыл бұрын

I already gave all info i had. As per Nelson, only erythromycin. As per Park, nothing to do

@drsandeepsharma1088

4 жыл бұрын

Lean body mass affected earliest, even before skin fold thickness comes into play. And is more conclusive. Given in Nelson.

Beautiful ❤ had read from you in Kolkata just before pandemic hit in DAMs, still so relevant.

Sir plz make more videos on this channel, i really like ur videos and explainations, makes subject more imteresting to learn.😊

Sir On PEM there are two questions..one Lean body mass wala...and one question given with history of a child with swollen belly....and options are kwashorekore and marashmus

sir greenish black stool(meconium) were due to:- (i)biliverdin (ii)bile salts n 1 other ws dere

17 correct 1 wrong 2 left.

Very nice sir.

Thanks for discussion sir

@drsandeepsharma1088

4 жыл бұрын

You are welcome Prashanth

Sir very nicely explained..nd new criteria are actually explained

@drsandeepsharma1088

4 жыл бұрын

Thanks Shubham

Thank you sir. 5 wrong 15 correct

Thank you so much,sandeep sir! Please one video each on Development delays& their red flag signs & One on fever with rash , differential dx & m/m

@dharam149

4 жыл бұрын

& sir,what exactly we mean by Coarse facies???

@drsandeepsharma1088

4 жыл бұрын

Sure

1)Sir..If i remember right, in the diphtheria ques ,it said child last immunization was 22 months before, not booster..So shouldnt the answer be toxoid + erythromycin?? 2)In the fever with rash ques, i felt the rash with strawberry like tongue could be scarlett fever so cant the complication be glomerulonephritis 3)The ques was 1st stool.Is green due to..Answer should be biliverdin right ( thats also the reason why children with rotavirus diarrhoea also pass greenish stools)

Sandeep sir, in ques 18 it was the complication which was asked but there were 2 pictures and none was of strawberry tongue. ques was a child developed fever, conjunctivitis and lesion shown in first image ( showing multiple white spots in oral cavity btw teeth and cheeks which i thought were koplik spots) and in history it was given child developed rash(shown in figure on trunk, sorry not sure whether it resembled kawasaki or measles) after 3days of developing fever. what are the complication seen in this child? sir could this ques be of measles and not kawasaki. i was really confused in paper what should i mark myocarditis (because kawasaki was a dd i thought) or acute pancreatitis or acute nephritis or eididymorchitis

@drsandeepsharma1088

4 жыл бұрын

Updated solutions in some days.

Thank u sir 18 correct.

Nice explanation sir

@drsandeepsharma1088

4 жыл бұрын

Thanks Sandeep

11 correct ....7 wrong

Q.20 age was 3 years

thank you sir

@drsandeepsharma1088

4 жыл бұрын

You are welcome

Thank you sir...☺️

@drsandeepsharma1088

4 жыл бұрын

You are welcome

🙏🏻🙏🏻🙏🏻🙏🏻

@drsandeepsharma1088

4 жыл бұрын

You are welcome

17 positive,3 negative

In image of mouth I don't think Kawasaki was there it was mealses complications was asked

@drsandeepsharma1088

4 жыл бұрын

Measles complication makes the Q easier. Remember that all of this is recall based and i have only outlined the topic, not question because it keeps changing with more info added.

@anamitrahait3582

4 жыл бұрын

No it was Kawasaki

Sir, in ques 17, size of l.n. or its unilaterality wasn’t mentioned.... though.

@drsandeepsharma1088

4 жыл бұрын

Number does not matter rachit

Thnku so much sir

@drsandeepsharma1088

4 жыл бұрын

You are welcome ajit

Sir question 6,s figure taken from where?Exactly that was the figure.

@drsandeepsharma1088

4 жыл бұрын

Recalled by students

Sir,in pneumonia qstn,is there any need to refer?..only antibiotic nd follow up should be the ans?I'm really confused regarding refer to higher centre option..

@susomamahata6062

4 жыл бұрын

Nirlipta Bag : yes,the guidelines do say..no need to refer.just antibiotics..n make parents aware about it.

@nirliptabag6321

4 жыл бұрын

@@susomamahata6062 ohh,okk..thanks a lot☺

@prabhachandra4103

4 жыл бұрын

Yes some people saying it referral as answer I too doubt it

@drsandeepsharma1088

4 жыл бұрын

Stick to latest guidelines. Those saying referral probably have not read the updated guidelines.

15 correct

Which coaching institute ur in sir? Perfect teaching ✔️✔️👌

Any live class in dehli, before may session??

@drsandeepsharma1088

4 жыл бұрын

At multiple places, yes. Not scheduled yet.

How to retain better

Sir is chest indrawing is not considered severe???

@drsandeepsharma1088

4 жыл бұрын

No raghav. Not anymore. Probably you did not read updated guidelines of IMCI

Sir in diphtheria que ans is only erythromycin or both vaccine and erythromycin??

@user-do5hg6vr7e

4 жыл бұрын

I marked one dose of erythromycin as a booster dose to sibling!

@drsandeepsharma1088

4 жыл бұрын

I told you what the standard texts say.

What is the imci guideline for less than 2 month? Is it the same?

@drsandeepsharma1088

4 жыл бұрын

Slightly different

Sir MCQ nhi aayege exam ma 2020ma

15 correct 5 incorrect:(😥😢😢 im feeling horrible sir all the answers that i got wrong was due to my silly mistakes and i changed them from correct to incorrect response during review

@user-mw2wn4ix2s

4 жыл бұрын

It happens bro .... we cannot avoid silly mistakes, we can try to reduce it .... even im in the same situation as you .... we should have done more revisions to avoid chances of silly mistakes ....

@mainakbaidya9290

4 жыл бұрын

Same here bro...I changed 6 questions and have done many silly mistakes...happens...let's be the console for each other😞

16-4

Sir question was why meconium is green ?

@drrakeshmaurya7689

4 жыл бұрын

Yup bro

@raghuramanp.m.4621

4 жыл бұрын

Y not bilirubin... I too have the same doubt bro

@drrakeshmaurya7689

4 жыл бұрын

Bilirubin is not green...answer should be biliverdin.please correct me?

@raghuramanp.m.4621

4 жыл бұрын

@@drrakeshmaurya7689 s sry biliverdin

Sir can u say a difference between Spo2 Pao2 Fi02 thanks in advance..☺️

@drsandeepsharma1088

4 жыл бұрын

Ok.. in simple words. SpO2 is saturation of O2 in peripheral blood. Normally 98 to 100% in you and me. PaO2 is Partial pressure of O2 in arterial blood. This you get on doing ABG analysis. FiO2 is O2 concentration in inspired air. Room air has 21% O2 so our normal FiO2 is 0.21 or 21%. In ventilators, we usually start with an FiO2 of 50 to 70% and then increase or decrease.

@bharathraja9199

4 жыл бұрын

@@drsandeepsharma1088 thank U sir☺️

I also did erythromycin sir but everyone is saying different answers..

@drsandeepsharma1088

4 жыл бұрын

Because Park PSM, OP Ghai and Nelson tell different things. What examiners will follow, only they know.

Sir measles ques was also there classic kopliks spot

@drsandeepsharma1088

4 жыл бұрын

That makes peds Q almost 22 in the paper. I discussed koplik spots on my other video

@dibnasinha7254

4 жыл бұрын

Sir one was diagnosis of kawasaki and other image of koplik spots and mc complication was asked which was epididymoorchitis

@drsandeepsharma1088

4 жыл бұрын

Orchitis occurs with mumps, not measles

@varunramana9859

4 жыл бұрын

@@drsandeepsharma1088 sir it was given otitis media...for mealsels ques

@rubinabanu8070

4 жыл бұрын

The qntn paper is not easy as u all think

Sir.ques no 13 was green colured meconium is due to?meconium was mentioned in question

@drsandeepsharma1088

4 жыл бұрын

Green colour in meconium comes from bile pigment biliverdin.

@damnboy766

4 жыл бұрын

Green Color meconium wasn't mentioned..if so,why would one of the options was meconium?

@SuperPradheep

4 жыл бұрын

Sir both meconium and beliverdin was in the options ..

@SuperPradheep

4 жыл бұрын

Green is due to meconium but meconium is due to beliverdin.. wat should have been marked sir ?

@rgupta3864

4 жыл бұрын

Sir question was greenish black color of the stools is due to In options both biliverdin and meconium were there

Sir ,in question no 19 , they asked ,which fetal cardiac chamber have highest O2 content , , IVC is considered as a fetal cardiac chamber ah sir ??

@drsandeepsharma1088

4 жыл бұрын

Yes, some texts use the term great vessel and chamber interchangeably when it comes to a fetus.

@viswanathan7204

4 жыл бұрын

@@drsandeepsharma1088 thank you sir

According to your answer all20 corrects but 3 Meconium was not answer according to some teacher i marked meconium and according to psm teacher it is very severe pneumonia I marked pneumonia and according to psm nothing to be done in diphtheria case i matked Erythromycin and follow up

@drsandeepsharma1088

4 жыл бұрын

I have not discussed Q but only topics and pattern. All things mentioned are cross checked with latest Nelson 21st Ed. You need to go with reliable resources, not outdated guidelines.

@ashutoshsingh6553

4 жыл бұрын

@@drsandeepsharma1088 ok thnku sir

Total bilirubin 15 was mentioned

@drsandeepsharma1088

4 жыл бұрын

14 or 15, does not change the eventual answer.

@damnboy766

4 жыл бұрын

No treatment wasn't a option as far as recall goes One was exchange transfusions Stop BF photo therapy And one more but that was definitely not Observation So out of all Phototherapy seemed better..

@debabratamanna1863

4 жыл бұрын

14

@user-do5hg6vr7e

4 жыл бұрын

Not 15,14.

15correct &5wrong 😭😭

@sudhirchandra9790

4 жыл бұрын

That's great score,

14-6 score

Sir one Q based on PEM also

@drsandeepsharma1088

4 жыл бұрын

See the comments. Its there.

Thank you sir I Got 15 correct 2 wrong remaining I left unanswered.

Sir u r very handsome

@drsandeepsharma1088

4 жыл бұрын

Thanks Sudhir. Although it does not matter in medical world. : )

@user-do5hg6vr7e

4 жыл бұрын

😁

@user-do5hg6vr7e

4 жыл бұрын

@@drsandeepsharma1088 sir 😁

@Delhi111

4 жыл бұрын

R u gay???😘💛

2 correct all wrong😁

@dr.abhishek_arya

4 жыл бұрын

review your notes again this year😆

PEM question

@drsandeepsharma1088

4 жыл бұрын

See the pinned comment

@sudhirsoni1184

4 жыл бұрын

@@drsandeepsharma1088 sir there was a question regarding diagnosis of 1.5 year child having symptom of malnutrition and asking about type of malnutrition... Options r kwaahiorkor, marasmus...

5 wrong 1skip

Thank you sir

@drsandeepsharma1088

4 жыл бұрын

You are welcome Subodh

Thank you sir

@drsandeepsharma1088

4 жыл бұрын

You are welcome Sreenu