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1612-Pediatrics, Geriatrics

By SUMATHY Categories: BSc PA, SNSCAHS
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What Will You Learn?

  • The course equips students with comprehensive knowledge and skills in pediatric and geriatric care, enabling them to assess and interpret key indicators such as morbidity, mortality rates (including maternal, perinatal, neonatal, infant, and preschool), growth and development parameters through anthropometry, growth charts, milestones in motor, language, and social domains, and nutritional status. Students will demonstrate proficiency in managing nutrition across life stages, promoting breastfeeding, addressing protein-energy malnutrition, vitamin deficiencies, obesity, and immunization under national programs like ICDS, RCH, UIP, IMCI, Pulse Polio, and others. They will identify, diagnose, and manage common pediatric disorders of major systems, infectious diseases (with emphasis on vaccine-preventable conditions), emergencies, and genetic disorders like Down’s syndrome, while applying preventive strategies. In geriatrics, learners will understand aging physiology and psychology, nutritional needs, management of conditions such as infections, dehydration, osteoporosis, degenerative diseases, immobility effects, and psychosocial/economic needs of the elderly, including family and multidisciplinary roles, to deliver holistic, evidence-based care across child health and aging populations in clinical and community settings.

Course Content

SYLLABUS
Definition, population, morbidity and mortality in children ,maternal , perinatal , neonatal , infant and preschool mortality rates, current National Programmes like ICDS, RCH, Vitamin A prophylaxis, UIP,IMCI, Pulse Polio, AFP . ARI. Diarrhoea control programmes. Growth and development ᧓ anthropometry ᧓ Measurement and interpretation of weight, length/height, head circumference, mid-arm circumference. Use of weighing machines, infant meter, interpretation of Growth Charts: Road to health card and percentile growth curves, abnormal growth patterns- failure to thrive, short 7 stature, growth pattern of different organ systems like lymphoid, brain and sex organs, normal pattern of teeth eruption. Important milestones in infancy and early childhood in areas of gross motor, fine motor, language and personal ᧓ social development, psychological and behavioural problems Measurement and interpretation of sitting height, US: LS ratio and arm span Age- independent antropometric measurement ᧓ principles and application Nutrition - normal requirements of carbohydrates, protein, fats, minerals and vitamins for newborn, children, pregnant and lactating mother. Common food sources. Breast feeding ᧓ colostrum and composition of breast milk, initiation and technique of feeding, hazards and demerits of prelacteal feed, top milk and bottle ᧓ feeding. Feeding of LBW babies. Infant feeding /weaning foods, methods of weaning. Assessment of nutritional status of child based on history and physical examination. Characteristics of transitional and mature milk (foremilk and Hind milk) Protein energy malnutrition-definition, classification, features, causes and management. Vitamins ᧓etio-pathogenesis, clinical feature, biochemical and radiological findings, differential diagnosis and management of nutritional disorders. Definition, causes and management of obesity Immunization :- National immunization programme, vaccine preservation and cold-chain. Vaccination types, contents, efficacy, storage, dose, site, route, contraindications and adverse reactions-BCG, DPT, OPV, Measles, MMR and Typhoid. Pulse Polio Immunization, AFP (Acute flaccid paralysis) surveillance Special vaccines ᧓ Hepatitis B, H influenza B, Pneumococcal , Hepatitis A, Chicken Pox, Meningococcal and Rabies Disorders of respiratory system, gastro intestinal tract, central nervous system, cardiovascular system, genitor-urinary system and haematological disorder Infectious disease ᧓ epidemiology, basic pathology, symptoms, signs, complications, investigations, differential diagnosis , management and prevention of common bacterial , viral and parasitic infections . Special reference to vaccine ᧓ preventable disease ᧓ Diarrhoea, LRTI, TB, Polio, meningitis, diphtheria, whooping cough, tetanus , measles, mumps, rubella, typhoid, viral hepatitis , cholera, chicken pox, giardiasis, amoebiasis, intestinal helminthiasis, malaria, dengue fever, AIDs , Kala azar , leprosy , chlamydia infection. Paediatric emergencies ᧓ status epilepticus, status asthmaticus / acute severe asthma, shock and anaphylaxis, burns, hypertensive emergencies, gastrointestinal bleed, comatose child, congestive cardiac failure, acute renal failure. Genetics- principles of inheritance and diagnosis of genetic disorders ᧓ Down᧙s syndrome physiological and psychological fundamentals of aging process Diet for the aged and management of nutritional disorders Disorders of major geriatric ailments and management - Medical ᧓ infections, dehydration, acute confusional state, osteoporosis, Degenerative joint diseases, effects of immobility ᧓ prevention of contracture and bedsores. Economic and psychosocial needs of the aged. Role of various health care providers including family Reference Book: MARULO - TEXT BOOK OF PEDIATRICS Text Book: TEXT BOOK OF PEDIATICS - OP GHAI HAND BOOK OF PEDIATRICS - SANTHOSH KUMAR CLINICAL PEDIATRICS - LAKSHMANASWAMY

Lecture Notes

Puzzles
Physiological changes of elderly

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