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Old 08-05-2011
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Default Recommended screenings of Ped

1. At birth: PKU, Galactusuria, Hypothyroidism (MC cause--> Thyriod Dysgenesis), & red reflex

2. At 6 ms----> African american----> SCAnemia & Pb level (in high risk)

3. 1 year---> Hb, Heamatocrite & MCV / Pb level in Low risk.

Interpretation----> Pb < 10 ---->low risk--->Repeat after 24 ms / high risk---> Repeat after 12 ms

------> Pb > 10---> Decrease exposure, Pb chelators (Succimer), if severe---> dimercaprol

if anemia +ve ( MC Fe def an) or increased risk ( Premat--> supply at 2 ms, LBW, Cow milk before 12 ms or low socioeconomic state) ttt by supply exept in case of formula feeding, no need..

If no anemia---> repeat once in 8 - 12 ms, then repeat again once in adolescence

4. 2-3 yrs---> Dental referral.

5. 4 yrs---> Hearing & vision, then repeat every few years.

Imp notes for hearing screen..

After CNS infec ( MC complic of meningit)

After congenital TORCH infec ( Eye & ear)

After Measels & Mumps

After Otitis Media, or Middle ear infec ( MC cause)

6. Any child < 6 years suffered an UTI should have a urine analysis followed by a voiding cystogram & U/S..

THESE are for the perfectly normal kids asking whats the best next step or what should be screened for?

Hope it helps
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cool_atomic (08-05-2011)


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