A body is placed in a certain airstream

Classified in Physical Education

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***Rickets


^^Gx:
-vit D Def due to:
1-(-) Synthesis in Skill
2-Rapid growth
3-Avoid sunlight
4-Nut Deficenvy
5-(-) Absorption

^^Px:
Vit D3 is Formed in Skin and hydrolxylationin Liver by:
1-Liver producing Calcidiol!
2-Kidney produccing Caltriol
--->(+) Ca+ P absrption from inttstine to Blood!
--->(+) Rebsorption of phophate in kindney

^^CF:
-Bone And joint pain
-Muslce weakness
-fractured
-Harrison Groove(diaphragm)
-Bowed Legs
-Kyphosis(spine)
-Rachitis Rosary
-Frog Belly

^^Dx:
I-Lab Depend on the Cause!
Acidocis
-Hypochromic Fe Def

II-Xray Changes
(radius ulna)

^^Tx:
-Nutiriton
-Massage
-excercise
-Vit D
(Single dose 600K U)
(Gradual 5K unit 2-3 M)
4-Calcium preparation



***Vit D Prophlyxamix 

- vit. D for full-term children –since 3rd week administer 500-1000 IU/d until 1,5
years old (dose of a year –

-Preterm children – vit.D since 7th day till 1,5
years 1000-1500 IU/d

-Children till 10 years old.:
500 IU of vitamin D every day
or
One ampoule Vit. D3 B.O.N. In a year or ½
ampoule twice in a yea






***Spasmophilia:

^^EGx:
-Neuromusular hyperexcitabilty
due to excess Vit D
-6-15M

^^Px(learn)

^^CF:
Qiuet SxSharp SX
-Chvotesk Sign
-Trousseau sign
-Liust Sign
-↓ Ca
-ECG: Long QT
-Carpopedali
-Laryngospasm
-Eclampsia

^^Tx:
1-Stop Vit D for few days
2-Larnygospasm
-Stimulate Breathing 
-Artifinal breathing
3-For Spasm
 -Antispasmotic(sizapam)
-Decrease alklosis by tea/juice
4- Resume Vit D in 2-4 Days!






***Food allergy!!

^^ADR of Food:
1-SKin (AD/Utricaria/angioedema)
2-GI ( colic/ IBD/Celoac dsease_
3-Resp :(Upper OBstric/Lower Infection)
4-Anaphylexais

^^CF of Food intolerance:
-Skin
-GI 
-Resp
-Headache/joint pain/Fatigue

Dx:
Skin Prick Test+IgE

Tx"avoidance

***Food Causing allergy


Allergy Food(+)mast cellMediator in food
milk(Cow/goat)
Egg(Children)
nuts
Fish
shellflish
Peanut(adult)
chocolate
tomato
egg
fish
shellfish
strawberry
tomatoes 
Pineapples
...
+pepers
wine


PICS





**Developmental Milestones:



M1 : Head lift/Move head from side to side/
Turns towrd familar Obkect/ Blinks at bright Lights

M2: SMILEs/ Tracks Objects with eyes/ 
Makes Noises/Make sounds ike ooh 

M3+4:
Grasps item with hands
Social Smile
Reaches for objects
controls head
Try to sit alone
Recognizes people/Familiar things
responds to color and Shades

M5+6:
Teething process
Sits by himself with minimal support
Experiments with cause + Effect
Opens Mouth for spoon

M7+8:
Gets into Crawling position
Can Self Feed
Turns in direction of voice
plays peek-a-boo

M9+10:
-Pull to standing
--ID self in mirror
-Tranferso bjects

M11+12:
-Says Wordds like'' MAMA'' , basically First words!
-Shakes Head No
-Afraid of strangers!


**Psychomotor development:
1-Cephalocaudal Developlemt:
-Head Before Arms  Trunk
-Arms and Trunk Before Legs!


2-Proximodistal Development:
-Head Trunk ,Arms ,Hands & Fingers


I-Head to Foot!(Baby liftts head before Lifting chest)

II-From near To Far(Trunk o body outward, wavearms before grasping object)

III-From Simple To Complex!(Baby eats with fingers before using silverware)


***infant Motor Control
Large Motor Development:
-Allow infants More control over action and help them move around the Environment

-LEGS & ARMS

Small Motor Development:
Gives them more control over movement allow them to Reach, Grasp , handle objects

-Fingers& Toes
-Writing & Grasping!


The sequence of these developers is the Same However the Sequences Varies

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