TAMOXIFEN

An 8 year òld male child was brought with complaints of non erruption of upper central incisor. Ño other complaint. Discuss..

5day old male came to my opd. LSCS delivered for foetal distress in Govt hospital . Cried at birthday but lethargic. Developed subtle seizures on 2nd day. Not controlled by phenobarb load and maintenance at hospital. Referred out. Sepsis screen -ve, RBS and calcium normal. Peculiar wrinkled, dry skin .poor feeding. Shrill cry. Poorly sucking. Poor tone. Mother has a healthy 5yr old daughter. Suggest D/D

WHAT IS APGAR SCORE. ...? The Apgar score is based on a total score of 1 to 10. The higher the score, the better the baby is doing after birth. A score of 7, 8, or 9 is normal and is a sign that the newborn is in good health. Apgar score is a method to quickly summarize the health of newborn children. The Apgar scale is determined by evaluating the newborn baby on five simple criteria on a scale from zero to two, then summing up the five values thus obtained. The resulting Apgar score ranges from zero to 10. The five criteria are summarized using words chosen to form a backronym (Appearance, Pulse, Grimace, Activity, Respiration). The test is generally done at one and five minutes after birth, and may be repeated later if the score is and remains low. Scores 7 and above are generally normal, 4 to 6 fairly low, and 3 and below are generally regarded as critically low. A low score on the one-minute test may show that the neonate requires medical attention but does not necessarily indicate a long-term problem, particularly if the score improves at the five-minute test. An Apgar score that remains below 3 at later times—such as 10, 15, or 30 minutes—may indicate longer-term neurological damage, including a small but significant increase in the risk of cerebral palsy. However, the Apgar test's purpose is to determine quickly whether a newborn needs immediate medical care. It is not designed to predict long term health issues. A score of 10 is uncommon, due to the prevalence of transient cyanosis, and does not substantially differ from a score of 9. Transient cyanosis is common, particularly in babies born at high altitude.

12 months baby girl congenital deformation of right foot kindly management

A 2 yrs old male pt having neck muscles weakness, Delayed developmental milestones, his cognition is good. since neck control not achieved like wise sitting is not achieved. Here I am attaching his photos and reports. What will be the diagnosis as well as management?