Also known as "the great replacement," the ideology was first introduced in France about fears of Arab and Muslim immigrants who were allegedly overwhelming the "elite." But Tucker clearly is focused on Hispanics, Jewish Americans and other minorities here. 2/

Paed Clinics of Dar, Tanzania: #Molluscum contagiosum: Caused by poxvirus. Causes chronic localised fleshcoloured dome shaped papules: common childhood disease but can be associated with immunodeficiency. Treatment debatable as often selflimiting.

Paed Clinics of Dar, Tanzania #Laryngomalacia:Inspiratory collapse of the supraglottic structures, the most common congenital anomalie of the larynx. Causes inspiratory stridor usually in neonatal period. Diagnosis is mainly clinical. Management: mild cases followup only.

Paed Clinics of Dar, Tanzania, (Nicholas & Ronald): #RheumaticHeartDisease: Major cause of cardiovascular disease in developing nations. Features include pericarditis, myocarditis, valvulitis. Management: treat the carditis and monthly prophylaxis with injectable penadur.

Paed Clinics of Dar, Tanzania. #Febrileconvulsions: The commonest neurological disorder of infants and children. 'Simple' seizures account for the majority of febrile convulsions. Typically 5m to 5 years. Management: most resolve spontaneously otherwise Antipyretics and diazepam.

Paed Clinics of Dar, Tanzania, (Nicholas and Ronald): #ADHD: Common childhood and adolescent neuropsychiatric disorder. Clinical features include two categories of core symptoms - hyperactivity/impulsivity and inattention. Treatment includes behavioural therapy and medications.

Paed Clinics of Dar, Tanzania, (Nicholas and Ronald): #Vitiligo: Common, acquired, chronic disorder of pigmentation. Clinical features: depigmented well defined macules on the skin and patches, milk or chalkwhite in colour. Treatment: Topical, Systemic, photothetapy.

Paed Clinics of Dar, Tanzania, (Nicholas and Ronald) #Hydroxyurea in Sickle cell disease. First approved in 1967, mechanism not completely understood but include increased HbF production. Specific indications for starting the drug include severe symptomatic anaemia among others.

Paed Clinics of Dar, Tanzania, (Nicholas and Ronald) #Birthinjuries , impairment in body structure or function, may occur during labour, delivery or after delivery especially if resuscitation required. Risk factors include macrosomia and a common example is fractured clavicle.

Paed Clinics of Dar, Tanzania, (Nicholas and Ronald). #Croup: a respiratory illness characterised by inspiratory stridor, barking cough, hoarseness. No definitive management exists for the causative virus but corticosteroids and nebulised adrenaline are the treatment hallmark.

Paed Clinics of Dar, Tanzania #Mumps: a contagious viral illness preventable by vaccination. Treatment: there is no specific antiviral treatment for mumps. Management is largely symptomatic with analgesia +/- cold or warm pack application.

Paed Clinics of Dar, Tanzania, (Nicholas and Ronald) #Albinism, an autosomal recessive condition resulting from mutation in genes coding for proteins involved in melanin biosynthesis, including enzymes like TYR anf TYR1. Individuals with albinism have reduced eumelanin levels.

Paed Clinics of Dar, Tanzania #Helicobacter pylori infection in children. Upto 90% of resourse limited countries affected. The majority of children asymptomatic. Upper GI endoscopy and biopsy is gold standard. Treat only if evidence of disease complications like DU or GU.

Paed Clinics of Dar, Tanzania (Nicholas and Ronald) #Infantile colic, a benign selflimiting condition. Definition: Wessel criteria: crying more than 3hrs/day, 3 days/wk in healthy infants < 3m. Management includes: parental support, address feeding problems, soothing techniques.

“I cannot begin to imagine the pain and torment of losing a child” MP Jill Mortimer raises case of Katrice Lee, who went missing 40 years ago, and asks if PM will meet her father Boris Johnson says he will meet Richard Lee “father to father” #PMQs bbc.in/3CCZNKe

Paed Clinics of Dar, Tanzania (Nicholas and Ronald) #precautious puberty, evaluation is recommended in children with secondary sexual development younger than 8yrs in females and 9yrs in males and is defined by three categories; Central , Periferal, Benign pubertal variants.

Paed Clinics of Dar, Tanzania (Nicholas and Ronald) #Elbow injuries, children with elbow injuries warrant plain radiographs to evaluate for fracture or dislocation when physical findings show deformity, swelling. Further care is determined based on the radiographic findings.

Paed Clinics of Dar, Tanzania (Nicholas and Ronald) #Type1diabetes: the most common form of childhood diabetes. Risk factors include genetic and environmental. Diagnosis is based on fasting and random blood glucose and Hba1c levels. Management includes injectable insulin.

adf-magazine.com/2025/01/nigeri…

adf-magazine.com/2025/01/nigeri…