Pediatric Patient Intake: Fill & Download for Free

This happened to a friend of mine, not me. He was interning in his final year of medical school at one of the best hospitals in one of the biggest cities in India.He was posted in pediatrics, and the department had it’s own ICU for children (called the PICU, P for Pediatric) and within that, a smaller ICU for neonates (newborn babies) called the NICU. This is what a regular NICU looks like.Now, the NICU is kept as sterile as humanly possible for multiple reasons.Firstly, the patients in all the respirators are naturally fragile.Secondly, the support system behind each patient is large and fierce. Each newborn baby is really the ward of a happy but exhausted mother recovering in the OBG ward, a proud father somewhere in the building, and an entire horde of celebrating relatives in the vicinity of the hospital or a phone call away.Thirdly, any lapse in sanitation in the NICU can also spread to the adjacent PICU, infecting older but weaker children who are already ill enough to warrant admission to an intensive care unit (ICU).So imagine the turmoil when seven neonates in the NICU died for unknown reasons over a 24-hour period.It happened with no warning. An neonate suddenly developed SOB (shortness of breath). The resident on call took a look, and summoned a professor of pediatrics while he did his best. Even as he ventilated and oxygenated the child, the one next to him developed the same symptoms. Professor arrived, took charge, still clueless.The first child died.A third child developed the same symptoms.The second child died.Two more children developed the same symptoms.The chief rushed over from home in his PJs.Another three children had the same symptoms now.More residents and anesthesiologists were rushed in.By now, the relatives, ever vigilant and waiting near the entrance knew something was up. They began to crowd the PICU doors, demanding to know what was going on.The staff quickly held a conference, summoned extra security to hold the doors (no Hodor metaphor intended!) and broke the bad news to the first two couples.Psychiatry residents were summoned to help the parents cope with the shock, and simultaneously isolate them from the now near-mutinous mass gathered near the entrance.Extra security was summoned at the entrance.A third child, then the fourth died.The police arrived. And the press in tow.Flashbulbs began going off. A resident yelled at an intern who said something to a reporter. Another intern began to cry.24 hrs later, no one could pinpoint the actual cause. I was drawn into this because I was in contact with more than a hundred students and a dozen staff at that hospital. I had taught once there myself. I remember receiving the message from multiple sources on Whatsapp, a cold, sterile list detailing all the medically relevant facts about the babies. This was group-think at its most desperate, everyone somehow hoping that a fresh angle might provide a clue.The fallout was terrible. In the end, in addition to the seven actual lives lost, and the parents directly affected, the hospital lost a lot of it’s patient intake for a couple of months until things normalized. I remember the mixture of unwarranted shame and warranted helplessness on the faces on the OBGYNs in the OPD, as they turned away pregnant mothers queuing up for admission, because it made more sense to risk our profession’s reputation than to risk our patient’s lives.I still don’t know what happened that day. No one does. I theorize sometimes that it must have been a pesticide someone brought in on their socks. Or something that seeped into the air-conditioning vents. It never happened again.I still look over my shoulder to this day. Metaphorically. Whenever I enter an NICU, I run my entire spectrum of my activities that day up to that point through my head, and I sit and look at the soles of my feet, the cracks of my hands, my eyes, looking for what I do not know (anything!). Then I slip on my rubbers, breathe a silent prayer, and slip into the NICU.I know what direction this question originally slanted toward, so I did answer it, just from the other side of the glass. We’re vulnerable too, just like you. We have people we love too, just like you, who fall ill and run the same gauntlet your loved ones do. None of us ever get up in the morning, swing our feet out of bed, and think: “Okay, today I shall suck at my job for a change.”

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Causes for anemia in a pediatric patient can be classified into the following:Decreased intake - it is one of the most common causes for anemia in children.decreased absorption - a number of causes can be there of decreased absorptionWorm infestationAutoimmune gastritisintrinsic factor deficiency(pernicious anemia)Decreased acid production( acid helps in iron absorption)blind loop symdrome3. Genetic disorders such as Thalessemia, Sickle cell anemia, heriditary spherocytosis, G6PD deficiency etc.