1. Describe the clinical features of bilirubin encephalopathy in early neonatal period. Enumerate the predisposing factors contributing to bilirubin encephalopathy in newborn infants. Name the long term pathological and clinical sequelae of bilirubin encephalopathy.
2. Define severe stunting and severe wasting in under five children. Outline the diagnostic criteria for severe acute malnutrition in children between six months to five years of age and in infants below six months of age.
3. Define persistent diarrhoea in under five children. How is it different from chronic diarrhoea. Discuss the dietary management of persistent diarrhoea. Enumerate a few common causes of chronic diarrhoea.
4. Discuss the classification and identification of treatment of a young infant (age 6 weeks) with feeding problem and malnutrition, according to IMNCI case management guidelines.
5. A one year old previously healthy child presents with fever, cough and cold for 3 days. Mother complains of whistling sound during breathing. There is no history of similar episodes in the past. Examination reveals tachypnea, audible wheeze, and hyperinflated chest. His oxygen saturation of 94%.
A. What is the most likely diagnosis and what are the probable microorganisms causing this condition.
B. Classify the severity of disease in this patient.
C. Outline the principles of management of this child.