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Child Health Practice for Periphery.

Child Health Practice for Periphery.

Dr Rajatsubhra Mukhopadhyay MD, PGPN[BOSTON]. 13.6.2016

PLEASE KEEP IN MIND

Admmission vs OPD [OUT PATIENT DEPARTMENT]

PeripheryTreatment means mostly OPD treatment. [OUT PATIENT DEPARTMENT]

Treatment of number of cases gives confidence .

Even for some of those cases whom to be admitted for treatment/are admitted in towns,city &metropolitan can be treated as OPD basis .

Sometimes OXYGEN,I/V DRIP, STITCHING SET, MINOR OT SET , ENEMA , URINARY CATHETER , NEBULISATION, ECG, ADRENILE, CORTICOSTEROID, BIRTH/DELIVERY SET UP AND injections are required & is delivered using intra muscular route or i/v.

Others mostly oral medicines.

CLINICS FOR CHILDREN [ALL are exclusively for Dr Mukhopadhyay]

EXAMINATION POSTURE

Patients Who Can Stand & Elder, Better Examination Of Abdomen Making The Patient S Right Side Towards The Doctor[Semi Prone Position]. And Placing The Right Palm Over Abdomen & Left Palm On Back. And Then Palpate All Of Abdomen.

DIFFERENCIATE THE CRY OF EAR ORIGIN

Cry On Pressure On Antitragus Towards External Auditory Meatus :Acute Otitis Media.

HOW TO ELICIT COUGH.

Congested Cough Elicited By Sudden Rub/Slight Pressure Over Cricoid/Suprasternal Notch:: reflects End Airways Restriction,which is not audible with stethoscope.

LOOK FOR

Maturity

Physical pattern

face

Eye nose ear neck glands midline lump

Coated Tongue

Caecal Gurglings

Epigastric Tenderness

Pain In Legs.

Perianal Excoriation, fissure,polyp

PHIMOSIS

Hernia,hydrocele

Murmur

lung

Neurological Examination

Skin

Anatomical defect

Developmental Reflex

Pulse. BP ,Fundoscopy

PRESCRIPTIONS&ADVICE AS A TOTALITY

Prescription according to body weight.

Advice all & extra that would allay parents anxiety.This needs a fine tuning which depends on individual doctor

good will::experience, deep study & GODWILL.

In this sphere human brain supersedes a computer. A total sense that gives an extraordinary tuning to a good doctor where the advice does not follow always a rule in a dosage schedule, a combination of medicines,& in diagnosis.

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Contact Info

WEBSITE: http://www.sridoctor.com

E MAIL: dr_rajatsubhra@sridoctor.com

E MAIL: dr_rajatsubhra@yahoo.com

Land phone:+91 03244 244297 .Mobile: 9732948496

Address:Konarpur Po-Sihar, Dist- Bankura Pin -722161. West Bengal, India.

CHILD HEALTH CARE ARAMBAG. KORUNA MEDICAL,HOSPITAL MORE, ARAMBAGH (BUS STAND) PIN-712601 PHONE-7362988044,7362988045

timings

7am-9am Sabanam, Pujan and Vedic Chanting

11:30 am - 2:45 pm -Child Clinic

Diet clinic : Sunday

ALLERGY & ASTHMA CLINIC: every Monday.

Autism and Psychology-Tuesday and Wednesday.

.Growth Clinic -Friday

Phimosis Clinic -Monday,Thirsgay,Friday

contact

WEBSITE: http://www.sridoctor.com