Scanned by CamScanner

g s

PEDI AT RI c DENTI ST RYSu n da y 27

, A p r i l 2014

Ma n a ge m e n t o f m e d ic a lly c o m p r o m is e dc h ild Re d b lo o d c e ll d is o rde r s An e m ia å

Pr o f Dr Ah m e d Abu lw e fa , RBD

, / c- l is t '

Blo o d dys c r a s la s Le c tu re ob

= Re d blo o d c e ll d is o rde r s A n e m ia a s : 1 Un de rs ta n d ing ho w t o a c cu ra te ¢y a ss ess a n d1 H- c a ne m ia t r e a t the pa 廿 e n &2 , I r on de flc le n c y a n e m ia 2 Be ha v fo ra l appro ac h3 Sic k le c e ll a n e m ia 3 Se le c t in g , o bt ain in g a n d ïn t e r pr e t :n g pa t ie n t

da ta , In fo r m a t fo n a n d r ad io g r a phs

f sys ter n

4 D is c u ss bri e fly a re c a ll / m t [n u ïn g c a r e

Su bje c üv e f in d in gs Ke y po in t s

1 Pa in fu l s w e ll:n g o f t he do rs u m o f the ha n d = An e m ia a r e a lw a ys a m a N f e s ta t io n o f

o r fo o t d is e a s e o r n u tr it io n a l de ñd e n c y

2 Pa llo r a n d ic t e r u s fo llo w u p by 廿 1e pe dla M d a n ts r eq u ir e d

w n en u- c b ed an e mi a l s di sc ov e r ed ,

3 An gu la r c he lllt is aE An e m ia is de f in ed a s a he m o glo b in

4 So r e m o u th,

u lc e rs t glo ss lt is , s to r r 旧廿廿 s c o n c e n tr a t io n te s s 廿 1a n the r e fe r e n c e ta n gefo r tha t a ge a n d s e x o f pa t ie n t

E An e m ia t ha t ch ild re n m a y -, o r re s u trin g

f ro m r epe a te d he m o r r hag ic e - w illc o m p lic a t e t he u s e o f ge n e r a l a n e s t hes ia

翳笋

Scanned by CamScanner

pe r io do n ta l p r o c e d u r e s o n pa t ie n t s w it h

De n t a l m a n a ge m e n t

m a r ke d a n e m ia ; be c a u s e a n a bn o r m a l = Co n s u lta t io n w ith hemal ogi stb le e d in g ,

s lo w a n d fa u lt y w o u n d he a lin g m a y Ë Sc he du le de n ta l tr e aó e n t sho r t ly a f t e ro c c u r blo o d t r ans f us l1 Th e de n tis t s ho u M B Av o id t re a t m e n t ïf he m o g lo bin « 100g/ L

d r u gs tha t m a y a lte r

An t ibio t ic pro phyïax is, especi al ty lf c hild ha s

p la te Be t fu n c t io n ,

had sp¢- y

SUCH a s sa llc yla t e s Or tho do n t ic tr e a tm e n t m a y be u n de r bt ke n

(a s pi r i n ) An d t lee th w ill m o v e qu ic kly th ro ugh thebo n e Re t e n t io n m a y l

ho w e v e r,

be dtf f i c ul t

PIU NCI PAL SOURCES AND FURTHER

l :'

. 引 m m y R P:n kha m Ped ia tr k De n t is tr y :I n fa nc y th ro ugh Ado lesc en c e A Sa u n de r sCa re

2 Ra lph E McDo n a ld De n t :s t r y fo r the c h ild I Bo o k

, I n c

: :: :

; An d a do les ce n c e St Lo u is Mo s by Ye a r

3 Ca m e ro n A And Widm e r R Ha n d bo o k o fPe d ia t r ic Dent i st ry Mo sby I nt ernat i onal

l = i