sigh. its unbecoming for an aspiring paediatrician to memorize facies in terms of
numbers!?

anyway random notse:
1. symbicort has a B, so B for boyfriend = BF = budesonide + formoterol
2. seretide has no B so SF: sucky friend = salmeterol and fluticasone
3. there are 12 things u look out for in rickets
4. there are 23 things u look out for in DOWNS

Rickets:

1. Short stature
2. craniotabes
3. frontal bossing
4. delayed closure of anterior fontanelle
5. delayed dentition
6. kyphosis
7. harrison's sulcus
8. rachetic rosary: palpable osteochondral junction
9. genu varum
10. widened wrist/other joints
11. scoliosis
12. seizures

X ray signs: Rarefied and cupshaped bone ends with decreased mineralization, Looser zones (focal accumulation of osteoid bone especially near regions where large arteries cross), Brown tumours (osteoclastoma) 2* removal of bone and deposition of osteoid tissue --> cystic degeneration --> Brown's tumour

Down's syndrome:

1. Brachycephaly
2. frontal bossing
3. low set ears
4. mongoloid features: upslanting eyes
5. prominent epicantheric folds
6. pseudosquint
7. Brushfield spots
8. mid face hypoplasia
9. cleft palate
10. micrognathia
11. pseudomacroglossia
12. short stubby fingers
13. simian crease
14. clinodactyly
15. Sandal widening of 1st 2 toes
16. AVSD
17. esophageal atresia
18. tracehoesophageal fistula
19. duodenal atresia
20. Hirsphrung disease
21. Imperforate anus
22. hypotonia
23. Mental retardation