Thursday 26 December 2019

Brilliantly transilluninable swellings


  1. Cystic hygroma
  2. Congenital hydrocele
  3. Meningocele with thin skin cover
  4. Ranula
  5. Epididymal cyst

Wednesday 25 December 2019

Causes of Torticollis or Wry neck in infant and children.



  • Congenital abscence of sternoclidomastoid muscle
  •  Familial or postural
  • Squint
  • sternimastoid tumor
  • Abnormal position in utero
  • Cervical hemivertebrae
  • Cervical lymphadenitis or abscess
  • Retropharyngeal abscess
  • Posterior fossa tumors
  • Acute atlanto axial sublaxation
  • Atlanto axial rotatory sublacation
  • Sandifer syndrome in GERD












Tuesday 24 December 2019

Phases of lung development


1.      Embryonic : 
                                           i.     In utero
                                         ii.     3- 5 weeks
                                        iii.     Formation of primitive lung tissue and vascular connection
                                        iv.     Trachea and bronchi differentiation

2.     Pseudo glandular:
                                           i.     In utero
                                         ii.     05-16 weeks
                                        iii.     Formation of conducting air way
                                        iv.     Immature neural network
                                          v.     Appearance of type-II pneumocyte

3.      Canalicular:
                                           i.     In utero
                                         ii.     17-26 weeks
                                        iii.     First gas exchanging acini and pulmonary capillaries are forming.
                                        iv.      Vascular and lymphatic system develop alongside the bronchial tree.
                                          v.     Appearance of type-I pneumocyte.
                                        vi.     Beginning of surfactant production

4.     Saccular :
                                           i.     In utero
                                         ii.     27-36 weeks
                                        iii.     Alveolar saccule formation
                                        iv.     Maturation of surfactant system
                                          v.     Breathing effort begin.
                                        vi.     ECM formation

5.      Alveolar :
                                           i.     At birth
                                         ii.     37 weeks to 3+ years
                                        iii.     Mature alveolar formation
                                        iv.     Reduction of interstitial tissue.
                                          v.     Proliferation and expansion of capillary, nerve and gas exchange area.
                                        vi.     ECM formation.