What's Inside the PDF

Section A — Gross Pathology (17 spotters)

Section B — Microscopy HPE (18 slides from PDF 1)

Section C — Second Year Gross (12 spotters)

Bonus Quick Reference Table

• PDF 1 (the large 18-page file) = Microscopy slides — Lipoma, Liposarcoma, Gallstones, Colorectal Ca, Diffuse Gastric Ca, Polyp, SCC, Napkin Ring CRC, Tubercular Lymphadenitis, Pleomorphic Adenoma, Alcoholic Liver, Lobar Pneumonia, Teratoma, HCC, Squamous Ca Cervix, Meningioma, Appendicitis — all covered in Section B
• PDF 2 (Gross, 21 pages) = Gross spotters — Appendicitis, Lipoma, SCC, Gangrene/Infarct, Nutmeg Liver, TB/Ghon's Complex, Lung Ca, Atherosclerosis, CRC (exophytic + napkin ring), Intussusception, Leiomyoma, Melanoma, Metastatic Liver, Dermoid Cyst, Osteosarcoma, Diabetic Foot — all covered in Section A
• PDF 3 (Second Year Gross, 13 pages) = Choriocarcinoma, Retinoblastoma, Fibroadenoma, Hydatidiform Mole, Teratoma, Carcinoma Cervix, Seminoma, BPH, Amoebic Liver Abscess, Alcoholic Cirrhosis, Metastatic Ca Liver, Cholelithiasis — all covered in Section C

• All text is black (no colored text)
• Spotter title backgrounds are light grey instead of blue
• Section headers are bold black instead of red
• Table headers are black/white instead of dark blue
• Divider lines are thin grey instead of colored
• Alternating table rows use plain white/light grey

• 65+ spotters with full answers
• Section A — 17 Gross Pathology spotters (from your Gross PDF)
• Section B — 17 Microscopy/HPE spotters (from your micro slides PDF)
• Section C — 12 Second Year Gross spotters (Choriocarcinoma, Retinoblastoma, Fibroadenoma, etc.)
• Quick Reference Table at the end — every spotter with diagnosis + buzzword in one table
• Print-friendly — black/grey only, no colored ink wasted

CB-IMNCI — Community Based Integrated Management of Neonatal & Childhood Illness

What is it? (Simple Definition)

• IMNCI = facility-based (hospital/PHC level)
• CB-IMNCI = community-based (home/village level)

Why was it started?

"Bring the care TO the child, at community level."

Who implements it?

What age groups does it cover?

1. Young Infants — 0 to 2 months
2. Older children — 2 months to 5 years

PART 1 — Young Infant (0–2 months)

What does ASHA check?

3 Main conditions to identify:

1. Possible Serious Bacterial Infection (PSBI)

• Not feeding well / stopped feeding
• Convulsions
• Fast breathing (≥ 60 breaths/min)
• Severe chest in-drawing
• High fever (> 37.5°C) or hypothermia (< 35.5°C)
• Bulging fontanelle
• Many/severe skin pustules
• Umbilical redness extending to skin
• Lethargic / unconscious / floppy

2. Local Bacterial Infection

• Skin pustules (few/mild)
• Umbilical redness (not extending to skin)

3. Jaundice

• Yellow skin in first week
• Deep yellow or involves palms/soles

PART 2 — Child Age 2 months to 5 years

4 Main illness categories checked:

1. DANGER SIGNS (General)

• Cannot drink / not able to breastfeed
• Vomits everything
• Convulsions (now or recently)
• Lethargic / unconscious

2. Pneumonia (Cough / Breathing problem)

• 2–11 months: ≥ 50 breaths/min
• 12 months–5 years: ≥ 40 breaths/min

3. Diarrhea

4. Fever (Malaria / Measles assessment)

• Check for stiff neck → Meningitis → Refer
• Check for measles rash
• Malaria: check if endemic area

5. Malnutrition & Anaemia

6. Ear Problem

• Ear pain / discharge > 14 days → Chronic ear infection → Antibiotic
• Discharge < 14 days → Acute ear infection → Amoxicillin

Key Drugs Used at Community Level

CB-IMNCI — The 3 Prong Approach

Prong 1: Improve CASE MANAGEMENT skills 
         (train ASHA, AWW, ANM)

Prong 2: Improve HEALTH SYSTEM 
         (drugs, referral, supervision)

Prong 3: Improve FAMILY & COMMUNITY PRACTICES
         (counseling on breastfeeding, hygiene, 
          immunization, home care)

12 Key Family Practices promoted under CB-IMNCI

1. Exclusive breastfeeding for 6 months
2. Complementary feeding from 6 months
3. Adequate micronutrients (Vitamin A, Iron, Iodine)
4. Complete immunization
5. Handwashing with soap
6. Use of safe water and sanitation
7. Prevention of malaria (bed nets)
8. Use of ORS for diarrhea
9. Seek care for danger signs
10. Continue feeding during illness
11. Prevention of child abuse/neglect
12. Mental/psychosocial stimulation of child

CB-IMNCI vs IMNCI — Quick Difference

Exam One-Liners to Remember

• CB-IMNCI is the community arm of IMNCI
• Target age: 0 to 5 years (including newborns)
• Key workers: ASHA, AWW, ANM
• Fast breathing in 2-11 months: ≥ 50/min; in 12m-5yr: ≥ 40/min
• MUAC < 11.5 cm = SAM (refer)
• Zinc given for diarrhea: 10 days (infants) / 14 days (children)
• 3 prongs: Case management + Health system + Family practices
• 12 key family practices promoted at community level
• PSBI signs in newborn → always refer urgently