Pediatrics exam oriented short essays on oediatric TB, enteric fever

Reading File

Finding Sources

Reading File

Finding Sources

Reading File

Both essays are ready. Here's a quick summary of what's covered:

Pediatric TB essay covers:

Definition (TBI vs active disease), pathogenesis (Ghon complex → hematogenous spread)
Clinical features unique to children (often asymptomatic, rare cavitation, cervical adenitis most common extrapulmonary, miliary/meningitis in <5 years, congenital TB)
Diagnosis: TST interpretation table (≥5/10/15 mm thresholds), IGRA limitations in young children, gastric aspirate as best specimen, NAATs, CXR findings
Treatment tables: Latent TB regimens (3HP, 4R, 9H) and Active TB (RIPE 2 months → HR 4 months; meningitis 9–12 months with dexamethasone)
Prevention: BCG, contact tracing

Enteric Fever essay covers:

Etiology, epidemiology (human-only reservoir, feco-oral, XDR outbreak in Pakistan)
Clinical features by age: stepladder fever/rose spots/relative bradycardia in older children; nonspecific/meningitis in infants
Diagnosis: blood culture 60% vs bone marrow 90% sensitivity, string culture combination 90%, why Widal test is discouraged
Treatment: ceftriaxone/azithromycin as empiric; fluoroquinolones avoided; dexamethasone for severe disease (3 mg/kg then 1 mg/kg q6h × 48h)
XDR typhoid management, vaccines

The comparison table at the end is particularly useful for MCQ/viva spotting.

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