Morning Rounds · Neonatal Sepsis Feature Early-Onset (EOS) Late-Onset (LOS) Age of onset Source Common organisms Risk factors Empirical Rx < 72 hours of life Vertical (maternal) GBS, E. coli, Listeria monocytogenes PROM, maternal GBS,…
Morning Rounds · Neonatal Respiratory Distress RDS TTN MAS Pneumothorax Gestation Onset CXR clue Mechanism Treatment Course Preterm <34 wk Birth → 4 h Ground-glass + air bronchogram ↓ Surfactant Surfactant + CPAP Worsens 48–72…
Morning Rounds · Neonatology Series NeonatologyA Guide to the Morning Rounds Series Seven rounds · 40 clinical cases · NEET-PG and UPSC CMS · +4 / −1 scoring Neonatology is not a gentle subject. It…
Morning Rounds · Rheumatology Series RheumatologySummative Revision Notes Seven rounds · NEET-PG and UPSC CMS · Key facts, tables, and diagrams RA SLE & APS Spondyloarthropathies Crystal Arthropathies Vasculitides Myopathies & Scleroderma Mixed High-Yield These…
Morning Rounds · Rheumatology Mixed High-Yield Round Antibody Disease Key Point Anti-dsDNA SLE (specific) Titres track disease activity Anti-Sm SLE (most specific) Does not track activity Anti-histone Drug-induced lupus Anti-dsDNA absent in DIL Anti-SSA (Ro)…
Morning Rounds · Myopathies, Sjogren's & Scleroderma Limited SSc (lcSSc) Diffuse SSc (dcSSc) Key Associations Antibody: Anti-centromere (ACA) Antibody: Anti-Scl-70 (topoisomerase I) ACA: PAH, CREST, late ILD Skin: Distal to elbows/knees Skin: Trunk, face, proximal…
Morning Rounds · Vasculitides Large Medium Small vessel size Takayasu Arteritis Aorta & branches; <40 yrs Giant Cell Arteritis Temporal a.; >50 yrs; PMR Polyarteritis Nodosa Spares lung; HBV assoc. Kawasaki Disease Children; coronary aneurysm…
Morning Rounds · Crystal Arthropathies Stage 1 Asymptomatic Hyperuricaemia no crystals yet Stage 2 Acute Gout Acute MSU crystal synovitis; MTP1 Stage 3 Intercritical Asymptomatic intervals; ULT target Stage 4 Chronic Tophaceous Tophi; chronic joint…
Morning Rounds · Seronegative Spondyloarthropathies HLA-B27 MHC Class I Ankylosing Spondylitis 90% positive Reactive Arthritis 60–80% positive Psoriatic Arthritis axial: 50–70% IBD-SpA 25–75% (axial) Acute Ant. Uveitis 50% of cases B27+ nr-axSpA (no X-ray sacroiliitis)…
Morning Rounds · SLE & Antiphospholipid Syndrome Homogeneous Speckled Nucleolar anti-dsDNA / anti-histone anti-Sm / anti-SSA / anti-SSB anti-Scl-70 / anti-RNA pol III ANA immunofluorescence patterns. Homogeneous: diffuse nuclear staining — anti-dsDNA (SLE-specific) and anti-histone…