Fellowship in Pediatrics

• The growth and diversification of infant
• History of pediatrics
• Supplement and vaccination
• Basic neonatal diagnostic technique
• Clinical practice in pediatrics

• Comprehensive study of pediatric anatomy
• Physiology
• Pharmacology

• Management of infection
• Resuscitation of Newborns
• Lactation guidance
• Evaluation of health issue in infant
• INFECTIONS IN INFANT
• Conjunctivitis
• Bronchitis
• Campylobacter infection
• Small-pox
• Diphtheria
• Diarrhea
• Otitis media
• Fungal infection
• Infection of parasite
• Atopic dermatitis
• Gastroenteritis
• Respiratory infection

• Embryogenesis of the Skin
• General Structure and Function of the Skin in Children
• General and Cutaneous Immunity
• Genetics for the Pediatric Dermatologist
• Clinical and Dermatological Examination
• Basics of Dermatopathology
• Other Diagnostic Methods

• Congenital skeletal dysplasias
• Neurodegenerative disorder
• Down syndrome
• Disease of glycogen storage
• Congenital renal disorder

• Metabolic Crisis
• Cerebral Malaria
• Bleeding Child
• Vasculitis Syndrome

• Anxiety disorder
• Phobias
• Attention-deficit hyperactivity disorder (ADHD)
• Learning and Communication Disorders
• Stereotypic movement disorder
• Dyslexia
• SPECIALITIES
• NICU and Pediatric Emergency Medicine
• Adolescent Medicine
• Medical Toxicology
• Pediatric Hospital Medicine
• Pediatric Critical Care Medicine
• Neonatal-Perinatal Medicine
• Pediatric Pulmonology
• Child Abuse Pediatrics
• Pediatric cardiology

• Asthma
• Pneumonia
• Influenza
• Bacterial Meningitis

• Celiac disease
• Inflammatory bowel disease
• Vesicoureteral Reflux
• Management of GI disorders in children

Pediatric Endoscopy:

• Techniques and procedures related to pediatric endoscopy
• Endoscopic interventions in pediatric gastroenterology

• Approach to Neurological Assessment in Children
• Approach to Localization of Neurological Disorders
• Approach to Congenital Malformation of Brain
• Approach to Abnormal Head: Size and Shape
• Approach to Developmental Delay in Children
• Approach to Intellectual Disability and Specific Learning Disorder
• Approach to Autism
• Approach to Inborn Errors of Metabolism in Neonate, Infant, and Children
• Approach to Neuronal Migration Disorders
• Approach to Acute Febrile Encephalopathy
• Approach to Acute Encephalitis (Indian Scenario)
• Approach to Movement Disorders in Children
• Approach to Opsoclonus Myoclonus Syndrome
• Approach to a Child with Ataxia
• Approach to Neuromuscular Diseases
• Approach to Child with Acute Flaccid Paralysis
• Approach to Paraplegia
• Approach to a Child with Myopathy and Myositis

• Evaluation of Renal Functions
• Diagnostic Evaluation of Renal Disease
• Imaging in Renal Diseases
• Acute Glomerulonephritis
• Steroid-sensitive Nephrotic Syndrome
• Steroid-resistant Nephrotic Syndrome
• Acute Renal Failure
• Renal Tubular Disorders
• Chronic Kidney Disease: Conservative Management
• Renal Replacement Therapy: Acute Dialysis in Children
• Renal Replacement Therapy: Chronic Dialysis
• Renal Transplantation in Children
• Drug Therapy in Renal Dysfunction

• Psychosocial development in children
• Behavioural disorders in children

• Pediatric nutrition
• Growth monitoring
• Fluid and Electrolyte Imbalance
• Metabolic Crisis
• Management of nutritional disorders.
• Nutritional Disorders of Nervous System

• Basic life support
• Pediatric trauma
• Emergency care

• History
• Neonatal Inspection and Examination.
• Asthma: history and triggers.
• Pneumonia: fever, cough, chest pain.
• Bronchiolitis: wheezing, respiratory distress.
• Stridor: upper airway obstruction.
• Obstructive Sleep Apnea: snoring, sleep disturbances.
• Bronchiectasis: chronic cough, sputum production.

TYPE 1 DIABETES MELLITUS

• Pathophysiology: autoimmune destruction of beta cells.
• Basal Bolus Regimen: multiple daily injections.
• Carbohydrate Counting and Blood Glucose Monitoring.
• Insulin Injections and Continuous Subcutaneous Insulin Infusion.
• Ongoing Management, Lifestyle, and Complications.

 
DIABETIC KETOACIDOSIS:

• Definition, causes, symptoms.
• Management: fluid resuscitation, insulin.

 
PEDIATRIC DIABETIC SYNDROMES:

• Atypical Diabetes Syndromes: MODY, Wolfram syndrome.

 
TYPE 2 DIABETES MELLITUS:

• Definition and Diagnosis: insulin resistance.
• Management: lifestyle changes, oral medications.
• Cardiovascular Assessment

CARDIAC HISTORY:

• Birth history: prenatal care, birth complications.
• Past medical history: infections, syndromes.
• Family history: congenital heart diseases.
• Feeding history: difficulty, fatigue, and poor weight gain.
• Respiratory symptoms: cyanosis, tachypnea, grunting.
• Syncope or loss of consciousness events.
• Cardiac Physical Examination:

INSPECTION:

• Cyanosis, clubbing, respiratory distress.
• Palpation: thrills, heaves.
• Auscultation: heart sounds, murmurs.
• Blood pressure measurement in all four limbs.
• Peripheral pulses assessment.

 
PRESENTATION:

• Cyanotic Presentation: central cyanosis, poor perfusion.
• Acyanotic Presentation: tachycardia, poor feeding, failure to thrive.

 
LEFT TO RIGHT SHUNTS:

• Types: VSD, ASD, PDA.
• Anatomy and natural history.
• Clinical features: murmur, respiratory symptoms.
• Investigations: echocardiography.
• Management: medical, surgical, catheter-based.

 
DIFFERENT TYPES OF LESIONS

• Obstructive Lesions
• Types: Coarctation of the aorta, aortic stenosis.
• Natural history and pathophysiology.
• Clinical features: hypertension, weak pulses.
• Investigations: echocardiography, MRI.
• Management: surgical correction, balloon angioplasty.

 
REGURGITANT LESSIONS:

• Types: mitral regurgitation, aortic regurgitation.
• Aetiology and clinical features.
• Investigations: echocardiography.
• Management: medical, surgical.

 
CYANOTIC LESIONS:

• Types: Tetralogy of Fallot, transposition of the great arteries.
• Management: palliative procedures, corrective surgery.
• Clinical features: cyanosis, squatting posture.
• Acquired Heart Disease and Cardiomyopathy:
• Types: Kawasaki disease, myocarditis.
• Clinical features: fever, rash, cardiac dysfunction.
• Investigations: ECG, echocardiography.
• Management: anti-inflammatory therapy, supportive care.

PAEDIATRIC ECG AND ARRHYTHMIAS:

• Arrhythmias: bradycardia, tachycardia.
• Observations and measurements: heart rate, PR interval.
• Clinical features: dizziness, palpitations.
• Management: medication, catheter ablation.

 
GENETICS:

• Syndromes: Down syndrome, Turner syndrome.
• Features and cardiac defects.
• Teratogens and maternal diseases: rubella, diabetes.

Palliative Care:

• Approach and Assessment.
• Philosophy of Palliative Care.
• Coping mechanisms.
   

Symptom Management:

• Pain, nausea, vomiting, constipation.
• Anorexia, hiccups, mouth care.
• Feeding difficulties, difficulty in breathing.
• Neurological and psychological symptoms.
• Skin symptoms, emergencies.
   

Preparing for Death:

• Advance Care Plans.
• Last Few Days of Life.
• Practicalities Around Death Care.

• Ethics and the Law.
• Sexuality in palliative care.
• Spirituality and end-of-life care.