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Important Syndromes In Pediatrics Part 2 | Dr Anand Bhatia — Transcript

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0:01hello everyone welcome to pediatrics by
0:03doctor anand this is the beautiful
0:05unacademy dpg platform is my voice
0:07audible to everyone yes or no hello is
0:10my voice coming
0:12yes is my biceps looking yes
0:14yes or yes
0:17please let me know then we'll start the
0:18class today is a very beautiful day
0:21because today was my thighs exercise in
0:23gym and also we are going to cover some
0:25amazing topic of
0:26what you call whole pediatrics rapid
0:28revision and the topic of choice today
0:30is the top amazing syndromes in
0:32pediatrics is my voice coming to
0:34everyone yes or yes yes yes yes yes yes
0:38yes yes is my voice coming today
0:41oh it's my voice coming to me
0:43let's start the class today is a very
0:45beautiful day uh many people wants the
0:47link of the class let me softly in a
0:50very sophisticated manner let me just
0:52send them all the links because
0:55it will be helpful for all of us you
0:57know
0:58many people tell me
1:05class starting
1:07now
1:08okay
1:09i'm just sending the links to everyone
1:11because many of us want to get benefited
1:13with this amazing million dollar class
1:16which is nothing but the topic is
1:17pediatric amazing syndromes which is so
1:20important and we all keep forgetting the
1:22syndromes but once you attend doctor rn
1:24classes everything is over here and it's
1:26over here very pencil kind hearing
1:30the unacademy need pg platform one of
1:32the best platforms because in this
1:34platform we have something known as plus
1:36subscription basically amazing access to
1:39our beautiful classes i mean the next
1:41coming generation badge is going to be
1:43so amazingly benefited with the classes
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1:49very beautifully each topic has been
1:51incorporated and also the educators are
1:53nice over there i have worked with the
1:55doctor we had integrated class with
1:57dermatology gynecology dr pony dr
1:59cheshta and dr priyanka sajdev beautiful
2:02amazing people you can watch me on your
2:04any device like the way you are shahrukh
2:06khan you can watch me also it's nice
2:08this is the plus subscription and one of
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2:14learning festival we have this 15 days
2:17guys this is one of the best offer on
2:18this planet 15 days neat pg and academy
2:21plus subscription only at 299 what
2:25seriously yes 299 299 is like it's like
2:28nothing you know my gym fees gym fees is
2:30too much this is like just 2.99 it's
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2:58that's the amazing code use it finish
3:00your pediatrics get the rank one not
3:02even pediatrics everything and get the
3:03rank one for the light-hearted students
3:06like me who have we have this beautiful
3:08amazing pack known as an academy light
3:11or we like this platform what are called
3:13pack on this planet where we get amazing
3:15previous year questions basically system
3:17wise manner full length labor's coverage
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3:22mock test i always tell you to give as
3:25many mock tests as possible it will be
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3:28unacademy fmg badge of course one of the
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3:33mcqs batch may 11 we're gonna start that
3:35you know just 26 very few days left for
3:37the fmg students also every single video
3:39of mine is important for ini ct fmg ucms
3:42and most importantly neet pg also the
3:44ini inic it is over we're going to have
3:46a recall question session very soon
3:48this is nice one upsc many of my friends
3:51are preparing for upsc that's why i
3:53thought of requesting for a upsc pack so
3:55batch on upsc cms revision and previous
3:57year question papers for may 23 2022
4:00with amazing people of 90 pete surgery
4:03amazing faculties need pg npl neet pg
4:06practice league it's all about revision
4:09revision revision and revision so
4:11basically ent psn medicine surgery all
4:13the beautiful subjects with all the
4:14amazing edu educators and amazingly 10
4:17pm every day we have this class test if
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4:21helpful for you also everyone keep
4:23asking me sir could you please share the
4:25previous year question papers go to the
4:27an academy app go to the self study the
4:29practice the subject you will
4:31beautifully find the previous year
4:33question papers hello everyone hi priya
4:37sheikh osama and many other amazing
4:39people and also we have this auto daily
4:42practice papers you will automatically
4:44get a notification for the everyday
4:46fighter and mcqs light mcqs for
4:47beautiful people for your conceptual
4:50understanding and also i told you
4:52regarding the upsc badge one of the best
4:54batches happening nowadays because upsc
4:55many people are applying this is the
4:57price this is the pre-launch price and
4:58the beautiful million dollar code i have
5:01already shared with you
5:02mbbs nowadays i'm taking classes for
5:04mbbs students pertaining to next batch
5:06we have this beautiful duration the
5:08price and the pre-launch price if you
5:09are a mbbs student you will be benefited
5:12that's it let's start the class so i've
5:13already told you regarding the plus
5:15subscription iconic and light
5:17subscription with the amazing duration
5:19prices and everything important about it
5:22yes are you ready hello dr julie
5:26casio
5:28subtita
5:31beautiful people amazing let's start the
5:33class so before starting any amazing
5:36segment we
6:00so we all no one is lazy on this planet
6:02you must have a vision you must have a
6:03focus and a target a journey without a
6:06vision is useless a journey without a
6:08vision is no journey at all you must
6:10have a vision you must have a focus you
6:12must have some vision some focus of life
6:14some vision of life you know some people
6:16want to go to italy some people want to
6:19have an expensive house expensive car
6:21could be anything okay so that's a good
6:23one exactly so beautiful quotes
6:31okay what do you think this is this
6:32quote for you do you think you can
6:34connect with this code so let's have a
6:36very beautiful class on this planet yes
6:38so the class starts now so yes the first
6:40now this class is the topic of the class
6:43is the most important topics of
6:44syndromes of pediatrics part two in the
6:47evening 5 15 pm class we recently
6:49covered some beautiful milestones and i
6:51mean the syndromes basically and osama
6:54and many people gave the wrong answer
6:55and they nicely got it so now let's see
6:57if we give the right or the long answer
6:59let's start beautifully hanji hi chatty
7:01so identify the syndrome and could you
7:03please tell me if i show you this
7:05picture could you please tell me what is
7:06the syndrome comes to your mind anyone
7:09this patient basically what i can
7:10appreciate anyone very beautiful picture
7:12is this one kathy yeah if i say this is
7:15a high arch palette very beautifully
7:17study okay have a very good vibes
7:19beautiful vibes okay positive relax your
7:22mind chill out have a coffee sit and
7:24talk to me like you're watching a
7:25netflix movie okay my classes are more
7:27than that so beautiful this one
7:30this is the high arch palette can i
7:32appreciate large ears yes or no can i
7:35appreciate that hanji so yes the patient
7:38have a high arch palette the patient
7:40have a large ear large ear okay and also
7:43very importantly the patient is quite
7:45you have the intellectual disability
7:47before it was used to say
7:48exactly mental retardation but now it's
7:50known as intellectual disability very
7:52good so million dollar answer for this
7:54question yes very beautifully told by dr
7:56julie who come once in six months to our
7:58classes dr julie good evening
8:05identify the syndrome yes we all know
8:06that the patient will have a it's
8:08nothing but a fragile x syndrome could
8:10you please tell me i am a neat pg and
8:12fmg student could you please tell me i
8:14have no idea about fragile leg syndrome
8:16i understood the patient will have a
8:18high arch pallet and a large nose and a
8:20intellectual disability can we have any
8:22other point can we have any important
8:23other point that much is more than
8:25enough can i say that fragile x syndrome
8:28is the second most common second most
8:31common cause of
8:33mental retardation is it a preventable
8:35cause of mental retardation or a
8:37non-preventable cause of mental
8:39retardation what do you think pragya
8:42hemal dr fly new people doctors his
8:44ideas doctor fly on the sky very classy
8:47very nice so that's beautifully
8:49portrayed yes the patient will have a la
8:51it is this is the second most common
8:54non-preventable non-preventable
8:56non-preventable cause of mental
8:57retardation which is now known as
8:59intellectual disability and the first
9:01most common cause of intellectual
9:03disability is down syndrome
9:04non-preventable non-preventable you
9:06can't prevent uh you know
9:09reversible iq and all that in down
9:10syndrome no
9:12patient of down syndrome will have a iq
9:14delay so he will have a iq delay that's
9:16it so fragile the most so pg enters
9:18question number one the most commonest
9:20cause of non-preventable cause of mental
9:22retardation is not down syndrome second
9:25most common is fragile syndrome and
9:27which is the preventable which is the
9:28preventable cause priya sheikh av sony
9:31hemal pragya doctor fly on the sky
9:33everyone yes the preventable will be
9:35congenital hypothyroidism congenital
9:39hypothyroidism remember that are you
9:41agreeing yes or no is something going
9:42inside your head
9:46perfect and also what else can we think
9:48of okay can i say large ears hanji sir
9:50you have already told okay can i say
9:52large nose
9:54do you see large nose in a case of
9:56fragile x syndrome what do you think and
9:57even dr julie
10:01will you see large testies will you see
10:04large head anyone is it common in males
10:07or females all amazing crazy questions
10:09yes the beautiful answer is everything
10:11is large okay the patient will it's a
10:13male baby can you remember m m okay male
10:16baby with mental retardation which is of
10:18course now known as intellectual
10:19disability large face
10:22larger forehead
10:23larger jaw
10:25large testes macro you know macrotism
10:29and large ears large pallet what is not
10:32large
10:33no nose n n
10:35nose is
10:37not large nose is not large exactly
10:40priya knows is normal beautiful answer
10:42let's go to the next one yeah this is a
10:44very good question dr julie could you
10:47please tell me this answer this is for
10:49the students the very important that you
10:51are revising
10:54which is the most common congenital
10:56heart in fragile x syndrome
11:05which is the most congenital heart
11:07anyone mvp okay let's try yes who is
11:10this beautiful person yes dr ekta dr
11:13beautiful amazing the most common
11:15congenital heart in disease in fragile x
11:17syndrome is mitral valve prolapse and i
11:19think everyone knows about it we have
11:20done this multiple times where else do
11:22you see mitered while prolapse everyone
11:24knows marfan syndrome the most common
11:26congenital heart in marfan is mitral
11:29valve prolapse and the most common
11:30congenital heart in fragile x syndrome
11:33is mitral vitrolabs again
11:35recently two days back on sunday
11:37basically uh yesterday we had covered
11:38some crazy questions on inborn errors of
11:41metabolism 200 mcqs we had covered
11:43yesterday three sessions we had on
11:45sunday and i hope you guys had
11:47participated in the inborn era of
11:48metabolism we have covered every single
11:50inbound error of metabolism starting
11:51from disorders of glycogen storage these
11:53disorders of amino acid everything we
11:55have covered on the inbound errors of
11:56metabolism 200 mcqs we have covered if
11:58you have not seen the classes it's free
12:00right now before it gets totally locked
12:02watch them yes next question next
12:05question next question next question yes
12:06oh that's a good question here which is
12:08the first heart wall affected in
12:10rheumatic fever such a good integrated
12:13connected question now there are three
12:15questions you will answer okay and the
12:16answer is only one the most common
12:18congenital heart in marfan is mitral
12:21valve prolapse most common congenital
12:23heart in fragile x is mitral valve
12:25prolapse which is the first heart wall
12:28affected in dramatic fever of course it
12:30is the mitral valve prolapse right i
12:32hope you all know that it's right
12:33perfect next question very quickly could
12:36you please tell me what is the mode of
12:37inheritance and what is the gene
12:38mutation beautiful two questions back to
12:40back people who are revising dr julie
12:42please
12:46subscribe
12:49to the
12:51mode of channel anyone anyone dr julie
12:53i'm waiting for your answer doctor
12:54pena's beautiful answer
12:56so pragya says x-link dominant ruhi says
12:59excellent recessive i am confused is it
13:01dominant or is it recessive and what is
13:03a gene mutation we have done so many
13:05gene mutation what is the gene mutation
13:07anyone yes the beautiful answer is it is
13:09x-linked dominant inheritance and fm are
13:12very important i know it is a repeat
13:15nucleotide triple defect that we all
13:17know that but the gene mutation is
13:19important it is fmr1 very good doctor
13:21sheikh osama very good osama youtube
13:26it's a little new idea actually that's
13:28something fmr mutation remember that it
13:31is important imagine tell your brains
13:33you're reading this for the first and
13:35last time that the gene mutation in a
13:37case of fragile x syndrome is fmr1 f for
13:41pharyngeal leg syndrome f for fmr1 in
13:44fragile leg syndrome okay fragile x next
13:47question what is this if i see this
13:49picture could you please tell me what's
13:50the best answer
13:54exactly
14:00what can you see can i write can i write
14:02over here pes planus can i write this
14:05looks like a plus planus or a flat foot
14:08can i write that is it is it okay to
14:09write this one obviously sir you're very
14:12right you're always right so pest planet
14:14or a flat food it's a beautiful answer
14:16very good question what is this bro this
14:19is a good one exactly oh my god
14:21cell phone charge
14:23okay okay buddy that sounds good
14:26osama very good what is this this is a
14:28very important question bro please
14:30answer me where else do you see it it's
14:31a very important julie khan julie kaha
14:34charlie chaplin okay dr julie answered
14:36very quickly
14:40cute nice exactly so can i exactly can i
14:43say hyper extended joints of course and
14:46remember okay hyper extended joints you
14:48see in fragile x syndrome also you've
14:50seen marfan syndrome also both syndromes
14:53you will see hyper extended joints okay
14:55perfect in marfan even in essential
14:57denglos also and here also remember that
14:59phrygialx and everyone knows the first
15:01most common cause of mental retardation
15:02is down syndrome second most common
15:05cause of mental retardation is virgil x
15:07they are the non-preventable causes and
15:08the preventable is congenital
15:10hypothyroidism we all know that
15:12okay amazing i have a very quick
15:14motivating quote you don't need a new
15:16year to make a change you don't need a
15:19new year to make a change you only need
15:22a monday so all those who are having
15:24excuses next sunday i'll start studying
15:26okay my friend she her intern postings
15:29getting over then i will start studying
15:30i just had a breakup i'm just i i need a
15:33break i will start studying next week so
15:35all that drama cut it off you don't need
15:37a new year to make a change you only
15:39need a monday very important yes need 20
15:4220 question bang on answer like this
15:44like this you should answer me in two
15:46micro seconds dr osama look at this
15:48photo and tell me
15:51this gregarious personality this kind of
15:53a thing it's amazing and the neat pg
15:55question was that a child has supra
15:58valvular aortic stenosis so what do you
16:00think
16:06is very true this is nothing but william
16:09syndrome oh you all know that okay
16:11quickly quickly can you please tell me
16:13what is the inheritance so this oscar
16:15also knows that it just looks like the
16:16most common continental heart in william
16:18syndrome is super available extremists
16:20everyone knows that
16:22okay let's have the next level of
16:23questions dr julie could you please
16:25answer me what is the inheritance of
16:27william syndrome and what is the micro
16:29relation
16:32and don't give me that line option they
16:34do
16:49he says atp 7b gene mutation is there in
16:52williams syndrome
16:54is this line right or is this line wrong
16:57osama should get a chocolate or he
17:00should get a chappal
17:01anyone any quick
17:19yes so this bro atp 7b gene mutation is
17:22there in wilson disease atp 7a gene
17:25mutation is there in menke disease
17:28it is an autosomal dominant inheritance
17:31what are we studying we are studying
17:32william syndrome william syndrome is
17:34autosomal dominant inheritance and the
17:36micro deletion we have over here is 7q
17:397q okay
17:41very good what is the gene gene mutation
17:43deletion in criter chart syndrome crydoo
17:46chat very important
17:54that's nice yeah so please tell me what
17:57is the one highlighter of crydoo chart
17:59and what is the gene deletion can we
18:00link and study so 7q gene deletion is
18:04there in our william syndrome what about
18:06try to chart exactly criteria chart is 5
18:08p 5 p generation is here in gradual
18:11chart and 7 q is there in william i'm
18:13very happy autosomal dominant
18:15inheritance right could you please tell
18:17me in a case of a chondroplasia a
18:20chondroplasia what is the gene what is
18:23the inheritance in achondroplasia very
18:24quick answer very quick
18:29yes we have this new id
18:31very attractive id the id name is dr fly
18:34on the sky
18:35dr fly on the sky dr fly on the sky nice
18:39id tell the digital
18:44inheritance what about creature colin
18:46syndrome yeah i've never heard about it
18:48could you please tell me treacher
18:50collins syndrome
18:51has autosomal dominant inheritance or
18:54autosomal recessive
19:08okay okay perfect so preacher colin
19:11syndrome also they were dominating
19:12students of gandhiji so autosomal
19:14dominant achondroplasia also autosomal
19:16dominant one quick question i want to
19:18ask over here is
19:20what about phenylketonuria could you
19:22please tell me that very quick gene
19:24mutation like the inheritance in phenyl
19:26ketone urea in l kept on urea in
19:31galactosemia
19:33in maple syrup urine disease yesterday
19:36sunday class we have done every single
19:39disease in depth and beautifully in
19:41detail every single word we have covered
19:43so if you have attended well and good if
19:46not
19:49what yes all the inborn errors of
19:53metabolism are autosomal recessive
19:56inheritance for the newcomers you must
19:58know this line next question
20:00beautiful picture beautiful beautiful
20:02please answer please anji
20:14what is the picture if this is the neat
20:16pg question guys and fmg is just very
20:18few let's days left this is the neat
20:20question imagine need pg question number
20:23twenty two thousand twenty two is this
20:25one
20:27iris
20:55this is known as stellate iris very
20:57importantly still at iris
20:59this is not starburst iris this is still
21:02it is
21:06this is the cycle this is the tire this
21:09is known as the hub these these things
21:12no these this this one these are known
21:14as stellate stellates both the spikes
21:18these are known as exactly these are
21:20known as tell it so stellate iris is
21:23very important could be a very important
21:25new rare image based question stellate
21:28iris is seen in william syndrome
21:30remember that william syndrome okay
21:31perfect very good angie what is this
21:34if this question comes this is another
21:36need pg question quick answer very quick
21:39answer what is this
21:55what is this if this becomes the pg
22:11you can say that of course so kind of a
22:12heterotropia misaligned eyes okay we
22:15have exotropia and we have esotropia
22:18okay in the exotropia the eye is turned
22:20outwards in the esotropia the eye is
22:23turned inwards inwards and outward
22:25strabismus very importantly as finding a
22:27gain of william syndrome and very
22:29beautiful picture like this picture
22:30though we have done men multiple times
22:32osama what is this picture very quickly
22:34please could you tell me what is this
22:36picture
22:38okay
22:52so this we all know that for the
22:55newcomers in the german mythology in the
22:58german mythology these are super natural
23:02beings in the german mythology these are
23:05the supernatural beings known as elves
23:08known as elves in a case of william
23:11syndrome we see something known as elfin
23:15faces in the german mythology this
23:17creature is a worship as a supernatural
23:20being known as elves or elfin faces in a
23:24case of william syndrome that boy looks
23:28somewhere like this fellow like cute big
23:30ears and you know very important like
23:32this face so nothing but i'll show you
23:33one picture
23:35this one so please remember bro this one
23:37tell your number one tell your brains
23:39you have the best memory on this planet
23:41tell your brains you have a
23:43mind-blowing photographing memory after
23:46telling your brains and see number one
23:47you have to accept and tell your brains
23:49your brain your brain will say i have a
23:51photographic memory okay okay that's
23:53awesome so and then click this photo
23:54inside your mind this picture very
23:56important and this picture this face
23:59remember okay this face this face okay
24:01what is this alfin
24:15um
24:21that will be the answer this is one
24:23julie was telling this is very
24:25importantly as everyone knows this
24:26beautiful picture of star burst suraj
24:29suraj karupa
24:41the patient is like this is finding is
24:43basically star burst
24:53okay the patient will have a broad smile
24:55the patient will have a gregarious
24:57personality gregory
25:08i am so blessed by god that i love
25:10pediatrics and it's one of the best
25:11branches okay so this one also very
25:13importantly star burst iris williams
25:16syndrome blues cherry iris william
25:18syndrome yes abcd very quick answer this
25:21was the recent nelson super speciality
25:23exam question tomorrow also in my
25:25hospital we have dnb exam tough
25:27questions possibly will come i will ask
25:28that questions to you okay ask your
25:30question i will ask you very nice
25:32but then should i ask you one question
25:33today they were asking it uh okay who
25:36will tell
25:37okay
25:38leave this question i have one more
25:39question to ask you very nice question
25:40if i uh okay
25:47okay if i put a torch to my one eye this
25:50pupil contracts but if i put a torch to
25:53my this eye this pupil dilates tell me
25:56my diagnosis what do you think if i put
25:59a torch flashlight over here in the
26:01mobile
26:02mobile mobile mobile
26:04okay quickly
26:06so if i put a torch like this not like
26:08this like if i portal touch like this
26:10this pupil will contract and if i put a
26:13torch like that then this pupil will
26:15dilate ask a question
26:18called a
26:19sample question
26:20yeah what is the answer for this one
26:22what is the answer for this one yes or
26:24no hanji the answer is
26:28a efferent pathway defect of the right
26:30eye okay okay julie says erp
26:34okay
26:35is it marcus gun pupil
26:39what is it this is your homework okay
26:40tonight anyhow we have a 11 p.m class i
26:42will ask you another questions of oscar
26:44okay
26:45and dnb exams are very amazing they are
26:47beautifully clinical based question very
26:49very clinical very classy clinical
26:51questions so one pupil if i put a torch
26:54dilates and if i put a torch here when
26:56people constrict this constrict this
26:58dilates so what is this thing what is
27:00this thing what is
27:10yeah which one is this is this arjun
27:12robertson pupil is it marcus gun pupil
27:15this is the homework tonight 11 pm i
27:17will tell you the answer so what
27:18percentage of children with this
27:20disorder the gregarious personality
27:22william syndrome will have hypercalcimia
27:27yes the answer is beautifully see there
27:29are 30 percent chances that 30 chances
27:32the patient will have hypercalcemia and
27:34very simple very quick question
27:37basically in which syndrome or when
27:39which condition you see hypocalcemia
27:42anyone hypocalcemia
27:45please
28:15syndrome or what else catch-22
28:16hypoglycemia thymic hypoplasia like this
28:19you should know like this
28:21yeah so you will have hypocalcemia in a
28:23case of digest syndrome and uh hyper
28:26calcium and william syndrome and 30
28:28people will have hypercalcemia next
28:29question please okay cute what is this
28:32picture very quick very quick very quick
28:35diagnosis anyone yeah yeah
28:38what is this
28:39dr harshit dr fly on the sky pragya
28:42julie osama
28:54okay
28:55okay i can say it is a congenital
28:57absence of skin can i say can i say this
29:00line this is a congenital absence of the
29:03superficial skin basically very
29:05importantly this one okay congenital
29:07absence of the skin right so this is a
29:10very classical picture very importantly
29:12you can say that this is nothing but one
29:14syndrome nothing but bad syndrome
29:16congenital absence congenital localized
29:19localized absence of the skin basically
29:21seen in bard syndrome
29:23it's important remember that okay yeah
29:25very good this also same only congenital
29:28absence of the skin in a case of bad
29:30syndrome remember that this also this is
29:32william syndrome we have done that okay
29:34done done done done over over over
29:37okay okay this is easy okay
29:40hello good question peripheral pulmonary
29:42stenosis may be seen in all except a
29:46good question and abcd very quick these
29:48are little tough questions okay so don't
29:50mind if anyone uh not able to answer
29:52these are little tongue twisting
29:54questions take it easy dr julie
29:58rp what is the answer peripheral
29:59pulmonary stenosis may be seen in all
30:02except in which condition you will not
30:04see peripheral pulmonary stenosis anyone
30:06anyone
30:21dear the most common congenital heart in
30:24allegheny syndrome is pulmonary stenosis
30:27actually remember the most common
30:28congenital heart in nunan syndrome is
30:30pulmonary stenosis the most common
30:32congenital heart in allegheny syndrome
30:34is also pulmonary
30:37the question is peripheral pulmonary
30:39stenosis may be seen in all except in
30:42which condition you will not see the
30:44answer is cmv congenital rubella
30:46infection okay in
30:48cm
30:52the most common congenital heart is pd
30:54everyone knows the most common
30:56congenital heart in allegheny is the
30:58permisnosus and the most common
30:59congenital heart is william syndrome is
31:01uh
31:02supravalvular stenosis right
31:05but pulmonary stenosis can be seen in
31:08these three conditions whereas in cmv in
31:11cmv you will not you will not you will
31:13not see ac or what you called uh huh
31:16okay you will not seek
31:18pulmonary synopsis
31:19okay rp very good priya very bad okay
31:23manju very bad
31:25bad fly bad even bad bad bad bad
31:28bad bad
31:30exactly okay the progress is what is the
31:32management of congenital absence of skin
31:34what's the cause causes genetic deer
31:36basically some gene defects and uh the
31:39treatment we prefer the patient to
31:40pediatric you know the skin specialist
31:42basically dermatologist for any new skin
31:45growth over there or any kind of you
31:46know skin uh what you call
31:48transplantation but that's what we refer
31:50the patient to dermatologist and
31:51symptomatic management that's it
31:53we don't know because we have not
31:55treated because being a pediatrician
31:56this is a skin problem directly goes to
31:58the dermatologist or genetic testing
32:00basically it's a congenital problem and
32:02all that okay finally done
32:04allegedly syndrome everyone knows about
32:06allegheny i hope you know that yes very
32:08classy very classy syndrome this is the
32:10only picture available on everywhere for
32:12this syndrome i think everyone knows
32:14about it so this is nothing but very
32:15importantly hanjikon
32:17dr fly on the sky ekta julie hemal manoj
32:20name moj mo zana yes di george it's a
32:24die jar syndrome can we quickly remember
32:26the cash 22
32:41what's any anyone wants to put anyone
32:42anyone
32:48yes c for cardiac
32:50outflow tract obstruction okay right
33:09cardiac abnormality a for abnormal
33:11phases t for thymic aplasia c for cleft
33:14palate cardiac outflow tract defect and
33:17h for hypoglycemia because the
33:20development of parathyroid gland
33:22hypoparathyroidism will lead to
33:23hypocalcemia you know parathyroid gland
33:25secretes calcium so hypoparathyroidism
33:27means hypocalcemia
33:29so that's what and last 22 q11 22 q11
33:34gene mutation this is all the exam
33:35question thymic eplesia is the exam
33:37question uh if do you see hypocalcemia
33:40and digest an exam question which
33:42deletion is there 22 q11 is an exam
33:45question
33:46perfect next question next question
33:49so is everyone understanding this much
33:51please put a like button to this video
33:53or put a like button in the comments
34:18any idea
34:22sounds good thumbs up thumbs up okay
34:24let's continue with some crazy amazing
34:26questions and tonight guys we have
34:28another class at 11 p.m
34:30some beautiful class we're gonna have
34:31tonight of the important images in
34:33pediatrics these were the important
34:34syndromes in pediatrics we have a class
34:36on important images also you must attend
34:38hanji cello uh
34:40let's have a quick motivating quote so
34:42yes miracles start to happen miracles
34:45start to happen when you give as much
34:48energy to your dreams as you do to your
34:52fears very smart very smart quote
34:54miracles start to happen can we have
34:57some 10 seconds for this quote because
34:58motivation will give you another vision
35:00of life and you will excel like 10x 10x
35:03not 1x not 2x 10x two things are
35:05important in life smart work and
35:08motivation you you need to have see i'm
35:10frankly telling you number one smart
35:12work write somewhere write in your
35:13notebook gay
35:14pg says the other important thing so
35:16number one smart work is important
35:19hard work versus smart work which one
35:21will you choose definitely nowadays
35:23i must choose smart work because there
35:24is so much to remember
35:26there is so much to remember you must
35:28have a smart work number one number two
35:30definitely you must have a vision i had
35:32a vision to buy a bmw and i'm the
35:35youngest in my family in my whole
35:37generation i guess who has got such an
35:38expensive car without my own villain
35:40wish and my own dream so i'm very happy
35:43for that and very proud also so i had a
35:45vision so i had it right so number one
35:47smart work and number two is vision
35:48plays a very important role in your life
35:51okay remember that so miracles start to
35:53happen when you give as much energy to
35:56your dreams as you do to your fears i
36:00don't think so i can do it i think it's
36:01very tough after six months i'll try
36:03again okay my friend she took three
36:05attempts to clear this exam
36:09one attempt so no one can carry
36:11uh two three attempts at minimum
36:12required no i have seen my juniors i've
36:14seen my interns clearing rank very good
36:16rank very very good rank so you also can
36:18do it right next question
36:21oh crazy questions crazy questions
36:27can we have a very quick answer for this
36:29one russian silver syndrome this is
36:31little tough guys try to answer uh try
36:34to answer that's all i can say it's
36:35important i have tried my best to put it
36:37very simple anji
36:38please answer russian silver syndrome is
36:42associated with which of the following
36:44very quick question can we have a very
36:45quick answer for this
36:48example questions
37:23syndrome is associated with which of the
37:26following autosomal inheritance
37:28excelling inheritance
37:30sporadic gene mutation and uniparental
37:32diastomy
37:33yes so the best answer for this question
37:35is very importantly
37:37e dr yogi says e
37:40comes up i also would have done e only
37:42no problem
37:43t cam so yes so very importantly the
37:45answer for this question will be uni
37:48parental disomi
38:00this is very important the case of uni
38:02parental dyes diaspora me and can we
38:04have please some good examples of uni
38:05parental ties for me very important so
38:07basically in uni parental diasome this
38:09is the first thing we are studying
38:10russian silver syndrome the class is
38:12what is the class topic top important
38:14syndromes in pediatrics right
38:16russia silver the best answer for this
38:19question is uri parental diasome so
38:21we're gonna talk about it so the the
38:23topic of choice is russian silver
38:25syndrome by looking at this picture by
38:27looking at this picture can you please
38:29tell me hanji very good so there are
38:30various examples of uh uni parental
38:33daisome like uh pradrively syndrome uh
38:36like angel man syndrome
38:38right you i i hope you guys know that
38:40and we're gonna cover that this one is
38:42russian civil by looking at this picture
38:44could you please tell me what are the
38:46findings
38:48do you want to try yes or no or kali
38:50right now
38:51please tell me what is this okay okay
38:54very cute someone says uh double xl
38:57shirt okay
38:58cute so uh do you guys agree with this
39:01yes or no is this a double xl shirt is
39:03that the finding you could notice
39:05very cute
39:07god
39:08may god give you everything in life with
39:10a lot of best wishes okay double
39:12exercise
39:14cute
39:15number one it's a male baby number two
39:18with macro kefeli please quickly quickly
39:21uh how can we have this one yes so it's
39:24a male baby russian silver okay let's
39:27have a mnemonic let's quickly have a
39:28smart study mm okay male baby with macro
39:32okay fellaini with can i write this is a
39:34beautiful picture bro can i write a limb
39:36length a symmetry yes
39:42the arm span is bigger than the height
39:44can i say that it's a beautiful point
39:46bro
39:46yes exactly so it's a male baby with
39:50macro kefeli with the limb length
39:52asymmetry and also the patient will have
39:55prominent forehead
39:57triangular face and small jaw with a
40:00narrow chin very beautiful point please
40:05yeah so what are we studying russian
40:08silver syndrome male it was with the
40:10macro feli you tell your brains you're
40:13reading this for the first and last time
40:15in your life that's it so what are the
40:17points of russian silver syndrome number
40:19one unique parental dyson
40:22what is
40:31with the
40:32limb length asymmetry with very
40:35important point
40:51so yes very importantly
40:59so yeah so prominent forehead then we
41:02have a triangular face and then we have
41:04small jaw with narrow chin and yeah yeah
41:07what is this what is this finding
41:09suppose
41:10what is expanding and even
41:12what is this okay
41:13okay cute baby hand
41:15thank you i know this what's the finding
41:18what is this i will not tell anyone we
41:20have wi-fi
41:22id is wi-fi cute what is this i will not
41:25tell i'm telling you what is this
41:30new people are there
41:32dr
41:47is right can i write clino dectyly yes
41:50very good no so so beautiful you're
41:52answering everything i loans you i'll
41:53only answer try to answer why because
41:56mistakes are a proof
41:58that you are trying to get a rank one
42:00you are trying to answer
42:02okay uh so it's a client electrically
42:04perfect next point
42:05very importantly blue sclera of course
42:07everyone knows that other than
42:09uh russian silver syndrome where else
42:12will you see blue scala sclera i think
42:14everyone knows about it can i write
42:15osteogenesis imperfecta obviously yes
42:18okay perfect next important point the
42:20patient will have a very important
42:22defect in the chromosomes seven and
42:24eleven in fifty percent of cases russian
42:26silver syndrome is little new syndrome
42:28for all of us please revise revise
42:31revise and revise okay that is a male
42:33baby with macro okay fellaini with limb
42:36length asymmetry with a prominent
42:38forehead and a triangular face with
42:40little small jaw and a narrow chin
42:42narrow small joint narrow chin the
42:44patient will have a blue sclera with
42:46defect in chromosome number seven and
42:48enable in fifty percent of cases the of
42:50course the patient will have either the
42:52granulo
42:54clinical knowledge bro so clinodactyly
42:56of course the yeah
42:58so listen very carefully uh the patient
43:01kabul there what are we studying russian
43:03silver it's an example of uni parental
43:07diasome what is the meaning of that uni
43:09parental can i say that uni parental
43:12means from the same parent
43:17parental so please read this line with
43:19me it's very simple line uni parental
43:22daisumi refers to the situation in which
43:25two copies of a chromosome comes from
43:29the same parent hannah do you know that
43:32yes or no
43:33two copies of the chromosome comes from
43:36the same parent
43:38instead of one copy from the father and
43:41one copy from the mother normally one
43:44copy comes from the father and one copy
43:46comes from the mother but in a case of
43:48naturally unique parental same parent
43:51isome the two copies of the chromosome
43:54comes from the same parent right i hope
43:56this much it has gone inside your brains
43:58the various examples very strong very
44:01good picture very good picture we have
44:03maternal uni parental diasome and we
44:06have paternal unique parental diasome
44:09everyone knows you know about the
44:11prader-willi syndrome and angelman
44:13syndrome take a screenshot of this one
44:15now the youtube also have stopped you
44:17know that right now you can't take the
44:19vertical screen videos and
44:21screen sharing and pictures on youtube
44:23this also has been gone it's all black
44:26will come so you only have to write this
44:28one so this is a million dollar picture
44:30where i can appreciate that we have uni
44:32parental guys so me every student knows
44:34it is prada willi syndrome and angel man
44:37syndrome involving chromosome number 15
44:41but now everyone must know that
44:43chromosome number seven basically we
44:45have the maternal maternal uni parental
44:49daisome the example is silver russian or
44:52russian silver syndrome obviously
44:54have you heard of beckwith weidman
44:56syndrome in this planet in your life
44:58have you ever heard this name i hope you
45:01must have heard right
45:03macroglossia with micro kefeli with hemi
45:06hypertrophy of limbs with the
45:09these babies can have umbilical hernia
45:10slash on fellow steel slash williams
45:12tumor
45:14gigantism okay large for gestational is
45:17okay so okay okay okay okay now very
45:20importantly i want you to remember very
45:23important we if we have chromosome
45:25number 20 and chromosome number 14 also
45:28involved the chromosome number 20 for
45:31paternal uniparental die so me the
45:32examples are
45:34pseudohypoparathyroidism very
45:35importantly for the chromosome 20 which
45:37is involved and paternal unique parental
45:40diastomy the example is pseudo
45:42hypoparathyroidism whereas in
45:44chromosomal four maternal this one we
45:46have chandani bhojpun lin syndrome so
45:49mool chandani bhoj konolin syndrome is
45:52the syndrome where you see maternal
45:53uniprenatal destiny see in the need pg
45:55pradar willi questions have already come
45:57angelman syndrome already come back with
46:00vitamin already thousand times come
46:02rashford's rational silver or silver
46:04russian syndrome also all they come the
46:05syndrome which are left are mool
46:07chandani bhoj konlin syndrome which is
46:08maternal upd pseudo hypo parasitism
46:11paternal eupd and very importantly
46:13temple syndrome also we have which is
46:16again maternal ureupd and kagami ogata
46:19syndrome kagami ogata syndrome basically
46:21for the paternal humidity if the
46:23examiner is very angry with you if the
46:25examiner is like i will make one
46:28question which is not seen on this
46:30planet then definitely he will ask you
46:32about mulch
46:36how are the names these names are cute
46:38do you find them cute please let me know
46:40or they are scary
46:42yes
46:51back with vitamin you know right russian
46:53silver i told you
46:55you know angel man you know just mulch
46:58in syndrome for the mother and kagami
47:00ogata syndrome for the father just
47:01remember that next question so the
47:03beautiful answer for this question is
47:10to of course what is this this is the
47:11very beautiful picture i think everyone
47:13knows which man's syndrome
47:15which is this is it
47:17syndrome or is it angel man syndrome so
47:20angel right happy happy angel right
47:23there the happy faces everyone knows
47:24about it funji doctor fly on the sky
47:26what is your name dr fly on the sky you
47:28are the new id okay yes exactly
47:34revised revised device devices
47:44is it tough no
47:46is it is it difficult
47:48not at all is it is it tough this uh
47:50mulch
47:58easiest question on this planet i guess
48:00tell yourself okay even though it is not
48:02true but tell yourself okay exactly so
48:05we have angel man syndrome of course we
48:08all know that can you please have quick
48:10answers on this one angel man syndrome
48:12can we have five important points for
48:14this syndrome i'm a neat pg student and
48:16fmg i don't remember it at all
48:18yes dr yogi says that when will be the
48:21session for fmg this session bro dear
48:24it's for fmg and for neat pg both
48:27nowadays it is no uh you know bias to
48:29think that fmg will have light question
48:32then pg will have heavy questions finish
48:34it off whatever comes on the way that's
48:36all i can say you frankly speaking hanji
48:40okay yeah so again very important in the
48:43angel man syndrome basically there was a
48:46micro puppet show see angel angel angel
48:49is the mother right mother mother angel
48:52man syndrome maternal meta maternal
48:55genius deleted angel angel is the mother
48:58and maternal gene is deleted a very
49:00quick mnemonic there was a micro puppet
49:02show which got delayed by 15 minutes
49:05make mother hyperactive very nice simple
49:07memory it was a micro puppet show okay
49:09why micro micro means micro kefilli
49:13puppet they are the happy puppet phases
49:16micro puppet show which got delayed
49:17delayed matlab developmental delay bro
49:20and delayed by 15 minutes by 15 minutes
49:22chromosomal 15 is in what you remember
49:24right chromosomal 15 yeah
49:26yes
49:28micro purpose show was delayed by 15
49:30minutes okay the micro puppet show was
49:32deleted by 15 minutes which makes the
49:35mother mother matlab maternal gene is
49:37deleted makes the mother hyperactive and
49:40how are the childs they are hyperactive
49:42hyperactive happy puppets hyperactive
49:46so these all are the
49:49storm pointers for
49:52the
49:53uh angel man
50:11nyan one of my dear juniors from nasik
50:13he only told me this mnemonic so thank
50:15you dr nyan someday you will watch my
50:16videos and you will say doctor
50:19so it's thank you dr
50:21uh yeah so maternal gene is deleted and
50:24paternal gene is doubled in angel man
50:27angel is the mother maternal gene is
50:30deleted so naturally paternal gene is
50:33doubled that is why it is known as uni
50:36parental uni parental
50:40please please please uh what you call
50:42don't forget it connect connect connect
50:45keep it light keep your brain very light
50:46the class is ending now it's already
50:48over one hour and that's it
50:52the patient will have developmental
50:53delay the patient will have intellectual
50:55disability
50:58okay
51:00so very importantly have a
51:02happy puppet happy puppet right
51:05spontaneous laughter the patient are
51:07happy puppets right now triple star mark
51:10triple star mark which gene is deleted
51:14chromosome 15
51:15the micro puppet show was they were
51:17delayed by 15 minutes to make the mother
51:19very hyperactive
51:21very crazy gene
51:23you be e3
51:24we have done all the genes i will not be
51:26here i will not tell you i will not be
51:27here i will not repeat those g's
51:29yesterday classes we have done i'd love
51:31to repeat karuna jeans but i'll be up e3
51:34ub e3 ubc have you even been to
51:36bangalore bangalore ubc is very porsche
51:38area so ub e3 a gene deletion on
51:41chromosome 15.
51:42done yes exactly what is this really
51:45which believe is this prader willi is
51:47this angel man what of course it is a
51:49prada village syndrome can we quickly
51:51have some three four points by looking
51:53at this picture can i write obesity yes
51:56or no
51:57can i write this one they eat a lot yes
52:00or no can i say micro penis they will
52:03they can have micro penis so all these
52:05are very important points the baby will
52:07be obese he will uh eat a lot and micro
52:10penis right teen to you
52:12brother william you know that prada
52:14paternal gene is deleted and maternal
52:17gene is doubled
52:18it's a good so again very importantly
52:20again doctor nyan from nasik
52:23thank you for this one so father
52:25father
52:27uh
52:28the pneumonic is father wali moti
52:49i increase appetite and intellectual
52:51disability very beautiful very quick
52:52points
52:56father father valli moti girlfriend
52:58motivation
53:01right yeah exactly so the the pointers
53:04are father vale means prader willi moti
53:07m for micro kefali obesity increase
53:09hepatitis and intellectual disorder
53:11father valley multicultural remember
53:12that okay yeah and very what is the
53:14other name for this syndrome i think you
53:16might not be knowing this is known as
53:18refrigerator lock syndrome this very
53:20importantly for this i would like to
53:22thank dr nitin one of my very dear jrs
53:25from south and extremely intellectual
53:28very very smart brainy fellow and uh so
53:30he told me what is the other name of
53:32prader-willi i was like it is not even
53:35there in nelson he's like
53:36it's easy bro this is refrigerator
53:39i was like okay okay thank you
53:43that's what so done this points are over
53:45so what else what is yeah what can you
53:47see here can you see very beautiful
53:50picture very beautiful
53:52exactly what is
53:56so what is this single palmer crease
53:59single palmer crease okay single palmer
54:02crease done perfect
54:04that's what so very importantly we must
54:06know this one uh what you called yes the
54:09patient basically can you see this very
54:11importantly chromosomal analysis you
54:13have and uh
54:15micro deletion 15 q 11 13 deletion for
54:19prader willi by fish fluorescent in c2
54:22hybridization
54:28so this part is done fish investigation
54:30showing micro deletion over here 15 15
54:3415 15 gene deletion take it done over
54:37perfect i think let's finish this class
54:38that finishes the class the paternal
54:41gene is missing or affected
54:43maternal gene is doubled obesity i saw
54:47small genitalia i saw chronically eating
54:49i saw and that's it then we have from
54:52nelson this is like consensus diagnostic
54:54criteria for prader willi we have major
54:56and minor not that like for super these
54:58are for us emily and super sociality
55:00then we have proper consensual
55:02diagnostic criteria for prader willi
55:04then we have nutritional phases in
55:05prader-willi and this and that that's it
55:08that finishes today's class very
55:10importantly yes so very beautifully
55:12saloni told saloni said they eat a lot
55:15so refrigerator is locked by father very
55:17beautiful thank you saluni very
55:19beautifully saloni has told the how will
55:21i remember that the prada willy syndrome
55:24is also known as refrigerator lock
55:26syndrome so very beautifully she said
55:28because they eat a lot now so the
55:30refrigerator is locked by the father
55:33thank you so much dr saloni that
55:35finishes today's class did you like this
55:38class
55:39questions
55:40okay that finishes today's class
55:43okay okay that finishes today's class i
55:45will sorry questions
55:50i always tell my students to have a
55:52quick tomorrow we will finish other
55:55amazing amazing questions so did you
55:57like the class yes or yes yes for the
56:00last last like thumbs up button on the
56:03video or you can put in the comment
56:05section also
56:07yeah thank you so much everyone for this
56:09wonderful participation i hope you had a
56:11great time i had a lovely time i hope
56:12you have i hope i was able to make you
56:14feel comfortable not stressful but try
56:16to
56:17have a light session okay that finishes
56:20the super hit session and tonight we
56:22have a class at 11 pm on the an academy
56:24app if you are free come to the
56:26unacademy app we have a 11 pm class
56:28today some crazy a nice top images top
56:31important images in pediatrics i'll show
56:33you the image to tell the diagnosis it's
56:35as simple as that so before leaving we
56:37always thank you osama thank you so much
56:39osama and thank you so much everyone for
56:41this wonderful participation
56:55we have this motivating quote today's
56:58beautiful motivating quote is you can't
57:00pour from an empty cup you can't pour
57:03from an empty cup okay you can't pour
57:06from an empty cup bro so the most
57:09important point is you have to be
57:10positive in life if you are negative you
57:13can't make others positive if you are
57:16sad if you are half-hearted you can't
57:18put your best output so please for
57:20heaven's sake my sincere request to
57:22every single person on this planet
57:24please please please be positive be
57:27positive tell yourself you are a
57:29beautiful soul tell yourself you are a
57:31beautiful soul tell yourself you are a
57:34happy soul tell yourself you are a
57:37peaceful soul see whatever you feed your
57:40mind frankly telling you bro i read lot
57:42of motivating course novels and stories
57:44and i follow uh osho and uh b.k shivani
57:47brahmanishman many many amazing people
57:50they always say like tell you whatever
57:52you train your mind that will happen
57:54will you clear this exam if you say i
57:56think so i will try and all that so how
58:00the marks will come
58:01think so and try okay so will you clear
58:04this example yes i will clear
58:06do you have that courage
58:08oh my god what are you saying yes i have
58:10that courage do you think you can do it
58:12of course sir what are you saying sir i
58:14was born to rock so it's as simple as
58:16that
58:17no one can finish 100 slivers frankly
58:19speaking it's never about finishing
58:21hundred percent slavers bro it is all
58:24about revising the high yield content
58:27revising the most important parts
58:29revising the last three to five year
58:30question papers of ames in the man's gym
58:33fmg ini ct upsc and need pg don't think
58:36if you're a fmg student that this is the
58:38light one fmg with the light questions
58:40are there no there's nothing like that
58:42don't dream okay this is real life this
58:44is not a dream it's real so you can't
58:46pour from an empty cup you can't pour
58:49from an empty cup
58:51so if you are empty you can't give
58:55empty results you will give empty
58:56results you can't give a beautiful
58:58result right so tell yourself number one
59:00i am a positive soul number two i am a
59:02beautiful soul number three i am a happy
59:05soul and number four i am a peaceful
59:07soul tell yourself once you say i am
59:10peaceful i trust me you will become
59:13peaceful okay it's all what you feed
59:15inside i'm angry you'll become
59:31thank you so much everyone for this
59:32wonderful participation
59:43go go go and go go go go see you tonight
59:47at 11 pm with another crazy amazing
59:49class with some amazing beautiful
59:50questions thank you so much for this
59:52participation and remember
59:55welcome
59:58to come

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