🇵🇰 Pakistan's Pediatric Learning Hub

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.online

Pakistan's dedicated pediatric study platform. Formulas, drug dosages, clinical cases, OSCE stations, MCQs and more — built by pediatricians, for pediatricians.

120+Formulas
300+Drug Doses
50+Cases
500+MCQs
🔍
⭐ FEATURED THIS WEEK · PAEDS.ONLINE
Approach to the Febrile Neonate
Step-by-step workup, sepsis risk scoring, antibiotic choices, and when to admit — updated guidelines 2025.
All Modules8 topics
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Pediatric Formulas
Essential calculations — weight, fluid, caloric needs, GFR, drug dosing, and more.
FluidNutritionRenalCardiac
120 formulas
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Drug Dosages
Weight-based dosing, max doses, routes, and frequencies for common pediatric drugs.
AntibioticsEmergencyAnalgesics
300+ medications
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Interesting Cases
Real-world clinical cases with teaching points, differential diagnoses, and management.
NeonatalPICURare
52 cases
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Symptom Approach
Structured clinical approach to common pediatric presentations with flowcharts.
FeverSeizureStridor
40 symptoms
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MCQ Quiz & Practice
Timed quizzes, explanations, topic filters, and performance tracking for exam prep.
Board PrepTimedExplained
500+ questions
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Pediatric Books
Curated references, textbooks, and guidelines recommended for pediatric practice.
NelsonHarriet LaneWHO
24 resources
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TOACS Stations
Important OSCE stations with structured checklists, examiner tips, and marking criteria.
HistoryExaminationCommunication
30 stations
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Growth & Development
Milestones, WHO charts, developmental red flags, and screening tools.
MilestonesChartsRed Flags
Coming soon
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Quick FormulasMost used
Holliday-Segar Method
0–10 kg: 100 ml/kg/day  |  10–20 kg: +50 ml/kg  |  >20 kg: +20 ml/kg
For hourly rate: divide by 24. Add for fever (+10% per 1°C above 37°C) and other ongoing losses.
Drug DosagesEmergency & common
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Amoxicillin
40–90 mg/kg/day (otitis media: 90 mg/kg/day)
Oral · Divided q8–12h · Max 3g/day
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Ibuprofen
5–10 mg/kg/dose q6–8h
Oral · ≥6 months · Max 40 mg/kg/day or 2400 mg/day
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Epinephrine (Anaphylaxis)
0.01 mg/kg IM (max 0.5 mg)
IM · Anterolateral thigh · 1:1000 solution · Repeat q5–15 min
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Diazepam (Seizure)
0.2–0.5 mg/kg IV; 0.5 mg/kg PR
IV/PR · Max 10 mg · Repeat once after 5 min if needed
Practice MCQSample question
A 3-year-old boy presents with a barking cough, stridor at rest, and low-grade fever for 12 hours. He is sitting upright and appears moderately distressed. Which of the following is the MOST appropriate first-line treatment?
A
Racemic epinephrine nebulization
B
Heliox therapy
C
Dexamethasone 0.6 mg/kg oral/IM as a single dose
D
Intubation and mechanical ventilation
Symptom ApproachClinical frameworks
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Fever Without Source (0–36 months)
Risk stratification, investigations, empiric antibiotics
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First Febrile Seizure
Workup, LP indications, parental counseling
😮‍💨
Acute Stridor
Croup vs epiglottitis vs foreign body — rapid differentiation
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Pallor in a Child
Anemia workup, peripheral smear interpretation
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Neonatal Jaundice
Physiological vs pathological, Bhutani nomogram, phototherapy thresholds
Interesting CasesRecent additions
🏥 Case #047
Intermediate
The Child Who Wouldn't Stop Vomiting
An 8-month-old presents with 3 episodes of bilious vomiting. The abdomen is soft but mildly distended. AXR shows a "double bubble" sign...
GISurgicalNeonatal
🏥 Case #048
Advanced
Toddler with Recurrent Chest Infections
A 2-year-old with 4 episodes of pneumonia in 12 months. Sweat chloride test, immunoglobulins, and CT chest findings guide the diagnosis...
RespiratoryImmunologyCF
TOACS StationsOSCE preparation
Station 01
History Taking — Febrile Child
Checklist · 8 minutes · Communication marks
Station 02
Neonatal Examination
Systematic examination · Normal variants · Red flags
Station 03
Counselling — Febrile Seizure
Parent communication · Recurrence risk · First aid
Station 04
Resuscitation — Choking Infant
BLS protocol · Back blows · Chest thrusts
Station 05
Interpretation — Chest X-ray
Systematic approach · Bronchopneumonia · Foreign body
Recommended BooksEssential library
📗
Nelson Textbook of Pediatrics
Kliegman, St. Geme, Blum et al.
21st Edition · 2020
📘
Harriet Lane Handbook
Johns Hopkins Hospital
22nd Edition · 2021
📕
Forfar & Arneil's Textbook of Pediatrics
McIntosh, Helms, Smyth
7th Edition
📙
Practical Paediatrics
South, Isaacs et al.
8th Edition · 2017

📖 Junior Learning from Seniors Mentorship Hub

Real-world pearls · Clinical reasoning · Senior guidance

💡
Teaching Point of the Day
📌 “Fever in a neonate: Always rule out serious bacterial infection before attributing to benign causes.”

Senior Pearl: “Ill-appearing febrile neonate → full sepsis workup (CBC, CRP, blood culture, urine, LP) and empiric IV antibiotics (Ampicillin + Gentamicin/Cefotaxime). Do not delay LP after antibiotics — it can be done up to 2-4 hours post-dose.”
  • 🔹 Key takeaway: Any neonate (0–28 days) with fever ≥38°C needs admission and septic workup.
  • 🔹 Red flags: poor feeding, lethargy, hypothermia, respiratory distress.
  • 🔹 Senior advice: Trust your gut — if something feels off, involve senior early.
👩‍⚕️ Dr. Ayesha Khalid (Consultant Paeds, KEMU) ⭐ 15 yrs experience
❓ Junior asks: "A 5-year-old with bronchiolitis? But wheeze and fever — do I give steroids or bronchodilators?"
👨‍⚕️ Senior Pediatrician (Dr. Tariq Mehmood):
“Bronchiolitis is typically in <2 years, but older children with wheeze may have viral-induced wheeze/asthma. For first episode of wheeze in preschooler: trial of inhaled salbutamol. Steroids only if strong history of atopy or recurrent episodes. Supportive care remains key: hydration, oxygenation. No routine steroids for true bronchiolitis.”
📌 Evidence-based pearl: AAP guidelines discourage steroids in RSV bronchiolitis.

📢 From the desk of senior pediatricians — Must-know high-yield points for juniors:

  • ⚡ Seizure >5 min = status epilepticus → IV lorazepam/midazolam
  • 💧 Maintenance fluid: Holliday-Segar, but avoid hyponatremia → isotonic fluids (NS/RL) in most
  • 🩸 Petechiae + sick child = meningococcemia until proven otherwise
  • 📏 Tube feeding in malnourished: start low (60–80 kcal/kg) to prevent refeeding syndrome

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