1. Mental retardationDr Hussein AbdeldayemProf of Pediatric Neurology

2. 15 40 IU/ml confirmed twice in twosamples. 61. Treatment Sodium-L-thyroxine given orally is the treatment of choice. For infants, the starting dose usually is 12-15 ug/kg per day (37.5-50 g/day). Children require 100 ug/m2/day. Thyroxine tablets should not be mixed with soy protein formula or iron, because these can bind T4 and inhibit its absorption 62. Congenital Rubella SyndromeIntra-Uterine Infection:Cong Rubella Syndrome: 1st 3 mo : 50% of fetus affected > 3mo : 15% of fetus affected CNS: MR, microcephaly, epilepsy SNHL Eyes: congenitaal cataract Cardiac: PDA organomagaly, SGA Dec 27,2003 63. Prevention Congenital Rubella Vaccine:vaccine of all females against (at least 3 mopreconception) of GMLA vaccineSCAge: 12 mo age 5 year ageDr Hussein AbdeldayemAlex University 64. www.scc-osha.comFacebook.com/ 65. Etiology : 1ry (genetic) 2ry (acquired ) Idiopathic 66. Etiology :1ry (genetic) 1- hereditary: AR, AD,XL 2- chromosomal disorders 3- syndrome/dysgenesis 67. Etiology :Secondary ( Acquired) 1- prenatal :fetal disorder, gestational disease, maternal disease 2- perinatal : HIE, birth anoxia, neonatal sepsis, neonatalhemorrhage 3-Postnatal: meningitis/encephalitis, head trauma, IC hge,severe dehydration, severe chronic malnutrition 68. EAR POSITION 69. LOW SET EARS 70. LOW SET EARS 71. LOW SET EARS 72. LOW SET EARS