Dr. AN Eangnay

08/10/2022

🐛🐛🐛

07/09/2021

Could not go back!

10/08/2021

ចាក់វ៉ាក់សាំងហើយក៏ដោយ

A 4-year-old girl was brought to the emergency department with a 4-day history of fever, cough, and lethargy.

She was up to date with all childhood vaccinations. Three weeks earlier, she had had a presumed viral respiratory tract infection with fever and cough; testing for severe acute respiratory syndrome coronavirus 2 had been negative at that time.

On arrival during the current presentation, she had a heart rate of 136 beats per minute, a respiratory rate of 32 breaths per minute, and an oxygen saturation of 92% while she was breathing ambient air. Auscultation of the lungs was notable for the absence of breath sounds on the right side and diminished breath sounds on the left.

Laboratory studies showed a leukocyte count of 25,300 per cubic millimeter with 88% neutrophils. Chest radiography revealed opacification of the right hemithorax with apical air–fluid levels, indicating the presence of a hydropneumothorax (Panel A). Findings on computed tomography of the chest included right lung collapse due to massive effusion and leftward mediastinal shift (Panel B ). The left lung parenchyma appeared normal, without abscesses or cysts.

The patient underwent chest-tube placement, and 1 liter of cloudy fluid was evacuated. Pleural fluid cultures grew Streptococcus pneumoniae. Pneumococcus remains an important cause of postviral pneumonia and empyema, even in fully vaccinated children. The patient received 14 days of treatment with ceftriaxone.

At a 3-month follow-up visit, she had recovered fully, and a repeat chest radiograph was normal.

Source: DOI: 10.1056/NEJMicm2035551

10/08/2021

នេះជារបៀបដោះស្រោមដៃឲ្យបានត្រឹមត្រូវ!

08/08/2021

❤️newborn&ped ❤️

08/08/2021

我来了！I’m coming! ❤️

05/08/2021

03/08/2021

03/08/2021

Bravo 👏 Cambodia

[English Below] 💉💪 តើអ្នកដឹងទេ? ប្រទេសកម្ពុជា ជាប្រទេសដែលមានអត្រាខ្ពស់ជាងគេ នៃប្រជាជនពេញវ័យដែលបានចាក់វ៉ាក់សាំងការពារជំងឺកូវីដ១៩រួច នៅតំបន់ប៉ាស៊ីហ្វិកខាងលិច ដែលកំណត់ដោយអង្គការសុខភាពពិភពលោក។ ប្រទេសកម្ពុជា ក៏ស្ថិតក្នុងចំណោមប្រទេសទាំង ១៧ នៅលើពិភពលោក ដែលផ្តល់វ៉ាក់សាំងការពារជំងឺកូវីដ១៩ ដល់គ្រូបង្រៀនមុនគេ។

💉💪 ? Cambodia has one of the highest percentages of COVID-19 vaccination among its adult population in the WHO Western Pacific Region and is among the top 17 countries in the world to first vaccinate teachers.

Via United Nations in Cambodia

03/08/2021

❤️ Grasping reflex ❤️

03/08/2021

មកមើលក្រពះកូនតូចៗរបស់អ្នកទាំងអស់គ្នាថាទំហំប្រហាក់ប្រហែលប៉ុណ្ណា?