MEDICAL

TIMELINES
medpgnotes
 1
MEDICAL TIMELINES

Contents
AGE GROUP FOR DISEASES ........................................................................................................................................................................................................................... 2
DENTITION .......................................................................................................................................................................................................................................................... 3
DEVELOPMENTAL MILESTONES ................................................................................................................................................................................................................ 4
GESTATIONAL WEEKS .................................................................................................................................................................................................................................... 6
IMPORTANT DAYS ............................................................................................................................................................................................................................................ 8
IMPORTANT DURATION................................................................................................................................................................................................................................. 9
IMPORTANT YEARS ....................................................................................................................................................................................................................................... 13
INFECTIOUS DISEASES AND INCUBATION PERIOD ......................................................................................................................................................................... 15
PARANASAL SINUSES ................................................................................................................................................................................................................................... 17
PERIOD OF COMMUNICABILITY............................................................................................................................................................................................................... 18
PRIMITIVE REFLEXES................................................................................................................................................................................................................................... 19
PSYCHOSEXUAL STAGES OF DEVELOPMENT ..................................................................................................................................................................................... 20
OTHER IMPORTANT TIMELINES ............................................................................................................................................................................................................. 21
BEST TIME FOR SURGERY .......................................................................................................................................................................................................................... 23
TRIMESTER ....................................................................................................................................................................................................................................................... 23

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 AGE GROUP FOR DISEASES 2
MEDICAL TIMELINES

AGE GROUP FOR DISEASES

6-12 months Physiological Genu Varum
6 months 6 years Febrile Seizures
2-4 Squamous Papilloma
2-8 Physiological Genu Valgum
2-7 Intuitive Thinking/Primitivethinking without reasoning
3-6 Acute epiglottitis
5-15 Ewings sarcoma
Rheumatic fever
10-20 JNA
Osteogenic sarcoma
Narcolepsy
20-30 Submucosal fibrosis
Ca Post Cricoid
Vocal Nodule
Osteoclastoma
40-60 Acoustic Neuroma
Chondrosarcoma
Age range of Epistaxis in Children 3 8 years
MC age group of Major Depression Middle aged Females
MC age group of Rheumatic Fever 5-15 years
MC age group of Genital TB 20-30 years
MC Ovarian tumour in age less than 20 Germ Cell Tumour
(Dysgerminoma)

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 DENTITION 3
MEDICAL TIMELINES

DENTITION
PRIMARY TEETH

TEETH ERUPTION
Lower Central Incisor 6 months
Upper Central Incisor 7 months
Upper Lateral Incisor 8 months
Lower Lateral Incisor 9 months
First Molar 1 year
Canine 1 years
Second Molar 2 years

SECONDARY TEETH

TEETH ERUPTION
First Molar 6 years
Central Incisor 7 years
Lateral Incisor 8 years
First Premolar 9 years
Second premolar 10 years
Canine 11 years
Second Molar 12-14 years
Third Molar 17-25 years

Best method to determine age upto 14 Dentition

years
Delayed eruption if no teeth at age of 13 months
MC Teeth to be impacted Lower Third Molar (Mandibular)

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 DEVELOPMENTAL MILESTONES 4
MEDICAL TIMELINES

DEVELOPMENTAL MILESTONES
AGE GROSS MOTOR FINE MOTOR LANGUAGE PERSONAL/SOCIAL
4 weeks Focus on Bright Light Turns Head to
Fix gaze at an object sound
8 weeks Sustains Head level with Social smile
(2 months) Body on ventral suspension
Follow an object with
180 o
12 weeks Lifts head and chest off a flat Cooing Recognises mother
(3 months) surface with extended
elbows
Neck Holding
Binocular vision(3-6 months)

16 weeks Hold head steady in seated Grasps a rattle/Ring

(4 months) position when placed in
Pull up to sit hand
5 months Roll over Bidextrous Babbles (5-6
Sit with Support grasp(Intentional months)
Crawling in Bed(5-8 months) Reachin)
6 months Roll from side to side Monosyllables (6- Mirror Play
Transfer objects from one 7 months)
hand to other
Period of mouthing(6-12
months)
7 months Sit without support Palmar grasp Stranger anxiety
Maximum mouthing (7-9 months)
Onset of chewing of foods
9 months Stand with support Pincer grasp Bisyllable words
Eg.mama,dada
10 months Keeping abdomen off ground Waves bye-bye
Creeping in Bed
Cruising(Holding on furniture
and walking around)
12 months Standing without support Fine pincer grasp Two words with Feeding with spoon but spills
(1 year) Makes a tower of 2 cubes Scribble meaning Plays simple Ball game
spontaneously
(12-24 months)
13 months Walk without support Can turn 2-3 pages
at a time
15 months Makes a tower of 3 cubes
18 months Runs Ten words with Feeding with cup only slight
meaning spilling

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 DEVELOPMENTAL MILESTONES 5
MEDICAL TIMELINES

Makes a tower of 4 cubes Identifies one or more part

of body
Complains when wet/Soiled
Seeks help when in trouble
24 months Walk upstairs and down Can turn single Simple sentence Handles spoon well
(2 years) stairs with two feet per step page at a time Listen to stories
Draws a Straight
line
30 months Makes a tower of 9 cubes Refers to self by I
(21/2 years) Tip toe walking Knows full name
Jumps with both feet Helps put things away
36 months Makes a tower of 10 cubes Draws a Circle Tells Story Knows age and sex
(3 years) Rides Tricycle Washes hands
Stands momentarily on one Recognise Colours
foot Dress and undress without
supervision
Goes Upstairs and Handedness
downstairs with I feet per
step
4 years Hop Draws Plus &
Rectangle
5 years Walk in straight line back Draws Cross &
and forth Triangle

Skips

5 year child can remember 5 digits

Vocabulary of 18 months child 10 -20 words

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 GESTATIONAL WEEKS 6
MEDICAL TIMELINES

GESTATIONAL WEEKS
Transvaginal Ultrasound Gestational sac 4 weeks
Transvaginal Ultrasound Cardiac activity 5 weeks
Transabdominal Ultrasound Gestational sac
Beginning of development of Internal Organs 6 weeks
Oogenesis begins 6-8 weeks
Transvaginal Ultrasound Cardiac activity 8 weeks
Ovaries & Testis distinguishable
Maximum growth of Corpus Luteum
Fetal Stage beginning 9 weeks
External Genitalia on USG 10 weeks
Chorionic Villi Sampling 10-13 weeks
Fetal Breathing 11 weeks
Urine Formation 12 weeks
Insulin Secretion begins
Ideal time for surgery for Mitral stenosis 14 weeks
Suckling
Peak level of HCG in Pregnancy 15 weeks (60-70 days)
Amniocentesis 15 20 weeks
Anomaly scan 16-20 weeks
Cordocentesis 17 20 weeks
Completion of Primordial follicle formation 18 weeks
Maximum Number of Oocytes 20 weeks
Cochlea fully developed
Height of Uterus immediately after delivery
Degeneration of Corpus Luteum 24 weeks
Surfactant Synthesis begins
Glucose Challenge test 24-28 weeks
Lileys chart for Rh Isoimmunisation starts 26 weeks
Antepatum Hemorrhage Definition 28 weeks
Viability of fetus
Beginning of Myelination of Optic Nerve in utero
Palmar grasp appears
Onset of Moros Reflex 28-32 weeks
Surfactant in Amniotic fluid 30 weeks
Maximum Cardiac Output of Mother 30-34 weeks
Crossed Extensor Reflex appears 32 weeks
Palmar grasp Fully developed
Glabellar tap
Rate of -chain of Hb exceeds -chain 34 weeks
Rooting Reflex
Sucking swallowing Coordination
Maximum Amniotic Fluid 36-38 weeks
Moros Reflex Fully Developed 37 weeks
Adduction Component of Crossed Extensor Reflex
Fetus most sensitive to Irradiation 8 15 weeks

Fetal Cardiac activity

USG 7 weeks

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 GESTATIONAL WEEKS 7
MEDICAL TIMELINES

Hand Held Doppler 10 weeks

Fetoscope 20 weeks

Liquor

12 weeks 50 ml
37 weeks 1 Litre
After 37 weeks Decreases

rd
Appearance of stem cells in Yolk Sac 3 week of Gestation

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 IMPORTANT DAYS 8
MEDICAL TIMELINES

IMPORTANT DAYS
January 30 Anti Leprosy day
February 4 World Cancer Day
March Second Wednesday No Smoking day
March 8 International Womens Day
March 24 Anti TB day
April 7 World Health Day
May 31 No Tobacco Day
June 5 World Environment Day
June 26 International Day agaist Drug Abuse
July 1 Doctors Day
July 11 World Population Day
September 8 World Literacy Day
September 28 World Rabies Day
October 1 International Day for Old Persons
National Voluntary Blood Donation Day
October 9 World Sight day
October 10 World Mental Health Day
November 10 Universal Immunisation Day
November 25 International Day for Elimination of Violence against
women
December 1 World AIDS Day

March 15 World Disabled Day

May 8 World Red Cross day
Second Week of October World Disaster Reduction day
October 24 UN Day
December 3 International Day for Disabled
December 10 Human Rights Day

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 IMPORTANT DURATION 9
MEDICAL TIMELINES

IMPORTANT DURATION
DURATION EVENT
6 hours Half life of Neutrophils
Time limit Donor Cornea Harvestation
7 hours Capacitation of Sperms (fallopian tube)
4 days Half life of Platelets
1-2 weeks Prescription of glasses after Phacoemulsification
3-4 weeks Prescription of Artificial eye after Enucleation
th
25 day Closure of Cranial(Anterior) Neuropore
th
27 day Closure of Caudal (Posterior) Neuropore
28 days Normal Skin Turnover time
6-8 weeks Prescription of glasses after ECCE
8-12 weeks Nerve Decompression for Facial Nerve if No recover
1-3 months Actual closure of Ductus arteriorus
2-3 months Closure of Posterior Fontanelle
2-4 months Critical period for development of Fixation Reflex
4-6 months Macula develops up to.
5 months Birth weight doubled
6 months Binocular reflex(Psychooptical reflex) acquired
6-8 months Depth perception starts
11 months Birth weight tripled
1 year Binocular reflex(Psychooptical reflex) Completed
18 months Closure of Anterior fontanelle
Concentrating ability of adult kidney achieved
2 years 90% of adult size of Brain
4 years Birth Height doubled
5 years Maximum size of tonsil
5-7 years Maximum age of growth of lymphoid tissue
6-11 years Mixed Dentition
7 years Visual acuity reaches adult
Self decision taken by child
12 years Age of consent in India
Beginning of Closure of Coronary Suture 30 35 years

MC duration of Pyrexia due to Post Operative Wound 5-6 days

Infection
Delirium tremens occur within 1 week
rd
Hemorrhage in Typhoid 3 week
Disappearance of p53 in HIV after 6-8 weeks

Half Life

I 132 2.3 hours

Tc 99 6 hours
I 123 13 hours
Radon 3.8 days
I 131 8 days

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 IMPORTANT DURATION 10
MEDICAL TIMELINES

Cs 131 10 days
Cs 137 30 years
Tritium 12 years
Cobalt 60 5.2 years

DURATION

Hypothyroidism following Thyroidectomy occurs within 2-5 days

If mucosa accidentally opened at Ramsted Surgery,Oral 24 hours
feed not given for
Survival in Unresectable Gall bladder < 6 months
Half Life of Factor VIII 8 hours
Blood stored in CPDA for 35 days
Blood stored in CPD for 21 days
Reimplantation time for Lower limb 8 hours

Duration

Life Span of Ovum 12 24 hours

Life Span of Sperm 24 48 hours
Half Life of Oxytocin 3-4 min

Life Span of Platelets 7 10 days

Regression of Capillary Hemangioma by 7 years

Normal Skin Cycle (Turn over time of epidermis) 28 days

Turn over time in Psoriasis 4 days
Skin cycle in Actinic keratitis 2 days
Half Life of IgG 23 days
Generation time of Leprosy bacilli 12 days
Leprosy bacilli survive outside human body upto
Post Op Radiation in Wilms tumour should be started 10 days of surgery
within
Life Span of Mosquito 8 34 days (males are shorlived)
th st
Maximum collagen content in wound tissue at 17 to 21 day
Maximum lifespan of transfused RBC 55 days
Weight gain following TPN after 7 days
Pus in burns form in 2-3 days
th
Zona pellucida disappears at 4 day
Fracture shaft of femur should unite within 100 days +/- 20
Clean cut divided nerve repaired within 6 hours
Median Life expectancy in Rheumatoid arthritis 3 7 years
shortened by
In Neuropraxia nerve conduction may be normal upto 10 days
Uterus become pelvic organ by the end of 2 weeks after delivery
Blood volume become normal at Puerperium 2 weeks
Bladder should be emptied within 3-4 hours after delivery

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 IMPORTANT DURATION 11
MEDICAL TIMELINES

External Cephalic Version Done after 35 completed weeks

Tubectomy in Heart Patient best done 1 week after delivery

Primordial follicles developed completely 8 weeks
within
th
Fetal Erythropoiesis first occur at 6 week of gestation

Course of full dose steroids in Rheumatic 3 weeks

carditis
rd
Oropharyngeal membrane formed during 3 week
Physiological Umbilical hernia at 6 weeks

Best time for taking blood for malarial One hour after height of Paroxysm
parasite
Body attains environmental temperature 16 20 hours
in
st
Birth Weight Should be measured within 1 hour of life
Recommended contact period for Chlorine One hour
in water
Ideal Retention Period in Septic tank 24 hours
Duration of First stage of Labour in Primi 12 hours
Fourth stage of Labour observation for 1 hour
Amniotic fluid completely replaced every 3 hours
Postpartum Eclampsia starts 48 hours after delivery
LH surge preceeds ovulation by 36 hours
Classical sign of HMD within First 6 hours of life
Breast milk stored at room temperature 10 hours
for
Breast milk stored at Refridgerator for 24 hours
Breast milk stored at Freezer for 3 months (-20*C)
Invertogram is taken 6 hours after birth
Primary closure of incised wound within 6 hours
Peripheral nerve can stand ischemia upto 8 hours
Post dural Puncture Headache begins with 48 hours
in

Anterior Fontanelle closes by 18 months

Posterior fontanelle closes by 2-3 months
Lanugo Hair appears at 4 months
Urine Production 2 months of gestation

Colic disappears by 4 months

After hernioplasty ,patient should avoid 6 months
sternous activity for
Post Traumatic Seizures 1 3 months

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 IMPORTANT DURATION 12
MEDICAL TIMELINES

School Health examination according to Every 6 months

NRHM

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 IMPORTANT YEARS 13
MEDICAL TIMELINES

IMPORTANT YEARS
1870 Quarantine Act
1880 Vaccination Act
1928 Child Marriage Restraint Act
1946 Bohr Committee
1948 ESI Act
Factories Act
1951 National Family Planning Programme
1953 National Malaria Control Programme
1954 Prevention of Food adulteration act
1955 Filariasis Control Programme
National Leprosy Control Programme
1956 Indian Medical Council Act
Immoral Traffic Prevention Act
1958 National Malaria Eradication Programme
1960 Childrens Act
1961 Dowry Prohibition Act
Maternity Benefit Act
1962 National Tuberculosis Programme
National Goiter Control Programme
Mudaliar Committee
1963 National Trachoma Control Programme
Chadah Committee
1965 Mukherji Committee
1966 Mukherji Committee
1967 Jhungalwalla Committee
1969 Registration of births & Deaths Acts
1971 Urban Malaria scheme
MTP Act
1973 Kartar Singh Committee
1975 ICDS
Last Case of Small Pox in India
Shrivastava Committee
1976 National Programme for Control of Blindness
1977 Modified Plan of Operation
Kala azar Control Programme
India Declared Small Pox free(April)
th
Last case of Small Pox in World (26 October,Somalia)
th
1980 WHO Declared Global eradication of Small Pox (8 May)
1982 National Mental Health Programme
1983 National Leprosy Eradication Programme
National Guinea worm Eradication Programme
TB Global Emergency by WHO
Krishnan Committee
1985 Narcotic Drugs & Psychotropic Substance Act

1986 Environmental Protection Act

Consumer Protection Act
First Case of AIDS in India(Chennai)
Bajaj Committee
1987 National AIDS Control Programme

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 IMPORTANT YEARS 14
MEDICAL TIMELINES

Mental Health Act

1990 Human Genome Project begun
1992 RNTCP
CSSD
National Iodine Deficiency Disorders Control Programme
National AIDS Control Programme I (1992-97)
Infant Milk substitutes,Feeding bottles & Infant food
1993 Protection of Human Rights Act
1994 Transplantation of Human Organs Act
Prohibition of Sex Selection Act
1996 Revised Filariasis Control Programme
Yaws Eradication Programme
1997 Enhanced Malaria Control Programme
RCH Phase I
1998 Modified Leprosy Elimination Campaign (1998-2004)
Biomedical waste Management & Handling Rules
1999 National Anti malarial Programme
National Oral Health Programme
National AIDS Control Programme II (1999-2004)
2000 National Population Policy
2002 National Health Policy
2003 National Vector Borne Disease Control Programme (2003-2004)
Human Genome Project essentially Complete Genome (April)
2004 Integrated Disease Surveillance Project (2004-2009)
RCH II (2004-2009)
2005 NRHM (2005-2012)
RTI Act
Protection of Women From Domestic Violence Act
National rural Employment Guarantee Act
3 by 5 Initiative for AIDS to be achieved
Goal to Eliminate Leprosy
Goal to Eradicate Polio,Yaws
2006 National AIDS Control Programme (2006-2011)
Yaws Eliminated in India(2006)
2007 Achieve Zero Level of Growth of HIV/AIDS
2010 Goal to Eliminate Kala Azar
Reduce Mortality by 50% due to TB,Malaria,Vector/Water borne disease
Reduce Prevalence of Blindness to 0.5%
Reduce IMR to 30/1000,MMR to 100/100000
2015 Millennium Goals to be achieved
Goal to eliminate Lymphatic filariasis

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 INFECTIOUS DISEASES AND INCUBATION PERIOD 15
MEDICAL TIMELINES

INFECTIOUS DISEASES AND INCUBATION PERIOD

DISEASE ORGANISM INCUBATION PERIOD
Staphylococcal Food Poisoning Staphylococcus aureus 1-6 Hours
Influenza Orthomyxovirus 18-72 Hours

Cholera Vibrio cholera 1-2 days

Crimean Congo Fever Nairo Virus 1-3 days
Pneumonic Plague Yersinia Pestis 1-3 days
Gonorrhoea Neisseria gonorrhea 1-5 days
Swine Flue H1N1 Type A Influeza 1-7 days
Diphtheria Corynebacterium diphtheria 2-6 days
Yellow Fever Flavi Virus fibricus 2-6 days
Bubonic Plague Yersinia Pestis 2-7 days
Septicaemic Plague Yersinia Pestis 2-7 days
Herpetic Ulcer Herpes Virus 2-7 days
Meningococcal meningitis Neisseria meningitides 3-4 days
SARS Corona Virus 3-5 days
Chancroid Hemophilus ducreyi 3-5 days
Kyasanur Forest Disease Arbovirus(Flavi) 3-8 days
Dengue Arbovirus 3-10 days
LGV Chlamydia trachomatis 3-12 days
Donovanosis Calymmatobacterium 3-21 days
granulomatis
Chikungunya Fever Arbovirus A 4-7 days
Leptospirosis Leptospira interrogans 4-20 days
Trachoma Chlamydia trachomatis 5-12 days
Japenese Encephalitis Group B Arbovirus(Flavi) 5-15 days
Tetanus Clostridium tetani 6-10 days
Small pox Variola 7-14 days
Pertussis Bordetella Pertussis 7-14 days
Poliomyelitis Polio virus 7-14 days
Malaria Plasmodium vivax 8-17 days
Malaria Plasmodium falciparum 9-14 days
Syphilis Treponema pallidum 9-90 days
Scrub typhus Rickettsia tsutsugamushi 10-12 days
Measles(Rubeola) RNA Paramyxovirus 10-14 days
Typhoid fever Salmonella typhi 10-14 days

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 INFECTIOUS DISEASES AND INCUBATION PERIOD 16
MEDICAL TIMELINES

Chicken Pox HHV 3 14-16 days

NIPAH virus Hendra/Henapi virus 14-16 days
Rubella(German Measles) RNA Toga virus 14-21 days
Mumps RNA Myxovirus 14-21 days
Molluscum contagiosum Pox virus 14-50 days
Hepatitis A Enterovirus 72(Picorna) 15-45 days
Malaria Plasmodium ovale 16-18 days
Malaria Plasmodium malariae 18-40 days
Hepatitis E Calcivirus 21-45 days
Hepatitis C Hepaci virus 30-120 days
Hepatitis D Delta virus 30-120 days
Hepatitis B Hepadna virus 45-180 days

Q fever Coxiella burnetti 2-3 Weeks

Yaws Treponema perteneu 3-5 Weeks
Rabies Lyssa virus type I 3-8 Weeks
Ancylostomiasis Ancylostoma duodenale 5 weeks-9 months
Taeniasis T.Solium,T.Saginata 8-14 weeks
Tuberculosis Mycobacterium Weeks to Years
tuberculosis

Ascariasis Ascaris lumbricoides 2 months

Lymphatic Filariasis Wuchereria bancrofti 8-16 Months
AIDS HIV/HTLV-III Months-10 Years

Guinea Worm Dracunculus medinensis 1 Year

Leprosy Mycobacterium leprae 3-5 Years

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 PARANASAL SINUSES 17
MEDICAL TIMELINES

PARANASAL SINUSES
Maxillary 4-5 months
Ethmoid 1 year
Sphenoid 4 years
Frontal 7 years

MC Site of Bacterial Sinusitis Maxillary sinus

MC Site of Non Invasive Fungal Sinusitis Maxillary Sinus
MC Site of Acute Sinusitis in Children Ethmoid Sinus
MC Site of Ivory Osteomy Frontal Sinus

MC Sinus involved in Chronic sinusitis Maxillary sinus

MC Sinus involved in Mucocele Frontal sinus
Potts Puffy Tumour (Osteomyelitis)
Ivory Osteoma Frontal Sinus
Mucocele
Least Common cause of Sinusitis Sphenoid
Characteristic of Frontal Sinus Infection Periodicity
Office Headache Frontal Sinusitis
Best View for Sphenoid Sinus Lateral > Basal

Posterior Ethmoidal Sinus Superior Meatus

Sphenoid Sinus Sphenoethmoidal Recess

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 PERIOD OF COMMUNICABILITY 18
MEDICAL TIMELINES

PERIOD OF COMMUNICABILITY

DISEASE PERIOD OF COMMUNICABILITY

Influenza 1-2 days before & 1-2 days after appearance of SYMPTOMS
Chicken Pox 1-2 days before & 4-5 days after appearance of RASH
Measles 4 days before & 5 days after appearance of RASH
Polio 7-10 days before & after appearance of SYMPTOMS
Hepatitis A 14 days before & 7 days after appearance of JAUNDICE
Dipththeria 14-20 days from onset of DISEASE
Meningococcus Until absent nasal and throat secretions
Hepatitis B Until Disappearance of HbsAg and appearance of AntiHbsAg
Tuberculosis As long as not treated
Tetanus None

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 PRIMITIVE REFLEXES 19
MEDICAL TIMELINES

PRIMITIVE REFLEXES
REFLEX APPEARS DISAPPEARS DESCRIPTION
Suckling 14 weeks 4 months while awake
7 months while asleep
Rooting 28 weeks
Grasp 28 weeks 4 months & 6 months
32 weeks fully
developed
Moros reflex 28 weeks 3 months Response to sudden loss
37 weeks-fully developed of support
1.Abduction
2.Adduction
3.Crying
Glabellar Tap 32 weeks
Crossed Extension 32 weeks Stimulus over limb,Flexors
Adduction 37 weeks contract,Extensors relax
Vice versa in opposite limb
Asymmetric Tonic Neck 35 weeks 3-4 months Supine position
Head turned towards
Right
Increase in extensor tone
of Right Upper limb &
Lower limb

Walking reflex Birth 3 months Alternate flexion &

extension of both legs
Symmetric Tonic Neck 2 months 4-6 months Prone position
Extension of Neck
Extension of Upper Limb
Flexion of Lower Limb
Landau reflex 3 months 1 year Extension of Neck/Limb -
Abduction
Parachute reflex 9 months Life long All four limbs abducted &
extended

Crossed Extensor reflex is a Withdrawal reflex

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 PSYCHOSEXUAL STAGES OF DEVELOPMENT 20
MEDICAL TIMELINES

PSYCHOSEXUAL STAGES OF DEVELOPMENT

Oral Phase Birth to 1 Oral Erotism Schizophrenia
years Oral sadism Maniac depressive disorder
Alcohol dependence
Dependent Personality
Anal Phase 1 to 3 years Anal erotism Obscessive Compulsive
Anal sadism disorder
Phallic Phase 3 to 5 years Genital Masturbation Sexual Perversion
Castration Anxiety Dissociative conversion
Oedipus complex disorder
Penis envy
Electra complex
Latent Phase 6-12 years Oedipus & Electra complex resolves Neurotic disorder
Super Ego
Sexual drive channelized to socially appropriate
good
Genital Phase >12 years Real adult sexuality Neurotic syndrome
True self identity

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 OTHER IMPORTANT TIMELINES 21
MEDICAL TIMELINES

OTHER IMPORTANT TIMELINES

ABRASION

Fresh Bright Red

12-24 hours Bright Red Scab
2-3 days Reddish brown scab
4-7 days Brownish black scab
After 7 days Scab falls

BRUISE

Fresh Red (Hemoglobin)

1 day Black (Deoxygenated Hemoglobin)
2-4 days Bluish Black (Hemosiderin)
5-7 days Green (Hematodin)
7-10 days Yellow (Bilirubin)
14-15 days Normal (Pigment removed by Phagocytosis)

STARVATION

Feeling of Intense Hunger lasts for 30-48 hours

Newborn WITHOUT Food & Water 7-10 days
Adult WITHOUT Food & Water 10-12 days
If food alone is withdrawn ,death occurs in 6-8 weeks

RIGOR MORTIS IN INDIA

REFERENCE STARTS DEVELOPS LASTS PASS OFF

Reddy 1-2 hours 1-2 hours 18-36
hours(Summer)
24-48 hours(Winter)
Parikh 2-3 hours 12 hours 12 hours 12 hours

FRACTURE

Osteoid matrix into Soft callus 1 week

Callus Radiologically visible at 3 weeks
Callus turns into hard bone 6 weeks 2 months

KNOCKED OUT TOOTH

Clot Oblterated by fibrous tissue 14 days

Socket completely filled with new bone 1 year

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 OTHER IMPORTANT TIMELINES 22
MEDICAL TIMELINES

MYOCARDIAL RESPONSE

Cessation of Aerobic Respiration Seconds

Loss of Contractility < 2 minutes
ATP to 50% of Normal 10 minutes
ATP to 10% of Normal 40 minutes
Irreversible Cell Injury 20 40 minutes
Microvascular Injury >1 hour
Cardiac Rupture 3 7 days

AGE SMR
10 13 years 1-2
14 16 35
17 20 5

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 BEST TIME FOR SURGERY 23
MEDICAL TIMELINES

BEST TIME FOR SURGERY

CONITION BEST TIME FOR SURGERY
Patent Vitellointestinal duct 6 months
Hypospadiasis 6 12 months
Cleft Lip 3 months
Cleft palate 12 months
Tendon Transfer >4 years
Rhinoplasty 16 years

TRIMESTER
Congenital Varicella First Trimester
Congenital Rubella First Trimester
Molar Pregnancy diagnosed at I trimester
Severity of Perinatal Transmission of Toxoplasmosis is I Trimester
maximum during
Congenital Parvovirus Second Trimester
Congenital syphilis Third Trimester
Congenital Toxoplasmosis Third Trimester
Congenital Hepatitis B Third Trimester
Congenital CMV Third Trimester
Supine Hypotension is characteristic of Third Trimester
Rate of Perinatal Transmission of Toxoplasmosis is III Trimester
maximum during
Kiegel exercise should begin III trimester/24 hours after delivery
Congenital HIV During Delivery
Congenital Hepatitis C During Delivery
Congenital Herpes During Delivery

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