Spanish Grammar Rules for Nouns: Feminine and Masculine Endings
The rules for gender in Spanish nouns is essential for language learners. Words ending in -ión, -dad, and -ma have set genders, with exceptions like La rima. Recognizing cognates can help in memorizing these rules. Remember, nouns ending in -tad and -dad are always feminine, while Greek-origin words ending in -ma are masculine. Practice these guidelines to improve your Spanish vocabulary effortlessly.
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Presentation Transcript
7-year-old girl presents to GP with fever, cough and rash Sarah Perrott, Created 12/08/21 Tag Year: Year 3 Tag specialty: Infection, Paediatrics
Introduction Jessie, a 7-year-old girl presents to you, her GP, with her mother Prodrome: Fever, coryza, cough White spots on buccal mucosa Rash behind ears, starting to spread to whole body. You would describe the rash as a discrete maculopapular rash.
Question 1 What is the most important question to ask?
Question 2 At what ages is the MMR vaccine given?
Question 3 How is measles diagnosed?
Jessie did not get the MMR vaccine. You speak to colleagues and arrange Jessie to get testing. You also plan to notify public health, as measles is a notifiable disease. As Jessie s symptoms are mild, you recommend supportive care. Question 4 What about Jessie s siblings? What should you do if they are also unvaccinated?
Jessies diagnosis of measles was confirmed and public health notified. Jessie makes a full recovery and fortunately no further cases of measles were identified. Question 5 What are some potential complications of measles?
Death of Roald Dahls child due to measles https://www.roalddahl.com/roald- dahl/timeline/1960s/november-1962
Useful resources Measles NICE guidelines https://cks.nice.org.uk/topics/measles/ Notifiable diseases in Scotland https://www.hps.scot.nhs.uk/web-resources-container/notification-of-infectious-disease-or-health-risk-state-form/
