Access current issue (April 2011) online

Priti Rani

A 6 days old newborn developed sudden respiratory distress. CXR showed white out lung. Antibiotics like meropenem and clindamycin were given. The child was ventilated but didn't pick up saturation. ECHO was done which showed mild pulmonary edema. The child was given surfactant after which showed mild improvement.

What was the cause of white out lung? Possible scope of treatment?

Ira Shah

A 10 months old boy presented with cough for 7 days, fever for 3 days and breathlessness for 2 days. On examination, he was in distress with respiratory rate of 60/min, had suprasternal, intercostals and substernal retractions with flaring of alae nasi. Chest examination revealed decreased air entry in right subscapular area with bilateral wheeze.

Why does this pneumonia have bilateral wheeze?

Read the entire teaching clinical query in the section of “TEACHING FILES” and try the correct answer.

Last month's teaching file: A 10 years old boy presented with fever with chills since 10 days. He has pallor with hepatosplenomegaly. Child was treated with oral quinine and IV Artesunate to which he responded. Can artesunate and quinine be given together?


Answer: Artesunate and quinine cannot be given together...

Hiren N. Doshi, Kshitij Sheth, N C Joshi

Comparing Bispectral Index Score to COMFORT Score in assessing sedation in pediatric patients.

Ashwin Borade, Ritesh Radhakrishnan Palliana, Raj Ganachraya, Vishal More
Neonatal Hepatic Abscess with Portal Vein Thrombosis

Madhav Kamath, Dinesh Nayak, Chandrika D. Nayak
A Rare case of Primary Polydipsia in Child

Rahul Sinha, Kirandeep Sodhi, Y K Kiran
Multiple Fractures in a Child with Rickets

Ravi Kumar Parihar, Sanjeev Kumar Digra, Sandeep Kumar Mohan, Ghan Shyam Saini, SS Slathia

What is the diagnosis?

Try your clinical skills in the “SPOT DIAGNOSIS” for the fortnight and the lucky winner gets a child health CD – courtesy Pediatric Oncall

Should linezolid be used as antibiotic for community acquired pneumonia?

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