Access current issue (August 2009) online.

Pediatric Oncall
A 7 years old girl presents with H.influenza meningitis that responds poorly to antibiotics. Can Hib meningitis occur at this age? Read more...

Last fortnight's query of a 20 day old boy with inability to suck and swallow had several replies. Most of the viewers have suggested trachea-esophageal fistula, esophageal dysmotility, pharyngeal muscle weakness.

Ira Shah
A 3½ years old boy presented with 3 episodes of hypoglycemia. Parents have also noticed progressive darkening of skin since 1½ year and craving for extra salt in feeds. What is the diagnosis? Read the entire teaching clinical query in the section of "TEACHING FILES" and try the correct answer.

Last month's teaching file:
Query: A 4 year old girl with Non-Hodgkin's lymphoma. With staphylococcus aureus Pneumonia developed sudden breathlessness and wheezing. What is the cause of her sudden breathlessness.

Answer: Pneumothorax. Read more...

Bhavana B Lakhkar, Nalini Karande.
Cut Off Point for Low Birth Weight Admission to Neonatal Intensive Care Unit.

Hajer Aloulou, Salma Ben Ameur, Imen Zouch, Amira Bouraoui, Sonia AbdelHak, Rosa Vargas Poussou, Thouraya Kammoun, Mongia Hachicha.
Neonatal Bartter Syndrome Type 1.

Amol Lohkare, Bhavana B Lakhkar.
Infant Feeding Tube - A Cheaper Alternative to Peritoneal Dialysis Cannula.

Sanjeev Kumar Digra, Virender Singh, Shirin Nomani
A 15 years old boy came with excessive sluggishness, weakness, sleepiness, poor appetite and cold intolerance for last seven months. On examination he had coarse facial features, rough skin, short neck, dull look, edematous eyelids, broad and short hands and legs as depicted in Figure. His heart rate was 68 per minute, respiration rate 16 per minute, blood pressure 112/74 mmHg and temperature was 98.4 degree F. Thyroid profile was suggestive of hypothyroidism (T3- 20mg/dl, T4-1.2 mg/dl and TSH- 211iu/ml). What is the diagnosis?

Last month's image gallery:
Case 1: Jeune syndrome or asphyxiating thoracic dystrophy
Case 2: Lamellar Ichthyosis

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

Jasbir S Chugh.
Re-registration of doctors. Punjab medical council has been insisting upon five yearly re-registration of Postgraduate {MD,MS}and Bachelors{MBBS} degrees of qualified doctors and has been charging hefty amounts from doctors on this account.

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