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December 2009 Volume-6 Issue-12
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December 2009 Volume-6 Issue-12 (ISSN - 0973-0958)

TABLE OF CONTENTS

Access current issue (December 2009) online

DIAGNOSTIC DILEMMA


Pediatric Oncall

An 1½ month old boy presented with sudden onset breathlessness He had irregular pulse with tachycardia {heart rate = 180, min}. ECG shows regularly irregular rhythm with atrial bigemini. What is the probable diagnosis?

TEACHING FILES

Ira Shah
A 10 years old boy presented with accidental inhalation and ingestion of golden metallic coloured powder during Holi festival followed by difficulty in breathing within 10 minutes of the episode associated with giddiness. He vomited once and the vomitus contained golden yellow substance. On examination, he had mild to moderate respiratory distress, yellow staining of face, bilateral fine crepitations, drowsiness and respiratory rate of 42/min. Other systems were normal. 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: A 6 month old boy born of non consanguineous marriage presented with increasing pallor for 2 months and abdominal lump noticed 5 days back. There was no fever. The child is 3rd of three siblings and other two children are normal. Birth, immunization and milestones are normal. He is on breast feeds plus weaning diet. On examination, he had tachycardia, pallor, hepatosplenomegaly and cardiomegaly. What is the diagnosis ?


Answer: Nucleated RBCs - Thalassemia

ORIGINAL ARTICLE

Barbara Ulibarri, Carlos Martinez-Duncker, Claudia Camarillo, Enrique Omar Guadarrama, Pilar Garcia -Roca, Ricardo Munoz Arizpe, Mara Medeiros.
Comparison of 99m Tc DTPA vs Five Methods to Estimate Glomerular Filtration Rate in Children with Renal Transplantation

CASE REPORTS

V Poovazhagi, V Vijayakumar, J Kumudha, K Balachandran.
Congenital Fusion of Maxilla and Mandible (Bony Syngnathia)

VIEWER'S CHOICE

Soheila Khalilzadeh, Nooshin Bghaie, Mohammad Reza Boloursaz, Amir Ali Khodayari, Ali Akbar Velayati
Spectrum of Chronic Granulomatous Disease in pediatric patients: a review of 20 cases.

IMAGE GALLERY


This girl presented with jaundice, skin lesions and anemia of 15 days duration. She was diagnosed to have epilepsy and was started on phenytoin 2 months ago. What is the diagnosis?



Last month's image gallery:
Case 1: Congenital lymphedema
Case 2: Scoliosis

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



Sincerely,
Pediatric Oncall

Poll

Is H1N1 being under-reported now?

Yes, as one would like to avoid all the hassles if a patient is detected positive
No, the cases have genuinely gone down

  Vote  Results

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Pedi Poll
Today's Poll
Should teicoplannin, colistin be used in case of neonatal sepsis where culture does not reveal any organism_?
No, it should be used only after drug sensitivity report
Yes, under guidance of an infectious disease expert
Educational Section
 
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