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February 2013 Volume-10 Issue- 2
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Pediatric Oncall
 
February 2013 Volume-10 Issue- 2 (ISSN - 0973-0958)
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TABLE OF CONTENTS
Access current issue (February 2013) online

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DIAGNOSTIC DILEMMA
Pediatric Oncall

A 2 years old girl presented with lump on left side of abdomen for 6 months. There was no pallor or jaundice. On examination, she had splenohepatomegaly with palmar erythema and cervical adenopathy. ? She had anemia and thrombocytopenia with peripheral smear suggestive of either blast like cells or atypical lymphocytes.

What is the diagnosis?

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TEACHING FILES
Ira Shah

A 4½ months old boy presented with fever and cough for 15 days. He also had an episode of uprolling of eyes 3 days ago. His eldest sister had died at 18 years of age due to fever and cough 4 months ago. On examination, the child had tachycardia, respiratory rate = 44/min with subcostal and intercostals retractions and chest indrawing. On respiratory system, there was bilateral rhonchi with minimal chest findings. He had hepatosplenomegaly. 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: 3 year old girl born of non-consanguineous marriage presented with watery diarrhea since 1 month. The diarrhea initially was blood stained and then foul smelling, greasy with a frequency of 12-15 times, day. There was a weight loss of 2 kg in last one month. She was treated with Nitazoxanide to which she responded. How should she be investigated further?


Answer: The patient should be investigated for an underlying immunodeficiency.

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ORIGINAL ARTICLE
Usha Sidramappa Agashe, Ashwin Borade, Shirish Gulawani, Ram Dhongade

Influence of Maternal Risk Factors in Pulmonary Maturity in Preterm Newborn.

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CASE REPORTS
Michael W Sauer

Serendipitous Discovery of Disseminated Neonatal Herpes Simplex Virus Infection.

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LETTER TO EDITOR (VIEWERS CHOICE)
Ruchika Sharma, Deepa Mukundan, Nasser Moiduddin

Bacillus Cereus Endocarditis in a 5-year-old Girl with Acute Lymphocytic Leukemia.

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Sara S Dhanawade, Subodh M Dhanawade

Ruptured Intracranial Mycotic Aneurysm Complicating Infective Endocarditis.

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IMAGE GALLERY
MM Patil, SS Kalyanshettar, SV Patil



A twelve year old male child born by non-consanguineous marriage, 3rd in birth order presented with scholastic backwardness. He had recurrent right ear discharge and mouth breathing of 1 year duration. Anthropometry revealed stunting. Sexual Maturity Rating {SMR} was stage III. He had large prominent ears, arched eyebrows with sparseness on lateral one third and long palpebral fissures with eversion of the lateral portion of the lower eyelid. 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

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Sincerely,
Pediatric Oncall


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Should teicoplannin, colistin be used in case of neonatal sepsis where culture does not reveal any organism_?
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