January 2009 Newsletter Volume-6 Issue-1

4th Pediatric Infectious Diseases Conference

ISSN 0973 - 0958

January 2009 Volume-6 Issue-1

Clinical Tools

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SPECIALIST ANSWERS

Rakesh Kumar, Binay Ranjan, Manjul Vijay Department of Pediatrics, Katihar medical college, Katihar...

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Research Grant

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Get the Vaccine Schedule for your child."

ARCHIVES

January 2009 Volume-6 Issue-1

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Dear Doctor,

DIAGNOSTIC DILEMMA

Niraj Bhavsar
A preterm with birth weight has RDS that responds to surfactant, NEC with perforation that needs surgery followed by meningitis that does not respond to antibiotics, antifungals. How to proceed further? Read more...

Last fortnight's query of 10 years old boy with reddish rash with lip edema and preputial edema on and off for the past 2 years had several replies. The authors thank the viewers and are suspecting C1 inhibitor deficiency in the child.

TEACHING FILES

Ira Shah
A 2 ½ years old boy with TBM on antituberculous therapy for one month presents with vomiting. What is the cause of vomiting? Read the entire teaching clinical query in the section of "TEACHING FILES" and try the correct answer.

Last month's teaching file:
Query: A 14 year old girl with Wilson's disease presented with increased salivation, tremors and spilling of feeds for the past 2 months. Her present 24 hrs urine copper is 50 µg/dl and slit lamp examination shows presence of KF ring. Is her Wilson's disease under control?

Answer: Presence of KF ring suggests that her Tissue copper is still high. Her Wilson's disease is not under control. Read more...

REVIEW ARTICLE

ORS - Which one to use? B.S. Ramakrishna. A brief review article that provides an overview of various types of ORS and which one to use.

CASE REPORTS

Status Epilepticus and Metabolic Acidosis in Isoniazid toxicity Rajniti Prasad, Biswanath Basu, Om Prakash Mishra, Utpal Kant Singh A four year child has taken 1.3 gm of isoniazid and presented with status of generalized tonic-clonic seizure and fast breathing that responded only after giving intravenous pyridoxine therapy and correction of acidosis...

VIEWERS CHOICE

Moebius Syndrome. Rahul P Bhamkar. Read about a child with asymmetrical face and malformed right ear.

IMAGE GALLERY

This is a known thalassemic. His blood transfusion requirement has gone to getting packed cells once a week. His pre-transfusion Hemoglobin continues to remain around 6 gm%. He also has thrombocytopenia and low WBC count? How should he be treated?

Last month's image gallery:
Case 1: Tuberous Sclerosis - Shagreen patch
Case 2: Goltz syndrome

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

MEDICAL ADRIS

Read about the ADRs reported for Nimesulide:

Nise	Hematuria	Dr. H. Savsani
Zelid	Edema	Dr Ashok Mehta
Pyranim	Urticaria, Edema	Dr Madhu Sinha
Nimulid	Hepatitis	Dr Pagare Sunil

You too can submit any adverse drugs reaction that you have come across. This will aid more and more viewers about the possible side effect of a drug and thus help to create awareness and advocate safe medicine.

Note: The report represents the suspicion, opinion or observation of the doctor. Cause and effect relationships have not been established.

Sincerely,
Pediatric Oncall

POLL

Are generic drugs as good as the patented brands?

Yes

Submit

BLOG

Human Papilloma Virus Vaccine Kishore Pratap Sanghvi. Read more...

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Next : January-2009 Volume-6, Issue-1 [Supplement 1]

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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

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