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January 2012 Volume-9 Issue- 1
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Pediatric Oncall
 
January 2012 Volume-9 Issue- 1 (ISSN - 0973-0958)
 
TABLE OF CONTENTS
Access current issue (January 2012) online

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DIAGNOSTIC DILEMMA
Malika

Ten year old boy with myocardial calcinosis born from consanguineous marriage was admitted to cardiology department. At the age of 11 months he presented with the restriction of coxal joint movement. He started walking at the age of 1,5 with claudication. Joint biopsy showed granulomas and calcification (only the description given, tissue sample now unavailable). At 5 years the boy presented with weakness, the investigation showed myocardial calcification on ECHO and calcification of aortal valve.

What is likely diagnosis?

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TEACHING FILES
Ira Shah

A 14 months old boy born of third degree consanguineous marriage presents with sudden inability to stand or sit since 15 days. There is no restriction of movement in upper limb. There is no convulsion, bladder or bowel complaints and no trauma. The child has fever since 3 days. His milestones and immunization history is adequate. There is no history of TB contact. On examination, the child has hypertonia in both lower limbs with decreased power and brisk reflexes in both knees.

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 9 year old boy born of non consanguineous marriage presented with herpes zoster over left hand since 5 days. He had renal calculi at 5 years of age. He had no other problems since then. Mother had died immediately post his birth and the father was asymptomatic. He had an older sister aged 11 years who had TB a few years back. What further tests are required?

Answer:

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ORIGINAL ARTICLE
Preeti Waghmare, D N Balpande, Bhavana B
Lakhkar


Assessment of Fetal Malnutrition By Can Score.

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CASE REPORTS
Poovazhagi V, Prabha Senguttuvan,
Padmaraj R


Unusual Cause of Renal Failure in a Child with Diabetic Ketoacidosis (DKA).

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LETTER TO EDITOR (VIEWERS CHOICE)
Shalini Avasthi, Sunil Taneja, Devendra
Agrawal


Spontaneous Idiopathic Pneumoperitoneum in a newborn

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Sanjeev Kumar Digra, Shirin Nomani

Prevalence and Pattern of Breast Feeding Practices in Rural Women of Jammu.

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IMAGE GALLERY
Sunil Kumar B M, Shruthi Patil, Sathish Kumar
K M and Rau A T K




A full term normal female new born without any antenatal, intranatal and postnatal issues, on day 3 of life was noticed to have developed unilateral erythema with contralateral pallor with a striking demarcation at midline {Figure 1 and 2}. This un-equality of skin color was noticed after the baby was put on left side with dependent side becoming erythematous. This phenomenon lasted for 20 minutes and resolved spontaneously without any other symptoms. 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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