Nilesh Shah
A 6 years old girl has abdominal pain, fever, vomiting, tender hepatomegaly with thrombocytopenia and anemia. What is the diagnosis?

Last fortnight's query of a 2 year old girl with hematemesis and normal investigations had several replies. The authors have replied that they advised CT angiography of abdominal vessels if she had a repeat episode of hematemesis.

Ira Shah
A 12 year old boy presented with 3 episodes of syncope on playing. 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 6 month old presents with progressive pallor and dark stools. He has hepatosplenomegaly with indirect hyperbilirubinemia. There is no portal hypertension. What is the diagnosis?

Answer: Hemolytic anemia...

Nooshin Baghaei, Soheila Khalilzadeh, Mohammad Reza Boloursaz, Shahin Hakimi, Amir Ali Khodayari, Ali Akbar Velayati.
A 6-year Evaluation of Cystic Fibrosis.

N D Vaswani, Geeta Gathwala
Takayasu arteritis leading to dilated cardiomyopathy.

Sandeep Aggarwal, Karuna Thapar, Alok Goyal, Shashi Kiran Singh
Perforation: A rare manifestation of Septicemia.

Altaf Naseem, U N Reddy
Spot diagnosis?

Last month's image gallery:
Case 1: Piebaldism
Case 2: Congenital diaphragmatic hernia

Try your clinical skills in the - SPOT DIAGNOSIS. for the fortnight and the lucky winner gets a book on pediatrics - courtesy Pediatric Oncall

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