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June 2011 Volume-8 Issue-6
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Pediatric Oncall
 
June 2011 Volume-8 Issue-6 (ISSN - 0973-0958)
 
TABLE OF CONTENTS
Access Current Issue (June 2011) online

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DIAGNOSTIC DILEMMA
A 10 years old girl presented to us with jaundice for 10 days and fever for 3 days. On examination, there was icterus, purpura, ecchymoses, anemia and firm liver of 6-7 cm below costal margin {which made us think of acute on chronic liver disease}. There was no lymphadenopathy or splenomegaly.

What is the diagnosis and what more investigations can be done and any other treatment?

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TEACHING FILES
Ira Shah

An 18 months old child presented with pulmonary TB and HIV disease. He had failure to thrive {height = 71 cm, weight = 7 kg} with delayed development and hepatosplenomegaly. He was started on TMP-SMX prophylaxis but developed urticaria and thus was stopped. His CD4 count was 30 percent.

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 15 month old girl presented with excessive sleepiness for 3 days and fever for 1 day. She had a boil over left lower abdomen 8 days back which has ruptured and left behind an ulcer over the abdomen for past 3 days. There is no history of contact with TB. On examination, she is drowsy, has no BCG scar, has an ulcer over left abdomen, no meningeal signs, right sided lateral rectus palsy and hepatomegaly. What is the diagnosis?

Answer: Excessive Sleepiness

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ORIGINAL ARTICLE
Sushant S Mane, Kavisha B Chaudhari,
Ashok D Rathod, Asad Khan Pathan


Thalassemia Major - Advantages of Separate Thalassemia Unit with Regards to Awareness and Compliance

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CASE REPORTS
K Jagadish Kumar, M G Anil Kumar, Mitun
Jain, H C Krishna Kumar, V G Manjunath,
S Mamatha


Eventration of Diaphragm Presenting With Recurrent Chest Infections

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LETTER TO EDITOR (VIEWER'S CHOICE)
Vaishakhi T Rustagi, Vaman V Khadilkar,
Anuradha V Khadilkar


Pseudoprecocious Puberty in a Child with a Testicular Tumor.

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Ashwin Borade, Ritesh Radhakrishnan
Palliana, D K Singh


Pentalogy of Cantrell.

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IMAGE GALLERY
Altaf Naseem, Rashwan Mohammed



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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UPCOMING CONFERENCES
Pediatric Oncall - 2nd Pediatric Infectious Diseases Conference 2011 on 2nd October 2011, Mumbai. Avail of early bird registration.
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Nutrition Facts
Community Level Micronutrient Deficiency in Preschoolers. As per recent estimates, globally 20% of young children are underweight, 32% are stunted and 10% are wasted, over 50% of world's undernourished children are in South Asia.
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Micronutrients : Vitamin A, E and K. Read more about functions, food sources, deficiency, overdose of Vitamin A, E and K.
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Antibiotic resistance is on rise. Should there be a national antibiotic prescribing policy?

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