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June 2012 Volume-9 Issue- 6
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Pediatric Oncall
 
June 2012 Volume-9 Issue- 6 (ISSN - 0973-0958)
 
TABLE OF CONTENTS
Access current issue (June 2012) online

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DIAGNOSTIC DILEMMA

A 5 month old girl born of non consanguineous marriage presented with suck-rest-suck cycle since 2½ months of age. On examination, there was cardiomegaly with a systolic murmur at apex. Echocardiography showed dilated left atrium and ventricle with severe mitral regurgitation and fractional shortening of 15 percent and ejection fraction of 30 percent suggestive of dilated cardiomyopathy.

What is the cause of her dilated cardiomyopathy?
Previous Diagnostic Dilemma: Wiskott Aldrich Syndrome. Read more...

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TEACHING FILES
Ira Shah

A 12 years old HIV infected orphan was referred for further management. At 6 years, he was treated with 2 drug Antiretroviral therapy {ART} consisting of Zidovudine {AZT} and Lamivudine {3TC}. At 6½ years of age, 2 more drugs Stavudine {d4t} and Nevirapine {NVP} were added. At 11½ years of age, his CD4 count was 138 (19.6%) and HIV viral load was 294337 copies/ml. He was shifted to Abacavir (ABC) Didanosine (ddI) and Lopinavir-Ritonavir (LPVr). At 12 years, his viral load was 452 copies/ml and CD4 count was 542 cells/cu mm.

Is the present regime likely to work?

Read the entire teaching clinical query in the section of "TEACHING FILES" and try the correct answer.

Last month's teaching file: A 12 years old girl presented with recurrent bilateral posterior cervical adenopathy 5 mm in size, mobile, non tender since past 5 years. Her mantoux test was done which was 25 mm. Should this child be treated with anti-tuberculous therapy?

Answer: The cause of lymph nodes was head lice

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REVIEW ARTICLE
Jaydeep Choudhury

Antimicrobial Use in Office Practice.

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CASE REPORTS
Daish H, Gite A, Mukherjee S

A Rare Presentation of a Common Association.

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LETTER TO EDITOR (VIEWERS CHOICE)
Tarsem Jindal, Nitika Agrawal, Saurabh
Khanna, Manish Gupta


Margosa (Neem) Oil Poisoning.

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Gursharn Singh Narang, Suneeta Arora,
Jivtesh Pahwa, Jaskaran Kaur


Gall Bladder Worms

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IMAGE GALLERY
Shruti Kohli, Bhavana Lakhkar



Born at 29 weeks, to a 22 yrs female {G2A1}. 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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