March 2009 Newsletter Volume-6 Issue-3

4th Pediatric Infectious Diseases Conference

ISSN 0973 - 0958

March 2009 Volume-6 Issue-3

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

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March 2009 Volume-6 Issue-3

Dear Doctor,

DIAGNOSTIC DILEMMA

Tola
A 2yr old girl has cough for a year. Chest X-ray revealed no positive findings, mantoux 4mm. Given anti Tb treatment for 6 months but no response. Has received INH prophylaxis for 6 months at 3 months of age in view of TB contact. How to manage the child now? Read more.

Last fortnight's query of an 8 year old with long standing hepatosplenomegaly. Most of the viewers have suggested liver biopsy to rule out a storage disorder.

TEACHING FILES

Ira Shah
An 8 month old girl has failure to thrive with recurrent cough, cold and fever since birth. On examination, there is tachycardia (all pulses good volume) with cardiomegaly with hyperdynamic apex with parasternal heave and epigastric pulsations. There were visible pulsations one space above the apex leading to a see-saw movement of the precordium. Second heart sound was palpable. What is the heart disease and what is the severity of the lesion?

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

Last month's teaching file:
Query: A 2 year old boy born presented with inability to walk properly. On examination, gait was waddling with lumbar lordosis. CNS system was normal. He had wrist widening and other systems were normal. What is the diagnosis?

Answer: Rickets. Read more...

ORIGINAL ARTICLE

A Population Retrospective Study on Pediatric Ambulatory Anesthesia for Ophthalmological Examination. Marco Zaffanello, Giorgio Zamboni, Silvia Visentin, Milena Brugnara, Laura Tomazzoli. This report is on the effectiveness of both propofol and fentanyl sedation in very young children, performed in ambulatory setting and with good performance. Read more.

CASE REPORTS

Idiopathic Pulmonary Hemosiderosis in a 6 years old girl. Asok K Datta, Taraknath Ghosh, Mrinal Kanti Ghosh, Kaustav Nayak, Sankar Kumar Das.

VIEWER'S CHOICE

Primary Mediastinal Masses in Infants and Children. Soheila Khalilzadeh, Nooshin Baghaie, Maryam Hasanzad, Amirali Khodayari, Mohammad Reza Boloursaz. Read more...

IMAGE GALLERY

Pallab Basu, Mousumi Tripathi
The boy has frontal bossing, flattened nasal bridge, thick everted lips, hyperpigmented periorbital skin, prominent ears, anodontia, sparse and unruly hairs, absent eyebrows and lashes. Spot the diagnosis?

Last month's image gallery:
Case 1: Incontinentia Pigmenti
Case 2: Klippel Feil Syndrome

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

Sincerely,
Pediatric Oncall

POLL

Should patients with spinal muscular atrophy (SMA) be put on ventilators in case of respiratory failure?

Yes

Submit

BLOG

Preventing childhood obesity through physical activity and healthy eating. Gabriela Tavcioska. Read more...

MEDICAL ADRIS

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Next : March-2009 Volume-6, Issue-3 [Supplement 3]

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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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