Access current issue (May 2010) online

A 7 years old girl presented with recurrent episodes of cough and cold for the past 2 years. Cold may persist even longer upto 2 weeks sometimes. Symptoms are worse in spring. Symptoms always start with cold followed by itchy feeling in the throat. She gets relieved with treatment {antihistamines}. Father has allergy to dust and maternal grandmother is on inhalers for asthma. On examination, she is a mouth breather. She has an erythematous oropharynx, hypertrophied nasal turbinates and serous rhinorrhea. What is the diagnosis?

Jagdish Menghani

A 10 years girl presented with increased frequency of urine, ants on voided urine and warm body for 2 months. There is contact with patient of tuberculosis. On examination, has mild pedal edema, mild ascitis and prominence of superficial veins over abdomen. How to proceed further?

Jane Cox

A twenty two month old boy who was playing sustained injury to his right leg. The right lower extremity has localized exquisite tenderness in the mid femur. The neurological exam is normal and no lymphadenopathy is noted. What are the differential diagnoses for this toddler? What is your plan for treatment of his condition? What follow-up will be necessary in the future?

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

Last month's teaching file: A 3½ years old girl presented with fever and cough since 15 days, breathlessness since 10 days and altered sensorium since 1 day. She was treated with antituberculous therapy. Subsequently she developed multiple spontaneous pneumothorax bilaterally for which multiple ICDs were done over a period of next 75 days. What is the cause of recurrent pneumothorax in this child ?


Answer: Miliary TB not given steroids. Read more...

V Poovazhagi, M Nagarajan, Saradha Suresh
Hearing loss in children with Type 1 Diabetes Mellitus.

Mark R. Corkins, Kimberly E Applegate, Karen West
A Congenital Liver Mass.

Amar Taksande, V Gouthami, Sumanta Padhi, Kinjal Bakshi
Aorto Pulmonary Window in Infant.


Rajesh Kulkarni, Ashok D Rathod.
Os Odontoideum.

Sanjeev Kumar Digra, Niraj Kumar, Pankaj Kumar Gupta*, Varun Kaul

Abdominal Defect. Spot diagnosis



Last month's image gallery:
Case 1: Splenectomy.
Case 2: Phytodermatosis.

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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