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April 2012 Volume-9 Issue-4 [Supplement 4]
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Pediatric Oncall
 
April 2012 Volume-9 Issue-4 [Supplement 4]
(ISSN - 0973-0958)
 
DIAGNOSTIC DILEMMA
Jose Samos
A six days old male neonate born of non-consanguineous marriage to a mother multiparous (G9) aged 34 years had bilateral anophthalmos, right auricle and auditory canal agenesis. Two siblings aged 2 and 4mths died due to bronchopneumonia. At 2 hrs of age, baby has hypoglycaemia along with ground brown vomiting, abdominal distension. Sepsis profile was negative. There was patent ductus arteriosus defect, hepatomegaly and mild cardiomegaly.

What is the diagnosis?

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Can you please tell steps in nebulisation with regards to position of patient, dilution of the drug, deciding the need for oxygen etc

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IMAGE GALLERY
Nabamita Chaudhury, Pallab Basu, Jadab
Kumar Jana, Nabendu Choudhuri


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A neonate presented with a lump in the lower back with ulceration over that. What is the diagnosis?

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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With increasing resistance to first line drugs, should category 2 treatment be modified_?

Yes, adding streptomycin to a failing regime will lead to more drug resistance
No, it would give time for change of therapy depending on drug sensitivity reports

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Pedi Poll
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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