A 6 years old boy presented with rachitic changes in limbs since 1½ years of age for which he has received multiple courses of vitamin D. There is no polyuria. He had fracture of right hand 1½ years back. 25 {OH} Vitamin D3 1,25 dihydroxy Vitamin D3, calcium, phosphorus and parathyroid hormone are normal. Alkaline phosphatase is elevated. X-Ray is suggestive of fibrous dysplasia or ollier’s disease. What is the diagnosis?

A 4 years old girl presented with recurrent watery diarrhea for the past 6 months and edema for past 15 days. Her diet is only on dal and rice with calorie intake of 400 kcal, day and proteins of 7gm, day. She had history of pica. On examination, her weight was 8.5 kg. Her hair was depigmented and easily pluckable. She had generalized lymphadenopathy, pallor, angular cheilitis and beading of the ribs was present. Tongue was bald. She had conjunctival xerosis. On systemic examination, she was apathetic and had hepatomegaly. Her stool examination showed ova of hookworm, Trichuris trichiura, ascariasis and cysts of e. histolytica.

What nutritional deficiencies does this child have? How should this child be managed? How should this child undergo nutritional rehabilitation? What problems will she have as she grows older?

A 10 months old boy presented with cough for 7 days, fever for 3 days and breathlessness for 2 days. Chest examination revealed decreased air entry bilaterally with bilateral wheeze. Chest X-Ray = perihilar infiltrates with bilateral hyperinflation. A throat swab was sent for testing for influenza A and B antigen assay which was positive for influenza A. What are the complications of influenza? Should this child be treated with antivirals?

Ira Shah
Brain Malformations. Read about various abnormalities of the brain, neuronal heterotropia, lissencephaly, pachygyria, porencephaly, holoprosencephaly, treatment of brain malformations.

These are questions asked by our viewers to the experts on the panel of Pediatric Oncall.

• What is the management of Dettol ingestion in a 2 years old child?
• What is dog bite encephalitis?
  
  
  

Gursharn Singh Narang, Jivtesh Singh Pahwa

Four year old boy, presented with painless, rapidly progressing protrusion of right eye ball since last 8 months. Later on, proptosis progressed and a mass appeared in between eyelids. This mass slowly enlarged in size and presented as fungating mass since last 4 weeks with well defined margins and was firm on palpation. Patient at present had complete loss of vision. On examination right eye showed fungating mass measuring 12cm ×8 cm× 5.5 cm, with superficial necrosis. Left eye was apparently normal. No family member or relatives have been diagnosed to have eye tumors in the past. It was associated with ipsilateral cervical lymphadenopathy. Mild pallor was present. Systemic examination was normal.

What is the diagnosis?



Last month's image gallery:
Case 1: Absent radius
Case 2: Steven Johnson syndrome

Try your clinical skills in the - SPOT DIAGNOSIS. for the fortnight and the lucky winner gets a book on pediatrics - courtesy Pediatric Oncall

PEDIATRIC ONCALL is a premier pediatric website with a current hit rate of over 1,50,000 hits/day. This ensures that your scientific research gets the maximum coverage and visibility both internationally and nationally that it deserves. SUBMIT TO PEDIATRIC ONCALL - HAVE A GLOBAL PRESENCE

• NGO's
• Special Schools
• Institutes for Blind
• Hearing Impaired Homes
• Adoption Agencies
• Physiotherapy Centers
• Homes For Children

• Jobs and Vacancies
• Search Pediatricians
• Hospitals
• Medical Conferences
• Drug Directory
• Online MCQ's

Medical Calculators

• Growth Calculator
• Conversion Calculator
• Renal Conversions
• Pregnancy Calculators
• Blood Pressure Calculator
• Blood Group Detection
• Critical Care Calculator
• Drug Dose Calculator
• Blood Reference Calculator

OTHER FEATURES

	Online Videos
	Audio Podcast
	Mobile (WAP)

Indexed in

• Index Copernicus
• Ulrichsweb
• Open-J-Gate
• Locator Plus
• Safety Lit

Other Directories

• Find Medical Colleges
• Find Pediatric Residency
• Find Journals