Access current issue (October 2009) online

Sibi Thirunavukkarasu
A 14 yrs and 4 months old boy a known case of type 1 diabetes mellitus had hypoglycemia. His elder sister is suffering from type 1 diabetes mellitus and his younger brother is suffering from type 1 diabetes, hypothyroidism. His mother is also a known case of primary hypothyroidism. His T3 - 21.65 ng/dl, T4 - 1.2 microgram/dl, TSH - 163.00 mIU/ml FSH - 4.45 Miu, ml LH - 0.10 mIU , ml PRL - 23.42 ng , ml TESTOSTERONE - 0.01 ng , ml 8.00AM CORTISOL - 13.44 microgram , dl PTH - 4.6 pg , ml What is the diagnosis and how to manage further? Read more...

Last fortnight's query of a 14 years old boy presented with fever with chills for one and a half months for which he had received Doxycycline, Chloramphenicol, Pyrimethamine, Sulphadoxine & Piperacillin -Tazobactum. What is the cause of fever? Most of the viewers have replied drug fever. However the authors have replied that the child responded to Naproxen as suspected autoimmune disorder. The child is on follow up. A differential diagnosis of Familial Mediterranean fever is also considered.

Ira Shah
A 12 year old body with extrahepatic portal hypertension underwent splenectomy with mesocaval shunt as he had recurrent hematemesis inspite of sclerotherapy. After the surgery, child again had 2 episodes of hematemesis. Why did the child have hematemesis inspite of shunt surgery?

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

Last month's teaching file: A 3 month old child presented with clay coloured stools since birth and jaundice with increased sleepiness noticed since past 2 days. On examination, child had jaundice with hepatic encephalopathy and died due to a pulmonary hemorrhage. Could the child have been diagnosed earlier?


Answer: Yes the child could have been detected earlier. Read more...

Tushar Jagzape, Amol Lohkare, Jayant Vagha, Bhavana B. Lakhkar
Prevalence of Prelacteal Feeding Practice in Wardha and the Effect of Antenatal Education on it

Angela M Fagiana, Daniel J Podberesky, Kondi Wong, Oluwole Fadare, Christopher P Coppola.
An adolescent with an axillary mass.

Emmanuel Onyekwelu
Locally Applied Lignocaine Related Cardiac Arrest in a Neonate with Impetigo after Circumcision.

Ira Shah
Spot Diagnosis



Last month's image gallery:
Case 1: Right parietal extradural hematoma
Case 2: Progeria

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