Access current issue (September 2010) online

Zainul Gagan

A 4 day old child presented with jaundice. On examination there was hepatosplenomegaly. Investigations revealed bilirubin level of 45 with direct component of 30, SGPT - 40, SGOT - 80. CBC shows anemia with thrombocytopenia. Reticulocyte count is 18 percent. What is the diagnosis?

Ira Shah

A 2½ years old boy presented with abdominal distension and recurrent diarrhea for 6 months. He also had a blood transfusion 2 month ago. Doctor noticed bow legs at that time and gave 6 lakhs of Vitamin D. On examination, he was found to have palmar erythema, double malleoli, bow legs and hepatosplenomegaly with dilated tortuous abdominal veins with flow away from umbilicus. Other systems were normal. What is the cause of his symptoms?

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

Last month's teaching file: A one and half year old unimmunized boy developed sudden onset lower limb weakness 2 months ago. On examination, he had hypotonia, weakness more in extensors of the calves, bilateral foot drop and absent reflexes. Other systems were normal. Stool grew polio virus on culture. Should this child be given vaccination for polio vaccine?


Answer: Yes

Missed the Seminar on HIV and TB - held on 20th June 2010 at Mumbai? Now access all the sessions online on www.pediatriconcall.com

Rosanna Vilardo Mannarino, Maria de Fatima Pombo March, Antonio Jose Ledo Alves da Cunha, Guilherme Milward, Jose Guimaraes Gomes, Clemax Couto Sant'Anna
Bronchial and bronchoalveolar lavage in diagnosis of subacute and chronic pneumonia in Brazilian children.

Carolyn Robinson, Marisa Couluris, Bruce M. Schnapf
Juvenile Myasthenia Gravis: A Case Report and Review.

Edgar C Bustos
Clinical Presentation of (H1N1)2009 Influenza in Children may be Different than Seasonal Influenza.

Altaf Naseem, U N Reddy
Congenital Factor XIII Deficiency.

Mani Kant Kumar, Punit Kumar Singh

Spot diagnosis?



Last month's image gallery:
Case 1: Macrodactyly
Case 2: Aplasia cutis congenita

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