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Expert Opinion
Q. Does it make some difference if we nebulise a patient of acute bronchiolitis with 3 percent NaCl?
Post Date : 24 May 2026
Expert Opinion:
As per a cochrane review, meta-analysis suggests that nebulized 3 percent saline may significantly reduce the length of hospital stay among infants hospitalized for non-severe acute bronchiolitis and improve the clinical severity score in both outpatient and inpatient populations. No significant short-term effects (30 to 120 minutes) of one to two doses of nebulized hypertonic saline were observed among emergency department patients.

Q. What advice should we give to parents of a patient with a congenital absence of depressor Anguli Oris? What are the treatment modalities?
Post Date : 17 May 2026
Expert Opinion:
Most parents do not notice any defect except when the child is crying; therefore, surgical intervention in the isolated deformity is rarely indicated. Surgical procedures to weaken the nonaffected side with selective marginal mandibular neurectomy or botulinum toxin injections provide symmetry at rest. Other plastic-reconstructive options include wedge resection and fascia lata sling or cheiloplasty, plication or transposition of the orbicularis oris muscle, and digastric muscle transfer.

Q. A month-old newborn and his mother have had a cough for more than 7 days. The newborn has a cough an.......
Post Date : 10 May 2026
Expert Opinion:
A cough in the newborn is not a common presentation and should not be ignored. It should be considered as a sign of serious respiratory illness unless proved otherwise by investigations.
The most common cause would be a pulmonary infection of any etiology, most likely from the mother. Other causes would include structural airway abnormality, pleural irritation, bronchial involvement from any mass, etc.
Fever may not be a common presentation in newborns, and they should not be treated symptomatically without further investigations.
I think a chest radiograph and blood investigations, including culture, would be necessary. Maternal progress and diagnosis would be extremely helpful in this case.
Phenergan has no role in such cases. It is an antihistaminic and should be used in allergic cases only.

Q. A 2-month-old baby came for HBV. He recieved 1st dose of HBV and BCG at the time of birth and then D.......
Post Date : 03 May 2026
Expert Opinion:
Yes, wait for 4 weeks before the next dose. Give HBV 2, DPT2 together.


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