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A 25-year-old patient came with a complaint of swelling and redness with pruritis over the abdominal.......

Which is better for tapeworm? Praziquantel or niclosamide?

Some patients of pinworm with symptoms of periumbilical pain and perianal itching persisting symptoms even after albendazole and mebendazole. Which other anthelminthic is to be used?

One and half-year-old malnourished child continuously passing round worms from the mouth. I gave meb.......

What is the diagnosis of full term female, 3 days old with hydrocephalus and meningocele with widely.......

What is the dosage of the parenteral route(IM) of paracetamol?

A 6-year-old male, 22 kg came with complaints of bilateral multiple cervical enlarged lymph nodes si.......

A male preterm, 3 days old, 1.3 kg weight, suffers from tachypnea RR 86, frequent blood gases always.......

4-month-old infant with h/o cold and cough probably due to cold weather. The baby was given anti-histaminic drops, terbutaline syrup and nebulization SOS. Can we give honey containing ayurvedic syrup? As honey is recommended for cough.

In many patients with fevers, paracetamol does not work sometimes in high-grade fever. Previously we used niimessulide Now it is banned. What are the best alternatives? What about ibuprofen, mefenemic acid?

A 3-month-old boy has had a persistent cough for 7 days. His chest is clear. CXR is normal. What medicine can we give to relieve his symptoms?

A 2-year-old male complained of a high-grade fever of about 41-degree Celsius and severe pallor, CBC.......

A 21-month-old female child got her 1st tooth. After one year now also she has only 5 teeth. her other development is good. why it is so?

Which ferrous salt is best for pediatric iron deficiency anemia? Most of the supplements use ferrous ascorbate.

What is the most common cause of short stature in developed countries?

A 2-year-old boy developed a generalized seizure after a fever which lasted for 10 min after that he.......

In a case of Acute Rheumatic Fever with arthritis why can't other NSAIDS like Ibugesic be used instead of aspirin?

What are the preventive measures for tetanus in babies whose delivery occurs out of the Hospital, or while coming to the Hospital and the parents cut the cord with unsterile blades or knives and don't apply any spirit or iodine?

A 9-month-old girl child complains that the baby's head seems to be larger. Her wt=7.5, HC=47cm, CC=41cm, L=69cm. Is it in the normal range or larger if yes how should we proceed further?

I have a 10-year-old patient who was admitted to us 2 months back with a fever, on investigation and.......

Should we consider ATD, in 1 and a half-year-old child with 1-2 previous history of intermittent cou.......

What are the treatment guidelines for acute pharyngitis, nelson has mentioned only penicillin, amoxicillin, and erythromycin. What about the oral and injectable cephalosporins and macrolides?

A 10-year-old female child presents with chronic headache, clinical examination reveals squint, left.......

Current role of nitazoxanide with dose in common diarrhea in children, Nelson says it helpful in rot.......

Sodium feredetate is there any role in pediatric anaemia? How it's superior to older preparation?

When do you categorize a fever as a Fever of unknown origin and how do you treat the same?

Can the Rotavirus vaccine and OPV be given simultaneously?

How can I diagnose congenital hip dislocation clinically and radiologically and how can I differentiate it from other causes of delayed walking or causes of inability to move the lower limbs?

What is the probable diagnosis of 10 years old female who suffered from persistent fever for 7 month.......

A 9 year old female is having pain at her left hip and back for last 3 months. There is no fever or .......

An 8-year-old boy came with a complaint of a pungent smell of urine and increased pigmentation of the skin on exposure to sunlight.his urine c, s and r, e M, E id normal. what could be the possible cause?

I have a patient 14-year-old, 34 kg with a history of undocumented fever for 3-4 days, then he becam.......

5 year old child presented with biphasic fever 3 days apart after the initial phase child developed .......

I have seen many cases of measles at the age of 7 months, the measles vaccine is given at the age of 9 months. Can the vaccine be given at an early age, say at 7 months?

A 17-day healthy term neonate is having unconjugated S. bilirubin 11 total s .bilirubin 12.8. The neonate is breast feed. How to approach it?

The 30-month-old male child was brought with c/o protruding of the chest wall, on detailed examinati.......

In hemorrhagic disease of newborn vit K 1-2 mg IV is recommended. There are two types of vitamin K available one is the injection Kanadion other is Inj Kaplin which one should be used is there any other injection available?

How IV fluid and vitamins and minerals should be supplemented in a starving child, who has not taken.......

After how many hours of LSCS done under complete GA breastfeeding should be advised?

After an episode of typhoid, after how many months, or weeks we should give typhoid vaccine? I have.......

I am searching for the management of a patient with ingestion of a firecracker. I received one on m.......

What is the indication of doing a stool test for diarrhea in children? What is its importance? What is the exact time when it should be performed?

Some vaccine manufacturers claim that DTP with attenuated Pertussis component is to be given to all .......

How common are Crohn`s disease and ulcerative colitis in Indian children?

After vaccination with Pentavac infant had erythema and induration at the site. What treatment we should give?

After a typhoid infection, how many weeks, or months can we give a vaccine?

I have a newborn delivered at term per GA, with no issues, his antenatal scan showed prominent later.......

Nitazoxanide or metronidazole which is better against anaerobes? 2-does nitazoxanide have any action against rotavirus?

How should we manage hypomagnesemia in neonatal hypocalcemic seizures?

For how Long Should We Give Calcium Supplementation In Neonatal Hypercalcaemic Seizure (Due To Cow’s Milk Intake)?

A case of 13-year-old female child was admitted with c, o fever for 90 days, and jaundice for 45 day.......

What are the options available to give Vitamin D to newborns and after rickets treatment? What are t.......

What is the adverse effect of frequent injection of Tetanus Toxoid for every minor injury even though the child had proper vaccination as per schedule?

In an unconscious child who has had a fever with convulsion and is suspected to have encephalitis or meningitis How CSF be done when the facility of fundus examination is not available?

For infants who refuse to eat. As a last resort can we prescribe cyproheptadine? As an appetizer is .......

Can we do a CSF examination in children suspected of having fever with convulsion due to encephalitis, or meningitis if the facility of fundus examination is not available?

A 6-month female infant born to G2 with a history of previous spontaneous abortion to an nc married .......

What are the options available to give an infant Vitamin D, What are common preparations to be give.......

What is the loading and maintenance dose of hydrocortisone in patients in a state of shock?

Can patients of post-infectious encephalitis, meningitis, or encephalitis become conscious and oriented in between the episodes of convulsion?

A two and half year old girl was admitted with fever, vomiting, and convulsion. She was admitted an.......

The female baby presented with diarrhea in 1st week of life and a loss of weight of about 1 kg in 1........

How typhoid carriers are diagnosed, what are the symptoms and how should they be treated?

A 12-year-old boy was admitted with a high fever diagnosed as enteric fever. In the hospital, he had.......

What is the effect on the fetus if the mother has chicken pox in the first trimester, should she continue the pregnancy?

I have a 9 months male infant who presented to my clinic first time at 9 months complaining of noisy.......

The 23-day-old baby presented with multiple abscesses mainly in her thighs and groins, a few in her .......

In some children, there is nonstop cough but no wheezing, and the chest is clear, it is a type of as.......

A one and a half year old female child presented with seizures that were generalized tonic in nature.......

A 13-year-old child presented with a fever of one-week duration. Received antibiotics from outside b.......

A 4-year-old boy brought a global developmental delay. Her mother complaint that he involuntary bang.......

A 2-year child has a habit of induced vomiting after taking meals. He is also failing to thrive. His weight is 6 kg. What could be the diagnosis and how should we manage it?

A 4 yrs old boy was admitted in status epilep. He has a history of measles 25 days back. Cough 20 da.......

What symptomatic medicine should be given in children less than 6 months of age having a cough with a running nose OR only cough persisting for more than 5-7 days without rhonchi?

A 3 year old boy presented with high-grade fever for 2 days with rigors 4 months back. smear showed .......

A premature infant girl born by cesarean iugr was diagnosed as viseral dystonia as she used to vomit.......

A child has received a dose of measles at 9 months and MMR at 18 months. Does he need an MMR booster?

If one parent is suffering from neurofibromatosis, and one child has also got it, what are the chances of the other child getting it, and at what age usually it manifests? Is there a possibility of manifesting at or after the age of 18?

A 3-year-old patient with intermittent pain abdomen, colicky in nature, history of constipation pres.......

Which is more effective in the treatment of nocturnal enuresis- Desmopressin plus alarm bed or Desmopressin plus Oxybutynin?

How common is renal tubular acidosis a cause of short stature in Indian children?

a 16 months old child present with tetany with carpopedal spasm.he had similar episode 2 months back,his s.calcium is 9mg percent salk phosphatase is 572.waht could be the cause,her weight is 7 kg.

6 months healthy female baby exclusively breastfed with no growth issues, mother noticed a nodule in.......

At what age we can use ondansetron in children?

Can the easy 5 vaccines be given as a booster dose at 18 months after 3 doses of easy five? Also what is the component of pertussis in easy five can it be given as a booster dose?

What is the difference between infections caused by HIV1 and HIV2? Are HTLV1 and HTLV2 the same as H.......

Is yellowish-pigmented stool a sign of hepatitis in children?

A 2-month-old baby brought with complaints of a hypopigmented patch over the face i.e chin and on lf.......

A 3-day-old child has S. bilirubin 16.2 and direct bilirubin 2.2. Weight is 2.7 kg. What should be the approach?

A 3-year-old child complained of an Episode of tonic-clonic convulsion with loss of Consciousness fo.......

A male 4-month-old male infant presented with recurrent otitis media. he has pallor and splenomegaly.......

What is the drug of choice for isolated Systolic Hypertension?

What are the simple clinical criteria for FTT? Is there any age relation for diagnosis of FTT?

What is the protocol for giving the BCG vaccine to a newborn of a sputum-positive mother?

2nd dose of Hep A was missed and realized after 3 years. What is the next thing to do? Up to what age are 720 units sufficient and at what age onwards do we need to give 1440 units?

A 7-year-old boy had swelling around the right ankle joint for 2 months after a roadside accident, A.......

4 month old presented with unilateral mild purulent ear discharge, otherwise comfortable, afebrile, active and feeding well. How do we manage this case?

The baby admitted on 2nd day of life with history of neonatal asphyxia the baby was observed and the.......

A newborn delivered at 34-35 weeks, weighing 1.8 kg, the child had MSAF also, the child was kept in .......

A 2-year-old child is having off and on cough and fever. His chest x-ray is WNL. TLC DLC is WNL ESR slightly raised. But Mantoux is positive. He also has grade 1 PEM. can ATT be started?

Is there any age bar after which the Mantoux test is advised? Is there any change in the amount of tuberculin in the younger infant?

What would be the diagnostic approach towards a single ring-enhancing lesion on CT scan in a child with focal seizure presenting 1st time?

Is there any benefit of the pentavalent Rotateq vaccine over Rotarix?

Duration of potassium supplementation in a child suffering from hypokalemia due to diarrhea?

What is the ideal time for VCUG and DMSA scan in a neonate with a suspected post-urethral valve?

Sometimes mother complains that the infant suddenly started stool in increasing frequency, generally.......

Other than beta-blockers what other antihypertensive drugs can be used during lactation?

At what interval we should give deworm tabs to children having recurrent abdomen pain? What is the harm of deworming too frequently?

What is the HTE effect of l-carnitine in a diabetic child?

Is there any change in the name of PEM?

What does urinary urobilinogen indicate?

How should we keep a thermometer in OPD. Should we change the preserving solution daily? what is the preserving solution?

Patients who have abdominal symptoms during a change of season like abdominal pain, vomiting, and loose stools. There is no other symptom pertaining to other systems. What could be the cause of these symptoms and how should we manage these cases?

What is the indication of investigation for s sodium and s potassium in cases of diarrhea?

Is there any oral anti hyperglycemic drug safety during pregnancy than inj. insulin?

Is the use of mefenamic acid safe as an antipyretic in young children? Is it anyway better than paracetamol?

My daughter age 5 years is suffering from a fever. The urine test report indicates pus cells in urin.......

What should be a line of management in a child who is suffering from febrile convulsion beyond five years of age Child is otherwise neurologically intact.

How effective is salt in umbilical granuloma in comparison to silver nitrate? What is the best agent, and what percent of silver is to be used?

What is differential diagnosis of widal O titres more than 320 other than enteric fever and what is the incidence of false positive O titres more than 320?

What could be the causes of fever when it comes at 1-2 day intervals and only once a day?

For how long we can give domperidone in a case of GERD?

A child of 7 years, female is being seen persistently for the last 6 months due to lower airway symp.......

If in a case of snake bite inradermal antivenom sensitivtiy is found positive what should be the next step should we give anti snake venom?

At evaluation of growth chart I’m told it should be evaluated according to mid parental height. But .......

There is a new vitamin D preparation with 100 IU per drop. The company claims that sachets of Vitamin D are not sufficient. Daily requirement is 600 to 1000 IU. Kindly clarify the issue.

How effective is VI conjugate typhoid vaccine as compared to VI polysaccharide vaccine?

Patient baby 35 weeks presented with RDS and received survanta. The umbilical catheter was introduc.......

How to manage a child with 3 years came to phc for kerosine ingestion?

Earlier tubercular lymphadenitis children were categorized under cat iii of WHO classification and r.......

A 10 years old boy is having severe growth retardation his bone age is 3 years. His TSH is 900. Growth hormone is decreased 0.35 ng/ml normal limit is 1-6 ng/ml. How should we proceed now?

Is there any drug that can be used for decerebrate and decorticate posturing apart from managing the primary problem and this posturing persists?

What is current medical treatment for addisons disease and how do manage patients going for uncontrollable seizures with Addison's disease?

How the growth chart of a baby should be interpreted when both the parents are 6 feet and when both the parents are less than 5 feet?

What is the clinical clinching point for enteric fever in the initial few days?

What is a dog bite encephalitis?

A 6-month-old female child with unilateral breast swelling since birth. It is increasing in size, painless, no discharge. No systemic symptoms. The scan reveals soft tissue swelling with a few cysts. What is the further line of management?

Frisium is an anticonvulsant? Why do some doctors advise to tapper Frisium before two years of the convulsion-free period?

A ten years old boy is a case of GTCS with EEG changes. His convulsion are controlled on valparin and frisium. He has no convulsion for last one year. Can I try to tapper frisium?

A 3-year-old baby comes up with the complain of fever n cough for 7 days. The patient becomes cynosed to lying down which resolves on standing, Patient also has skin telengectasia. What is the diagnosis?

What will be the management of chronic diarrhea at periphery set up?

4-month baby with a fever, vesiculobullous necrotic extensive skin lesion appeared after penicillin .......

For how many days should we Nitazoxanide in a patient with invasive diarrhea?

Can we switch from injectable vancomycin or teicoplanin to oral linezolid?

19-Month-old toddler presented with lethargy, laziness, insomnia, loss of appetite, since 2 days his body weight is 15 kg on examination he had no clinical findings. All systems are normal, in blood examination LFT Normal, Hemogram Normal.

If both mother and father are short stature how should we track the height for age of a child? Because they remain much below the WHO height chart.

Can we use Deflazacort in nephrotic syndrome in place of Prednisilone?

What treatment should be given to AFB positive contact children of less than 5 years of age who are Mantoux positive and those children who are Mantoux negative?

Who has abolished CAT III? Giving CAT I to cervical lymphadenitis and PC?

We should give an ATT to asymptomatic Mantoux-positive children less than 5 years of age. What is your opinion?

After what age we can prescribe dextromethorphan and pholcodine to children?

A 10 years boy is having severe growth retardation. His other brother and sister are having normal height. His bone is found to be 3 years. What investigation other than T3 T4 TSH we should do?

I have an 11-year girl, weight 25 kg, diagnosed with T1DM in 2007 and on human insulin since then bu.......

An 18 month-old boy presented with fever and recurrent generalized tonic convulsions. He was treated.......

Should we give inhaled corticosteroids to a child who has frequent wheezing sometimes with fever and sometimes without fever? No other allergic symptoms and no family history of allergy.

A 14 years old girl is having pain in her fingers (mp joint) which increases in writing. What could be the investigation to confirm the diagnosis?

What is the importance of urinary AFB in case of pain abdomen?

What is the role of Folic acid and Folinic acid in Hemoglobinopathies?

The patient is a 7-year-old male child. He has past h/o complex febrile seizures. till the age of 6 .......

When should we go for MCU in a baby with bilateral hydronephrosis with bilateral hydroureter and what is the best time for surgery in PUV and bilateral VUR?

I was told that steam inhalation in children should not be advised because it hurts the mucosa of the trachea and bronchus, it is true?

A 10-year boy is having a chronic cough. His throat Culture showed pseudomonas and sensitivity to Inj cefperazone. Does throat culture has any value in the case of chronic cough and the report of pseudomonas is correct?

In children less than 5 years of age in seasonal, Cough which are usually viral in origin. The Coug.......

Should we wit hold bathing during respiratory tract infections (URI and LRTI)?

Is coating of tongue in a febrile child should be taken as a sign of toxemia and warrants antibiotic initiation?

In shock state after fluid resuscitation up to which time we should expect the child to pass urine?

What is the nursing management of Diptheria and what is the goal and hygiene in the Diptheria?

What is the management of the patient with a fever with fits?

Is the single dose of live hepatitis A vaccine (Biovac A) better in respect to the seroconversion and prolong protection than the two-dose schedule of inactivated hepatitis A vaccine.

Are there any long-term or short-term side effects of a live attenuated freeze-dried hepatitis A vaccine (Biovac A)? Are there studies conducted in India esp. in children?

Around 50-year-old patient came to the emergency department in phc with an unknown bite. The patient.......

What is the dose of probiotics in children?

What is the difference between BioVac and Havarix Vaccines? How they are different?

How common is brucellosis in India and what are its common manifestations?

How to prevent bloodstream infections from umbilical venous catheters? Can we let UVC without dressing(uncover)?

Describe the proportionate dwarf?

If you suspect in-app anti dirut hormone as in CNS and chest problem fluids to be decreased or do we wait till hyponatremia occurs?

Can we give potassium in dehydrated with good urine after shock therapy with raised renal function?

What maximum fluid is to be given in terms of maintenance and as a deficit?

Can cefipiem and cipro be given to neonates and what indication?

What medication imperical for late onset pneumonia and sepsis. If we suspect meningitis or fulminant pneumonia what to be added?

What medication is given in running nose and what congestant and antihistaminics to be given?

Why we don't say bronchitis in neonates and instead say bronchiolitis.

How common is neuroblastoma in Indian children and what are the common presentation of this?

Which nomogram for blood pressure measurement in Indian children should we refer to?

What are the common causes for a groaning in newborns?

What are the cause of the collection of anyts around urine in children less than 5 years of age? What is the treatment of the causes? What is the cause of depostion of whitish substance at the site of urination in children?

A three-year-old female child complains of Pain Abdomen for 4 days only between 6 pm to 9 pm. Pain i.......

Two months old male, pertussoid cough sometimes associated with apnoec spells, having persistent tac.......

Can doxophylline be used as alternative to terbutalline in bronchial asthma?

Two children boy and his sister are born with congenital deafness thier mother planing to get pregna.......

An 8 years old boy whose height is 3 SD below the mean for age, bone age is delayed, serum level of.......

A 12 years boy came to me with a history of fever for 7 days. Her Widal report is as under - Salmone.......

My 2 and 3/4 yrs old daughter prefers to use her left hand to do her work. What should we do should we discourage her or let her do whatever she feels comfortable with?

What are the causes of mild cough in infants of less than 6 months of age, how should we treat them?

A 1-year child with rt. paracardiac pneumonia, not responding to ceftriaxone, amoxicillin-clavulanate, and clarithromycin drugs. How to investigate him?

Piperazine is available on market for roundworm. What is a year's experience with the drug? What about pyrantel pamoate?

In the treatment of nephrotic syndrome if the child is also having tuberculosis should the treatment of both diseases should be started simultaneously?

How to monitor hypothyroidism patients after starting drugs by laboratory investigation. Patient after starting drug 6 months later, TSH normal, T3 normal, T4 slightly elevated. Patient of 10 years on 25 ug thyroxine. What should be action?

Does normal USG and absence of clay-colored stool and urinary urobilinogen, stool stercobilinogen rule out biliary atresia in a case of cholestatic jaundice in a one-month-old baby in a peripheral hospital?

Treating a hypothyroid patient facing a problem when we put him on 100 mcg Eltroxin his TSH falls down below 1 and his weight falls but when we reduce his dose to 75 mcg his TSH shoots above 30. How we should adjust his dose?

Mother of an 8-year-old with c, o axillary hair noticed since last 1 month. She is 90 percentile for.......

What will be the treatment for Pityriasis Alba?

If both parents are cases of IDDM, What is the chance of the child getting the same disease, and at what age the child can present?

What is the D, D of a typical febrile convulsion?

A 3 yrs old girl presented with dysentery with rectal prolapse ie blood and mucous in the stool for.......

After how long one should repeat a CT scan abdomen in a patient treated for infectious non-tubercular abdominal lymphadenopathy?

Sir, How to investigate and follow a 2-year girl, with Microcephaly, No MR, No Organomegaly, No seizures, No rash, Otherwise normal except for Preterm, LBW (1.8 Kg) at birth?

I am having one query regarding prescription patient with Cough Dry cough and Cold, below one year, What will u give? (used levocetirizine or what? whole prescription and what will u give above on year)

An 18 months old baby came with severe anemia with a history of two transfusions first at 7 months o.......

For IV cannulation which light is used, what is the cost?

In apt of seizure, diazepam is safe or midazolam and why what is the dose?

There are different combinations of cough syrup present in the market, expectorant, allergic cough s.......

In the rationale use of antibiotics where is the place of clindamycin in the treatment of pneumonia?

A 12 years old boy came from an endemic area of malaria of Bihar with a history of two episodes of m.......

2 months old baby having conjugated S. bilirubin 7.7 more than 50% of total bilirubin, and having ye.......

Is it rational to give ceftriaxone and cpenicilline to give together?

How can we clinically and by minimum investigation differentiate between neonatal hepatitis and bili.......

What is the duration of levocetirizine and montelukast treatment in allergic rhinitis? Is the combination of levocetirizine and montelukast rational?

Can meningitis present without meningeal signs? If yes, how?

Till what age can we give the rotavirus vaccine to the children?

15 days baby with congenital adrenal hyperplasia on Florinef, hydrocortisone, salt 5 mg. Suddenly fe.......

WHAT COULD BE THE D, D OF FEVER WITH HEADACHE. WHEN NECK STIFFNESS,KERNIG ARE NEGATIVE PLANTAR FLEXOR,FUNDUS-NAD, VOMITTING OCCASIONAL INITALLY BUT LATER REDUCED,WIDAL and CBC NAD,

In endemic areas can just palpable spleen be a normal finding. Does it require any treatment if mp is negative in blood smear?

US FDA does not recommend the use of antihistaminics below 2 years of age. So please guide me on how to manage URTI i.e. children having a stuffy nose, running nose, and cough.

Infant of diab mother with hypoglycemia 27 mg with distress, lethargy. One day old. 4.750 kg. 1-Wh.......

What is the role of phenytoin as antiarrhythmic drug esp in neonates in cases with bradyarrhythmia and heart block?

Umbilical venous cath put but x-ray shows it arterial how can this happen?

The flu vaccines which are introduced in India are safe for children with a history of febrile seizures? What is their efficacy and what are their side effects?

A 12 yrs old girl having fever for the last 10 days, headache, and vomiting for the last 10 days, sh.......

Antihistamines and antitussives are contraindicated in infants and children below 2 yrs. Can ayurvedic cough syrup be used in infants and children below 2 yrs for cough?

I am told no antihistaminic is safe below two yrs of age. But Phenergan is very commonly used in children. And there are many drops preparation which contains phenylephrine, chlorpheniramine maleate what is your opinion about this?

A 15 yrs girl came to me with complaints of episodes of tachycardia. Sometimes the episode of tachyc.......

2 years old boy with Down syndrome, common A, V canale. present with hemiplegia on the right side wi.......

I have a 2-month-old infant born to toxo positive mother, who has been on spiramycin from 3rd month .......

For how long we can use domped dops for GERD in infants?

Is chlorpheniramine maleate safe in neonates and infants?

What is the role of macrolide in viral cough?

I have a neonate with thick ear discharge, not feeding well. how long of systemic antibiotics required? should I do an LP?

Can infective endocarditis and acute rheumatic carditis in a patient with established rheumatic heart disease occur together? If this is common how to differentiate between those two and how to treat?

7 yr old child with Lennox-gastaut syn. on the optimal dose of Topomax and Keppra, the epilepsy is n.......

a government hospital ultrasonologist gave an opinion of appenticitis after usg abdomen.surgeon ex.......

Boy is 7 yr 9 months old and last week he had a fever since 2-3 days, vomiting since 2-3 days which .......

Male child is born on Nov 26, 2010, with a history of hydronephrosis in the left kidney seen in USG........

Does hyperuricemia occur as acomplication in hereditary spherocytosis A patient 14 yr old with hereditary spherocytosis presented with arthritis involving knee and ankles His serum uricacid is 7.4mg Ishe to be started on allopurinol

A 3 years girl has general tonic-clonic seizures since 1 year. EEG finding shows that she has grandm.......

I have an MRSA infection in Nicu. I want to know how to get rid of it and what is the best sterilizers for incubators in this situation at the present time I use sodium hypochlorite is it enough or should I use other sterilizers?

5 month old girl born to non consanguineous parents on bottle feeds since birth.. middle class famil.......

thank u very much for d last query :} what shuld be d drug of choice for a woman wid epilepsy duri.......

I am a general practitioner. Recently I had a patient, 5 months old male baby, presented to me with .......

a child had tracheomalacia and tracheo oesophageal fistulae was operated....now 4 years old...now su.......

Should women receive the rubella vaccine in reproductive age even if they have received MMR during childhood?

Can meropenem or cefixime be used in enteric fever?

My son is 28 months old now and was diagnoed as steroid responsive nephrotic syndrome 3 months back........

Q a 1.2 kg born at 30 wks develops moderate respiratory distress with chest retractions and grunting.......

If there is no fever present, what is the catching point to diagnose enteric fever, malaria fever, dengue fever, viral fever in the initial stages of the first 2-3 days?

In cases of malaria and dengue Widal test is falsely positive due to amnestic reaction. I want to kn.......

Which antihistaminics are safe in neonates and infants up to 4 months?

9 mo. old baby firm to hard tender swelling on the right parotid region, high fever two days.macular rashes itching on the right side of the body for one day. What could be the possibility?

An ill ventilated preterm with diminish perfusion but blood press is normal and heart rate. What is the cause and the treatment?

what is meant by stability of patient befor giving surfactant.and can we give it late in hyaline memb

can we have hypercabia without hypoxemia in ventilated baby without any upper airway obstruction

what is the difference between sigh and gasping in ill ventilated baby

How often can we repeat albendazole if worm infestation {visible pinworms in stools} persist? When and what is the role of ivermectin?

What are the criteria for diagnosis of UTI in OPD in routine urine microscopic examination?

what medicines can be prescribed to a neonate and infants upto 3 months of age for cough without fever_?

what are the antibiotics and analgesics which are absolutely contraindicates in thrombocytopenia and dengue fever_?

5-month-old female child, developmentally normal for her age having small anterior fontanel {admits .......

Haemangioma on the head of a newborn. are any further investigation required

In a suspected case of dengue where the patient is having a high-grade fever with chills can we use tab chloroquine empirically?

Sometimes a sudden drop of the pulse occurs for seconds on What is the differential diagnosis?

Term 1700g What should be the schedule of feeding in ml?

Dear Sir, Madam, I have read everywhere that the B.C.G. is always administered in upper left arm through intradermally but Why to do so is question . Can we not go for the Right upper arm or other site of the body.

if a multiple dose measles vial is opened how long can it be used, same is the question regarding the BCG vial again a ten dose vial_?_?_?_?

If in a case of fever Dengue NS1 is positive but Dengue IgG and IgM are negative what does this report mean?

What are the indications of CT Scan head in a suspected, proven case of bacterial meningitis? Can a patient of suspected meningitis be treated without CT Scan?

Many times it is found in patients of malarial documented fever Widal test is found positive i.e. Sa.......

Advise reg. treatment and follow up of a pt .fch, 12 yrs, with recurrent attacks of CARPOPEDAL SPASM.......

How can we differentiate between regurgitation of milk and GERD in a baby of 1-2 months of age?

Why there occurs frothing during a convulsion?

what is the role of ambroxal drops in infants and children_?

Can we use zinc in neonate less than one-month-old having diarrhea?

A 10 yrs old patient is having a fever for 10 days. His widal test salm typhi o titers are 1,320. Tl.......

neutropenia lymphocytosis

If a child with 10 kg, presents to us with scorpion sting with signs of cold extremities, salivation, sweating, and increased blood sugars, how to start insulin and what should be the interval of prazosin?

A 2 yr old male child presenting with some hesitation on micturition. urine culture, sensitivity rep.......

Should all fever with chills and rigors be treated on presumptive line and treated with chloroquine or we should wait for confirmation with peripheral smear for plasmodium?

9 months old boy of non-consangous marriage presented with cough since 3 days and 2 attacks of gener.......

What is the treatment for FUNCTIONAL HYPERVENTILATION in pediatric patients?

Paracetamol, mefenamic acid, nimesulide, and other antipyretics are contraindicated in G6PD deficiency then what antipyretic should we give in fever in G6PD deficiency?

What is the incidence of scurvy and rickets in HIV infected children?

Will giving packed cell transfusion alter bone marrow cytology and bone marrow cytogenetic studies in a suspected case of acute leukemia?

Baby with blood group AB, mother blood group A. Can this cause jaundice to baby due to ABO incompatibility?

What is the lower limit of Hb when a blood transfusion should be planned in an otherwise normal child and a sick child?

14years old healthy girl with her right breast at Tanner stage4 ,her left breast is at Tanner stage 1,how this could be explained_?

Sir, what is the treatment for CARPO PEDAL SPASM,in a 10 yr old, fch, with normal lab. reports .......

could you please tell me about types of insulin

4 yr old female, with symmetrical growth retardation,born at term with birth weight of 700gms presen.......

Sir , I would like to know if there is any article on nutritional support in critically ill neonates and infants.If yes, could please reply

what is amnestic reaction how does it interfere in the reading of a investigation report_?

i am seeing a lot of patients who come to me with thromboctopenia and widal positive their titre a.......

at the time of seizure midazolam can be given if yes what is the dose

in dengue how to menage huge ascitis and pleural effusion causing resp. difficulty

a male child born with lscs wt is 3.2kg, cry immediately have bilateral inguinal hernia when baby will be operated

is there any role of sunlight in neonatal jaundice

If an infant is accidentally given more than 2 drops of oral polio what are the adverse effects_?

can seizure occur as a complication of bcg vaccination_? since i ve seen a case of seizures - 2 epis.......

I have a 6month old daughter. I would like to know if I should give her the H1n1 vaccine now. I stay in bangalore.

A 15 YRS OLD BOY CAME TO MY OPD 4 MONTH BACK WITH SEVERE PALLOR.ON EXAMINATION HER Hb WAS 2Gm pe.......

hi i need an easy book to read growyh and development and not to be complicated thanx

A full term newborn presented to opd for complaints of abnormal head shape. no history of fever, abn.......

12 year male ,externally no dysmorphology found to have acute leukemia,hydronephrosis,cns angioma in mri. does he fit to any syndrome_?

What media was used in transport tube for nasal and throat swab in H1N1 lab test_? Dr. Marg

A TEN YRS OLD GIRL PRESENTED WITH FEVER FOR 1 MONTH AND PAIN RT UPPER ABDOMEN.ON EXAMINATION PT IS .......

2 1, 2 y, o female with no previous PMH c, o sacral pain, almost daily for the past 6 months. No fe.......

can u use salbutamol and terbutaline in neonates and infants

I am working as Medical Officer in Purulia Sadar Hospital. My child {current age 2 year and 3 month.......

a 5 year old boy presented with history of headache with fever for last 2-3 days ,was prescribed ant.......

normal heart rates of diff ped age groups

In a febrile patient we are supposed to substract a figure of 15 per degree F rise of temperature fr.......

GLUT receptor mutation is known to produce movement disorders whioch responds to ketogenic diet. Mor.......

A 15 year old boy , a known case of hereditary spherocytosis presented with polyarthritis involving .......

2 month old male with UTI, was treated with ceftriaxone IV for 3 days awaiting culture and sensitivi.......

My 13 month old female child 5.8kg wt, a product of non consengenious merrage delivered FTLSCS baby .......

I am willing to consult with you about my son who is A 2 year and 3 month old boy suffering from Po.......

in acute asthma , nebulisations every 20 min , is from the start of 1st nebulisation or 20 min from completing 1st nebulisation . Can sc terbutaline be preferred to infusion of aminophylline

interested in a fellowship in adolescent pediatrics, gastroeneterology . Can you give information

a 4 year old female child presented with history of cough for the last 1.6 month.The cough is produc.......

in infant in thesedays intractable cough what is the causewhat is the tretment

is it normal to vibrate infant during sleep specially in legs

an infant is vaccinated against BCG at birth but no scar appeared after 12 weeks. Should i repeat BCG or else intervention can be done_? Pls guide me.

a 12 year old child presented with pain for last 2-3 year.Had a symptom free interval for a year in .......

IS THERE ANT RATIONAL OF COUGH SYP HAVING DEXOMETHOROPHAN WITH BROMHEXINE AND AMMONIUM CHOLORIDE IF YES WHAT IS THE CONDITION WHERE IT COULD BE USED.

SOME CHILDREN OFTEN COMPLAINT THAT WHEN THEY SHAKE THEIR HEAD THEY FEED THEIR BRAIN IS MOVING. I MY .......

i am a pediatrician seeing agirl child 3 years with meningitis improving but having weakness all four limbs dtr negative power 3, 5 all four limbs MRI brain normal my diagnosis is critical illness neuropathy suggest please

a 2 year old female child being treated as a case of acute lymphoblastic leukamia,develops retention.......

a 11 month old infant ,who is otherwise normal but brought to my clinic with complaints of stiffenin.......

respected madam, sir, i recently read about severe acute malnutrition and the pathophysiology{incomp.......

hi.In shock management when we shift from dopamine to epinep or norepinep. do we continue to use dop.......

WHAT ARE THE CAUSES OF ENLARGED JUGULODIGASTRIC LYMPH NODE IN CHILDREN WHERE TONSILITIS PHARYNGITIS IS NOT PRESENT USUALLY JD NODES ARE ENLARGED IN CHILDREN HAVING RECURRENT TONSILITIS.

Short Stature with Recurrent Pallor and Constipation 13 years old Muslim mal.......

diarrhoea treatment protocol mentions that routine stool examination is not recomended .But it also .......

inhaled corticosteroid by its nongenomic action influence the cationic transport across the mitochon.......

3 month old , presented with bilateral ear discharge , while on antibiotics developed dyspnea requir.......

my son is 26 months old and is recently diagnosed with nephrotic syndrome since last 3 weeks,he is o.......

Does Continuous Aminophylline infusion helps in cases of sever Bronchiolitis.

Role of carnitine supplementation in preterms on parenteral nutrition or expressed breast milk feeding. Need comments.

Want to know recent alpha blockers {like tamsulolin} which can be used in children for lower ureteric, urethral stones_?

enlist drugs hazardous in lactating mother_? what are absolute contraindications for breast feeding_?

Is it acceptable to use 30G insulin syringe for administering I, M and S, C vaccines_?

Can we use the BMI as an anthropometric measure to detect undernutriton_? If yes, what are the cut-off percentiles_?

FROM WHERE I CAN GET INGECTION SODIUM BENZOATE, SODIUM PHENYLACETATE AND ARGININE SOLUTION FOR UREA CYCLE DEFECT PATIENTS. GIVE ME FULL ADDRESS URGENT.

10 yr old,fever with rigor 2 and a half months,treated with broad spectrum antibiotics,primaquin plu.......

nasssovac vaccibne by serum institute.isit approved by who and ipa to be given to all children and.......

about infant with cerebral palsy..in severe cases there is transfer dysphagia..lead to difficult fee.......

erythromycin syrup..is it causing vomiting for children_? can be given in cases of mild diarrhea_?

breast milk jaunice is a benign condition...can it lead to kernicterus_?..is it neccessary to stop breast milk for a days_? thanx

Sir, Pl. inform diagnostic and confirmatory tests to be done on C.S.F. For T. B. Meningitis _? Importance of A.D.A Test on C.S. F _?

Pl. give us information reg. SWINE FLU vaccine ,type,indications in pediatric pts, side effects, co.......

Panbio test in Dengue

Sir, If a pt on ARV, Post exp. prophylaxis forgets to take a 3rd day dose and comes on 4th, 5th.......

a 6 years old boy is referred for investigation of tall stature, and precocious puberty. his height.......

i have given vaxigrip ist dose to 2 years old 2 nd dose is due today. it contains seasonal flu strai.......

a 12 year old boy presents with clumsiness and abnormal gait for 2 years. on examination, he is cons.......

a 5 year old girl, previously healthy, has been running fever for last 3 weeks. she was brought to e.......

Causes for recurrent male stillbirths with being normal female babies born

I am dr.sandip,pG student,GAVC,trivandrum,doing research in Underweight children 3-10 years.Study de.......

regarding H1N1 infection As per the MOH guideline patients with respiratory distress belong to group C and has to be treated with Oseltamivir. Is Oseltamivir indicated in cases of Bronchiolitis without lung opacities in chest xray

Is ceftriaxone and sulbactam combination rational_? Because half life of sulbactam is very much less.......

treatment protocal in a case of Pneuminitis basal area with CP angle clear both sides with pain at the site

Approach to a pt of fever with rigors bodyache headache nausea

A 12 years old previously well child admitted with 6 days h, o high fever - 39C to 40C. Fever was as.......

B.C.G. vaccination induced axillary lymphadinitis{confirmed by biopsy} . how long ATT and what drugs should be given_?

respected sir, i work as a pediatrics esident in a small hospital, india. i have a patient who is .......

Why do u order T3T4TSH plusfree t3t4 in a suspected case of hypothyroidism ,why not T3T4TSH only

In a hypothyroid mother my question is 1-newborn should be screened for thyroid how many days after birth 2-We should do free T3 T4 or total T3T4

for estimation of age which side of xray is preferred.if ossification of one wrist is complete and of other hand is under process which of the ossification we should consider for estimation of age

can we give a short course of steroids either prednisolone or methyl prednisolone in cases of allergic bronchitis or asthmatic bronchitis_?

chidren do not expectorate.please tell me what should be standard treatment for wet cough in children less than 4 yrs,.

WHO guidelines says cipro flox.oflox,cefixime as a choice of antibiotics in dysentry.Here we do n.......

what is the present status of genetic counselling in india and to whom it should be given

WHICH IS BEST DIAGNOSTIC INVESTIGATION FOR TYPHOID.

in case of thallesemia where s,ferritin goes above 4000microgram , lit despite giving deferasirox .what should be the future course _?what should be the target level for ser.ferritin

new born full term i.u.g.r. female { confirmed by presence of uterus and well formed overies} with e.......

do blood transfusion alter bone marrow study_? if so what is the minimal time gap between a transfusion and a bone marrow study. {in anemia work up case}

My baby is of eight months old now.Since four months he has a typical rash over his face which i fe.......

AFTER HOW MANY DAYS OF LOOSE STOOLS WE SHOULD TEST STOOL FOR REDUCING SUGAR TO DIAGNOSE LACTOSE INTOLERANCE.BECAUSE IN EARLY STAGES STOOLS IS USUALLY POSITIVE FOR REDUCING SUGAR

IN A CASE OF PUO if fever is due to ANY auto immune disease THEN WHAT COULD BE THE POSSIBLE PRES.......

WHAT IS THE ROLE OF LACTOSE FREE MILK IN LOOSE STOOLS IN INFANT LESS THAN 6 MONTH OF AGE. SOME PEDI.......

is only fever in first few days after birth could be consider as a criteria for septic screening

laboratory diagnosis of congenital hypothyroidism

A girl 14 years is having jaundice 3 mg , dl,her sgpt is 70 sgot is 67.PT is 16 second.She is also h.......

4yr old child weighing 14 kg with fair dietary history gets repeated rectal prolapse which is manual.......

IN CASES OF EOS CAN WE START INJ AMPICILLIN 100 mg, kg, day iv 8 hrly.inj gentamycin 5 mg , kg, day 12 hrly and in ceftrixone 100 mg per kg per day iv OD emperically.when we do no have the culture facility.

is ONLY fever More than 100 on first three day of birth can be a sufficient criteria for septic screening.CAN WE GO FOR SEPTIC SCREENING IN THESE BABIES.

hi pls tell me about WATCHING T.V OF INFANTS.What is recommended and what r hazards or bad effects...my twins r of 8 months age nd want 2 watch TV for long time.at present I allow them for 10 minutes in morning and 10 min in evening.pls.guide me.

Can we diagnose thallesemia by just seeing the CBC and GBP report

respected sir, can u please tell me causes of abdominal pain which is follwed after regression of fever in children my email id - ajaywalimbe@yahoo.co.in

Sir can I know the important points in view of tonsillectomy operation_?

a3mo. pt of MR and delayed mile stones .no convulsions. mri shows whitematter degen. any d, d other then MLD

should we go for iga estimation also with ttg in cases of suspected celicac dis.

can hyperkalemia in diarrhoea case cause Floppy neck_?_?

what IV fliuid should we use in near drown pt who drown while bathing in GANGA river or in swimming pool or in ponds

sir.if a mantoux test comes negative and suspiscion is high.after how many months can we repeat the montoux test on the same patient,and if there is no scar after BCG vaccination,do we have to repeat BCG vaccination.

sir im practising pediatrics in remote area,please tell me the different causes of MOANING or continuous low pitched cry in newborne and treatment....please urgent my previous question on bcg scar remains unanswered.

is inj rabipur nedded in rat bite cases

if free t3and free t4 are WNL and TSH is more than 10 in that condtion can thyroxin be started_?

WE HAVE 350 Ml OF BLOOD PACK IN SUPPLY.WHAT IS AMOUNT OF PACKED CELL ARE THERE IN A PACK OF 350 ML B.......

A 12 YRS OLD BOY CAME WITH COMPLAINT THAT WHEN EVER SOME ONE GIVE A THUMP ON LEFT SIDE OF HIS C.......

A CHILD OF 3 YRS OF AGE HAVING PAIN ABDOMEN OFF and ON FOR 6 MONTHS.THERE IS NO HISTORY FEVER.MONTOUX IS NEGATVE.USG ABDOMEN SHOWING FEW LYMPH NODES OF 2CM SIZE.CAN WE START ATT

A 6 yrs female is having off and on pain in both knee and elbow joints for last one year..ther is .......

what is difference between the BP of two arm.which of the reading we should consider for treatment normally left arm BP is higher

6 years boy with attacks of sense ff drowsiness for about 2 minutes during which he is copletely conscious he has no pallor normal cardiac examination no headache

female 1 year old with unequal breast size since birth

black areas around the eyes in children

Sir, A 12yr old, male, asymptomatic child was brought for counseling.He was diagno.......

11 mth old male with non significant birth history,product of non-consanguineous marriage,global dev.......

BY DEFINITION JRA TERM IS USED AFTER 6 WEEKS OF JOINT PAIN.IF CHILD HAS OFF AND ON JOINT PAIN WHICH RELIEVE AFTER TAKING ANTIINFLAMMATORY DRUDS CAN WE STILL USE THE TERM JRA

IN ONE OF MY QUERY ABOUT PACKED CELL TRANSFUSION IN THALLESEMIC PATIENT YOU REPLIED IN SEVERLY A.......

CAN WE USE TERM PEM IN INFANTS LESS THAN 6 MONTHS OF AGE WHOSE WEIGHT IS LESS THAN 80 percent

WHAT ARE THE CUT OFF LIMIT OF T4 and TSH TO DIAGNOSE HYPOTHROIDISM and START THYROXIN.IF T4 IS NORAM IN NORMAL LIMIT BUT TSH IS LESS THAN 10 UNITS SHOULD WE START ELTROXIN_?

i have one patient 5 yrs old male child weighting 17 kg c, o pain in lower limb {muscular} 20 days, .......

how long will u give INH for the 3 yr old child who has exposure to openTB but skin test negative_?

A 8year old male child born of a consanguineous marriage of degree 2nd without significant pas.......

WAT IS IDEAL MANAGMENT FOR BLOOD PRESSURE CONTROL IN HYPERTENSION WITH AUTOSOMAL RECESSIVE KIDNEY DI.......

HOW MANY DOSES OF ADENOSINE IDEALLY RECOMONDED TO ABORT SVT_? WHEN TO GO FOR SECOND LINE DRUG_?WHICH DRUG IS PREFFRED AMINODARONE OR B-BLOCKER. IS THERE VERPAMIN IS SAFE IN CHILDREN WITH SVT_?

the child is 3yrs.old.positive exposure to tuberculosis with cavitation.the child is negative in tb skin test and exibit no symptoms.Do we give medicines_?shes 18kls in weight.

i have a 7 month old boy presented with h, o fever 3 days then followed by frank GTC convulsion on .......

i am doing newborn screening. i often come across biotinidase deficiency. i want to nknow wether all.......

sir i wnt a clarification regarding the answer given to my query about transfusion of packed cell in.......

there are many types of iron compound comes in market.ferous slt,ferric salt,ferochelate,feradetate compund.how should we decide which iron salt should we use in children.

WHAT IS THE MAX AMOUNT OF BLOOD COULD BE TRANSFUSE IN SEVERLY ANEMIC CHILD{THALLESEMIC} IN A DAY and TOTAL IN 2-3 DAYS .WHAT IS THE PACKED CELL AMOUNT COULD BE TRANSFUSED IN THALLESEMIC CHILD IN A DAY and TOTAL MAX AMOUNT AT ONE TIME OF ADMISSION

2 months old child having weight 2.5 kg due to faulty feeding habbit.can we use pem for these pt or FTT IS THE CORRECT TERM.MY SECOND QUERY IS IS THERE ANY AGE LIMIT FOR USING TERM PEM AND FTT

A 2.4 kg male baby born to a second gravida healthy mother at 36 weeks. baby has absent forearm and.......

Is there any correspondence course on pediatric XRAYS.OR IS THERE VCD AVAILABLE IN MARKET WHICH HELP IN READING PEDIATRIC CHEST XRAYS.

1month old male baby, 1st by birth order, born of nonconsanguinous marriage, was admitted with h, o .......

24 days old baby, 2nd by birth order, born of nonconsanguionus marriage, hailing from pune was admit.......

an infant of 3 momths visited the opd with whitish discoloration of the finger nails since 10 days.The symptoms are progressive in the sence they are increasing in numbers.Till now all the finger nails have been involved.

Dear dr on the top of BCG vaccination abscess{1cmx1cm}developed azithromycin is given what further should be done._?

achild with amorphous urininary phosphates and trace albumin with 1-2 pus cell, hpf,2-3 epithelial cell, hpf.urine is slightly turbid . culture is sterile.what can it be

many literature suggest deflazacort is better than prednisilone in nephrotic syndrome because little side effect.but no standard text book suggest as drug of choice in nephrotic syndrom _? is it because of cost factor or more studies required_?

Sir, According to latest IMMUNIZATION guidelines, shall we have to give 2nd dose {booster} of M.M. R. at 4-5 yr age or not , in our set up, pl. clarify.

IN REFEERENCE TO MY QUERY REGARDING Inj Ceftrixone IN TYPHOID FEVER YOU TOLD IT SHOULD BE USED FOR .......

in liver disease which medicine is safe for fever_?- paracetamol or mefenemic acid _? Paracetamol with glutathione_?

how much blood need to be transfused for a 25kg 10 year old boy preoperatively with hb 7 g percent planned for major surgery_?how much can be transfused at a time_?

WHEN WE CALL ENTERIC FEVER AS MDR

WHAT ARE THE CAUSES OF RAISE O TIRES IN WIDAL TEST OTHER THAN TYPHOID FEVER.

GENERALLY WE DO NOT SEE FOUR FOLD RISE IN o .......

AFTER HOW MANY DAYS OF GIVING INJ CEFTRIXONE IN A CASE TYPHOID WHERE WIDAL TITRES - MORE THAN 1, 16.......

should we give primaquine below 3 mnths if they r vivax positive_?

is there any specific treatment for lebers congenital amaurosis in india.if so where and whom to contact

pt 8yrs male child came with history of hematuria since 4 days cola coloured urine 4 days fever 4 .......

boy 4 years old.no signs of deseas. weigt loss.no fever. no pain in extremeties. Alk. Posph very high 4224.

when free T4 is more diagnostics then what is the role of doing total T4

I am an Occupational Therapist living and working in Tanzania for the past 15 years. I run a small .......

premature baby at 25 weeks with salmonella enteritidis septicemia { blood culture and tracheal swab}.......

can we give antihelmenthics for children less than 1 year with clinically has a sign of this infection_?what kind of antihelmenthics we prefer_?

8 yr female child with mild mental retardation, with a elder brother severe mentally retarded and ep.......

2nd poster, DNB primary candidate looking for a thesis topics on Asthma, in terms of any investigative parameters.

IS THERE ANY ROLE OF SIZE OF ERYTHEMA IN MONTOUX TEST IN DIAGNOSIS OF TUBERCULOSIS

I had administered varicella vaccine to my daughter when she was below 3 years of age. No she is 13 years. Is there any need for a 2nd dose now for maximum sero-protection

a 11 month old child with head cir.of44cm and length of 73cms.with weight of 8.4 kgs. The child is o.......

injection caffene citrate for neonatal apnea,is it available in India-what cmpany and name_?

This is rgarding HIV If positive mother hasnot received any ART {neither as treatment nor as prev.......

10yrs boy present to me with complaint of swelling started from face than involved whole body, decea.......

a 10 year old child presented with sudden onset of headache followed by loss of consciousness for a .......

what are the cut off values of TSH,T3,and T4 for different age group for evaluation of hypothyroidi.......

AT WHAT TIME WE SHOULD INJ PHYSOSTIGMINE IN DHATURA POISONING.I MEAN SHOULD WE USE INJ PHYSOSTIGMINE IN ALL CASES OF DHATURA POISOING OR AT SPECIFIC TIME.IS THERE ANY ROLE OF INJ NEOSTIGMINE IN DHATURA POISONING

what is the current schedule of pneumococcal vaccine and which one should be used conjugated or unconjugated one.should every kid be immunized with the pneumococcal vaccine .is it necessary.what complications if not immunized.

premature baby,iugr,sever reflux since birth underweight at 1.1, 2 years. physically weak but intelligence enpar, dystonia

Havpur Hepatitis A vaccine is now coming out with Havpur junior having less antigen strength. Is it equally effective as claimed by the company

This query is from DNB exam point view. In OSCE exam antidotes of various poisons are asked .Antido.......

how lumbar punture help in diagnosis and in management in cases of PUO.

thai girl, 8 yrs old, underlying disease benign tumor at sacral area s, p remove 2 yr. after that s.......

sir ,please tell which drugs cross the blood brain barrier in case of meningeal inflammation ,and which drugs cross the blood brain barrier without inflammation

sir can u tell whem blood brain barrier beomes mature after birth

a 6 years old kid had history of fall from bed ,2 days after that started having fever and was unabl.......

i would like to know if there are any ultrasound training cources being conducted in bangalore. thanhs dr gowher

patient presented with these dysmorphic feature: cerebral palsy , big ear , squent, splenomegaly, small head ,high arch palat ,inverted V shape. what is these syndrome.

16years old boy presented with sublingual mass for 1day ,clinical exam reveal: generalized lymphadenopathy, pale,not jaundice or cyanosed, no hepatomegaly or splenomegaly, T.W.B.Cs:7000 , E.S.R:65 ,there is thrombocytopenia.

2i, 2 yr. old female child is a thumb-sucker.All milestones normal,toilet trained.Milestones normal.Parents are concerned how to get the child out of this habit.

A 13 YRS OLD GIRL HAS ANASARCA FOR ONE MONTH.HER REPORTS ARE AS UNDER-HB-12Gm percent,URINE ALBUM.......

7 yr old male well built baby brought with c-o fever on nd off in nature since last 8 days,fever ra.......

a 27 months old child has bow legs ,he was treated with vitamin d3 and calcium for 3 months one year.......

5 months baby was presented to me with the complain of a mobile firm swelling at left chest noticed 1 mth back, not increasing in size since then. can u help me find the diagnosis

we know dirrhoea do not need antibiotics.for dysentry different antibiotics are availlable like sy.......

what is the latest recomendation regarding doses and schedule of chickenpox vaccine below 13 years of age.

what is the daily requirement dose of calcium in children.normally calcium serum have 250 mg cal in 5 ml.

11 years old boy with history of recurrent attacks of sever cough only respond to steroids but occur.......

A CHILD HAS RENAL CALCULUS AND HYPOTHYROIDISM.SHOULD WE INVESTIGATE FOR PARATHYROID

11 day old having gestational age of 29-30 wks admitted on day one with grunting,on x ray there was .......

whar appetiser we can safely prescribed in children

please suggest some good centre for for guidance and help under one roof for down syndrom childrens in new delhi, dehradoon.which is the best centre in india where over all evaluation for such type of children could be done under one roof.

what is the method of testing antisnake vaccines.some consulsant says we should strat ASV without testing as we have no choice,.we can stop it if ant reaction appear.

a 12 yrs old boy came with complaint of sore throat one month back after that he developed fever w.......

a 9 yrs old girl came to me with complaint of progressive swelling starting from face then to feet.......

for newborn apnea now inj caffeine is available -what name and company_?

A child 3 years has pallorand and gen ana sarca ,his Hb is 5 gm and serum proteins albumin 3.99 gm ,globulin almost normal.Bl urea ,creatinine normal.I want to give packed cells ,can I give whole blood so child will get albumin also

one patient{12 yrs old female} came to us with headacke, dizziness, lightheadedness and episodes of .......

what are the newer tests for tuberculosis like DNA PCR, adesonine deaminase,other haematological tests

latest newborn management to hepatitis Bplus mother,hbsag positive mother and the vaccineof the newborn and hepatoglobulin is missed then what to do,within howmuch time after birth these should be given

For the last few days hulla bulla is going on regarding HPV vaccine {Gardasil}. Four women _?died af.......

How to diagnose Atopic Dermatitis from Infantile Dermatitis clinically and Investigationswise. Is t.......

May i request for advice and opinion re a clinical issue. I am working in a secondary level hospita.......

How long shall we have to wait to assess the efficacy of ceftriaxone , ofloxacin after starting the drug in MDRST

may you tell me what the half life of plateletes is_?

may you send me the common causes of nutritional myocarditis and how to treat them_?

dear sir, i am an pediatric ophthalmologist interested in nystagmus.we have apatient with downbea.......

DO CHIDREN WITH CONGENITAL HEART DISEASE LIKE TOFF NEED INJ PENIDURE AFTER OPEN HEART CARDIAC REPAIR SURGERY

a 8 yrs girl came with simple partial seizure.her CT report is as under-ONE RING ENHANCING INFLAMA.......

What is the recommended time in seconds to pass a suction catheter when deep suctioning an infant, child_? Thank-you!

what is the role of inj botox in spastic hemiparesis due to hemorrhage.

1week boy ,crying 18 hours aday.breast feed well ,general and abdominal examination is almost normal apart from jaundice descovered at 3day dilirubin is 13 .98 percent is uncojugated other invesigations{hb ,wbc,eletrolytes,} were normal

5 months male baby. birth weight 3.2 kg. today`s weight 8.4 kg. last one month weight gain 1.4 kg. tsh at 6 weeks 8. at 10 weeks 12. free t3 and t4 within normal range at 10 weeks. normal mie stones.

what is cardiac D.S and how to identify this in xray.

A 9 year old child presents with severe aches and pains in both lower limbs. He has x web addressed .......

What are the indications for 1. single face phototherapy .......

two day full term neonate 2.7 kg presented with early onset progressive severe respiratory distress,.......

is cholera vaccine available now _? how is it given and shedule_?

vitamin d resistant rickets type 2 what is the inheritance

can bosentan be used in neonatal pulmonary hypertension`` if yes what is the dose and duration ,side effect of therapy

may you provide me with the latest guidelines to manage DKA many thanks

Sir, Kindly, give me the reason, logic behind ,in observing the dog for 10 days in RABIES TREATMENT, after it has bitten a person. sincerely, DR.VENKATESWARLU.

management of naphthelene balls poisoning _?

A 9 YRS OLD BOY CAME TO OPD WITH COMPLAINT OF SUDDEN ONSET ABNORMAL MOVEMENT IN HIS RIGHT .......

I have one patient 5 year 8 months old,complaining of pain in fingers of legs 2 months back, now c.......

how de i manage infants who present with cough , but are otherwise having no indications for any antibiotic . are cough remedies safe in infants . if so , what should be used and please let me know the dose

For a bay of 1and 1, 2 month what oral antibiotics for fever is advisable and also what cough syrup is advisable.Is Ofloxacin is safe as oral antibiotics _?

sir i face great problem in commenting on the hilum of pediatric xrays age under 5 yrs to diagnose tuberculosis.can u suggest the important guidelines for diagnosis tuberculosis in children age under 5 yrs on the hilum picture

REGARDING BUCLIZINE- WHAT IS THIS MOLECULE_? IS IT PROPER MOLECULE TO PRESCRIBE AS AN APPETIZER_?

Hi, good day. i would like for somebody help me on my patient and I cannot diagnose the congenital d.......

dear sir I am 50 y iraqi pediatrician my postgragute study is CABP {arabic board in pediatric} i a.......

neonate in fifth day wt 4kg with birth asphyx ,acute tubular necrosis with rena failure.with anuria and on ventilator how to calculate his fluid requirement. what maximum glucose concentr to be given via umilical vein

4kg baby with birth asphyxia and congestive heart faliure on first day connected to ventilator and h.......

what is difference of fluid requirement in neonate in first day of life with no urine passage and same neonate with 200ml urine in his first 10 hours of life

what is minimum normal respiratory neonatal rate .and what is minimum ventilator rate in paralysed patient.if spo2is 100 percent with fio2 40 percent

blood gas result shows respiratory alkalosis with normal respiratory rate what is your explanation

IN BLOOD GAS READING WHAT IS MEANT BY ctO2e,p50e,cthb,Fhhbe

since we are seeing down`s baby even in young mother should we recommend triple or quadruple screening test routinely

What is the dose of Deflazacort in MCNS{Initial and Replase}

Hello sir, madam i would like to know how to caculate commonly used drugs dosage..i mean drugs used for cold cough fever ... kindly let me kn... thank you...

A 13 YRS OLD CAME TO ME HAVING DYSPEPSIA AND NAUSEA.HER LFT WAS NORMAL.I ADVISED HIM TAB PANTAPRAZOL.......

a 12 yrs old boy having GTCS for last 7 yrs.he is on tab valparin for last 7 yrs.now he is having t.......

A 12 yr old child presented with complaints of fever for 2 days, headache, irritability and 3 episod.......

female of 3 yrs old with sickle celll disease admitted for her 2nd cerebrovascular accident. i would like to do exchange transfusion for her. amount of blood_? how to do it_?

please guide me how to clinically differentiate between adeno virus cough ,, RSV virus cough,..INFLUENZA VIRUS COUGH

I have a patient age 13 yrs having off and on fever for last 50 days. dry cough for last 10 days.on.......

16 yr old girl, who is a juvenille diabetic, on treatment. Came with complaints of bloated abdomen s.......

THERE R THREE GROUPS OF SYP AVAILABLE FOR COUGH.FIRST ONE IS TERBUTALINE and AMBROXAL COMBINATIONS S.......

ON DAY 2 OF FEVER HOW CAN WE DIFFERENTIATE BETWEEN VIRAL FEVER , TYPHOID FEVER , OR FEVER DUE TO RENAL CAUSE ON CLINICAL EXAMINATION.

neonate one week old with severe birth asphyxia .he is a product of cesse to moth with antipartum hg.......

SIR, Pl . give me indications and schedule for PNEUMOCOCCAL VACCINES{ 7 and23 Valent} Regards, DR.VENKATESWARLU.

What are setry vegetables

SIR, Could you give me statistics reg. no. of deaths occuring per yr, due to CARCINOMA CERVIX in INDIA _?

SIR, What is the treatment to be given to a child who is asymptomatic, close contact with mother developed chickenpox rash _?{ child is completely asymptomatic age 2 yrs}

role of iv gammaglobulins in pediatrics

4months patient has fever and attack of convulsion from 2days she also has lower chest infection whe.......

surgery of choice in pediatric cataract_?phacoemulsification or lens aspiration_?

my son now 3 month.he having kidney reflux.now he is in madication.in doc investgation,he having 3td.......

what is kidney reflux for baby

16 yr old girl child, frm well to do family comin from coorg presented with on and off weakness for .......

Dear Sir, This is Dr Sunil working in Mavelikara KERALA.Sir saw many organisms specially Pseudomona.......

what should be the standard treatment in infants having adeno virus, influenza like cough...-anti hista minics or broncho dilaters

A baby was delivered vai lscs on 19.2.2010, baby`s mother is a known case of hypothroidism is on thy.......

WHAT IS THE ROLE OF EXPECTORANT COMBINATIONS IN infants

what is the role of hydrocortisone in management of DKA.Some people use it when sugar level do not fall after giving insulin.IS this right what is the explanation_?

what is the most successful treatment for prmary enuresis

dear sir 7y old male child with hemiplegia plusM retardationplusepilepsy...mixed types plusautismpl.......

what is dose of piperacillin-tazobactum for various infectionsand indication in enteric fever_?to be given 8hrly or 6 hrly_?

7 years male child, brought with c, o fever, since 1 month, nonproductive,intermittent cough 15 day.......

should gastric lavage be done in all new born Or there is indications for gastric lavage in new born babies

male patient 18 years complaining of diziness he has height 155cm and wt 40kg he has good mentality .......

Nowadays, we have been giving Tdap{Boostrixperdacel} at the age of 10years after full course of DTaP.......

what is your management to a full term neonate with apgar score 7, 9, no signs of respiratory distress and his weight is 2KG.

at what weight should IUGR neonate be put in incubator and started on IV fluids and what is the intial and subsequent amount of milk should be given.

in this winter season , children, so infants and toddlers, who are coming with cough with other mani.......

cough and cold preparations

SHOULD WE USE TERBUTALINE ,AMBOXAL COMBINATION IN INFANTS 3 MONTHS TO 12 MONTH HAVING COUGH WITH CREPTS WITH OR WITHOUT WHEEZ EMPERICALLY

WHAT IS THE MOST SUCESSFUL TREATMENT FOR PRIMARY ENURESIS

what is the course , DURATION of disease in cases of paroxysm of cough caused by RSV virus and adeno virus .AND WHAT SHOULD BE THE TREATMENT IN THESE TYPES OF Cough

hellow dr. i am pediatrician ,i discovered by accident that i have hepatitis c with viral load of 9.......

where can i get ltest book pediatric immunisation 2009_? at i a p mumbai or any medical bookstall. dr.shenai.

child had febrile convulsion once at 15mths. can child be given dpwt as booster an mmr as booster a.......

WHAT ARE THE LIST OF CAUSES FOR BOUTS OF COUGH AFTER WHICH CHILDREN`S FACE TURN RED HE VOMITS AND TEAR COMES OUT.OTHR THAN THE PERTUSIS AND PERTUSOID COUGH IN DIFFERENT AGE GROUP

sir,this 1yr infant was brought to me in status epilepticus which was controlled . the child remaine.......

Sir, Pl. provide me details reg. diagnosis and management of Recurrentand Recrudiscent Malarial fever . Thanking you, Sincerely, Dr. venkateswarlu.

How to manage a 10 month child with Hypercalcemia due to large doses of Injectable and Oral Vit.D given wrongly_?

what should be line of treatment in infant having sesonal cough which is usually viral where crepts are found .Should we give levosalbutamol or terbutaline and ambroxal combinations.

Role of Sylmarin in Liver Disease, anorexia,flatukence of Infant_?

Can Mefenamic acid b prescribed as routine antipyretics in place of plain Paracetamol_? Is ibuprufen andParacetamol a better antipyretic than plain PARACETAMOL_?

often a Urine RE, ME report shows Triple phosphate{3plus},Calcium oxalate{3plus}, in a asymptomatoic child.Whats the significance andwhat to convey to the parents_?

Should i start antibiotics therapy in a child with suspected bacterial gastroenteritis with high fev.......

6 month old chil with septic arthritis of knee joint on IV ceftriaxone and cloxacillin with no impro.......

what r the indications of bovine colostrum{nectera}.can we use it in rota virus diarrhea.

what r the indications of steroid spray in children.r they alternative of inhaler, rotahaler.

dear sir, i want to know about newer ,nonsedative antihistaminics to be used in allergic rhinitis in less than 6 months.what r the treatment modalities in allergic rhinitis in less than 6 months.

I am DR AKJ Ahamed working for level3 NICU in corporate hospital Need to know about transilluminati.......

i have one pt of vomiting on and off since one month, pt 2 mths old ,anti emetic tried,no sepsis,pyloric stenosis ,obstruction ruled out.cxr -nad.not gaining weigh well,what r the probable diagnosis, what work up should be done

a 18yr old patient of mine suffering from allergic rhinitis is on steroid{metaspray} nasal spray and doing well.how long can i continue the nasal spray_?

a 5 yrs old boy brought to my emergency with severe anaemia and altered sesorium FOR ONE DAY FEVER.......

can we use deflazacort in nephrotic syndrome .give detailed guideline,where can i get reference

can we use deflazacort in asthma and other allergic conditions ,what r the benefits over prednisolone

can we use desloratidine in alleregic rhinitis in 6 months and older children_?what is yr experience.......

A 2 day neonate was referred for vomiting and evaluation found to have malrotation gut. Pre-operati.......

there is 32 week born male baby born by lscs to primi mother in eclampsia for which mother was given.......

sickle cell anemia with painful crises, what is the best analgesic _?

a child 10 years old with good general condition with past history of reccurent metallic cough from .......

incidence of psychosis secondary to vivax malaria

Sir, If a child is brought with past h percent B. C. G. Vaccination,and no scar forma.......

treatment for watery diarrhoea

How can we help autistic pt._? is it curable disease, _?what about treating such cases in india_?

A 11.5-year-old boy was admitted on January 4th beacause of hypernatremia {177 mmol, L}, hypertensio.......

what is the mechanism of action of zinc in the treatment of Diarrhoea_? could you please explain the mechanism_? Thank you

I AM 30 YEARS OLD, MY WEIGHT IS NOW 65 KG . I WANT LOW WEIGH UOTO 55 KG WHAT I CAN DO _?

1 mth old male presents with refusal to feed, fever since 4 days_? o, e severe dehydration,signs of shock,acidotic respiration, genitals- phallus well developed for age scrotum empty no testis in inguinal canal rest NAD what is impression_?

1. Is Piracetam really useful in breath holding spell _? if yes what is dose and duration _? Is there any other drug useful in breath holding spell _? 2. how Breath holding spell can be terminated in OPD As it is frightening to others _?

prisestant fever for two month not responding to usual line of treatment in neonat

which is the most accurate method of temperature measurement in an infant in available thermometers in the market

A mother of a 4mth old male baby noticed in the morning a depression above the lft ear,on the pariet.......

A 12 YRS OLD BOY`S FIRST BLOOD RPORT SHOWED TSH ABOVE NORMAL LIMIT BUT T3 and T4 WITHIN NORMAL R.......

Dear Dr 1} Would you please inform, regarding any protcol for transfusion in Sickle cell anemia.......

Can anti convulsant drug be started at first episode of seizure which last for only 5 min.or we should wait for second episode to start full anticonvulsant and investigation..

7 year old boy born out ofconsanguinous marriage presented with complaints of difficulty in releasin.......

Which doses of sex steroids{testostrone and estrogen conjugate is appropriate and safe for priming of short stature children prior to GH stimulation test with clonidin_?

a baby delivered by cesserian to primi with consangu marri scre is 1,6,8 after intub baby has low se.......

2 and 1, 2 yr old girl presented with nurse maid elbow. Got corrected with conservetive management. .......

sir i want to buy bubble cpap but fisher and paykel is too costly tell me another company. tell me about effectiveness of led phototherapy

In case of newborn with occ.vomitting due to swallowed maternal blood ,how to give stomach wash_? Do we require to add something in distled water or NS {eg ..gelusil syrup, pot.permagnate etc}.. _?_?

a 12 year male child presented with severe anemia hb=2.8gm percent with hepatomegaly with electropheresis show D window 36 percent. what is diagnosis

how colour of stools could help in the management of diarrhea in infants and toddler

as it is known in diarrhea there is no use of antibiotic .WHAT IS THE ROLE OF COLISTIN SULPHATE

whether to use azithromycin in neonatal period or not_?

how to differentiate clinically between VSD and AVSD

I have a 6 years old child diagnosed as Minimal change Nephrotic syndrome. I had discussed this chil.......

A 4 YRS BOY WEIGHT 12 KG IS HAVING ON AND OFF COUGH FOR LAST 2 YEARS.THERE IS NO HISTORY OF FEVER.......

Can cord blood be used for G-6-PD and TSH estimation _? What are cut off values _? Thanks

mother was found to be sputum plusve{3plus} for afb 3 days after delivery.should we start rifampicin also with inh.is there any need for separation of the child for 7 days.the baby shows no sign of congenital tb

What is the optimal treatment of undecended inguinal testes in a 6 year-old boy_?And what tests are necessary_?

What is the fluid management in a case of pediatric burns after initial 2 days, particularly if the .......

my wife is pregnant 13 weeks , she was diagnosed sjogrens during fisrt delivery my first child 5yrs.......

Following blood transfusion, when should the hemoglobin should be measured` immediately or after 24hrs_? Is there is any scientific evidence for such practices_?

what is corrected bicarb and whati is significance

what is septic score.how caculation and what is significance

What is the symptomatic treatment of Salbutamol induced tremors disturbing the routine activities _?

Resp. sir, We have one baby delivered with petechiae at birth , oedema, icterus ,hepa.......

a three month old baby is having abnormal extension of upper and lower limb and excessive crying w.......

ONE MONTH OLD BABY PASSES 18 -20 SCANTY STOOLS WHILE PASSING FLATUS OTHER WISE BABY IS ASYMPTOMATIC.DOES HE NEED TREATMENT.

What is the normal levels of Arylsulfatase A_? At what levels can Metachromatic leukodystrophy be diagnosed definitively_?

what is the relation between use of cow milk before 2 years anddiabetis

is hypertention in a 2yr old girl child having ADEM common. how to manage it_?

In OPD I see children of 2-6 month with comlaint of sound from nose or throat, CHEST.On examination chest is found clear what could be the reason_?THEY DO NOT HAVE ANY OTHER PROBLEM

8 y boy only received one dose of vaccination at 2 month what is suggested schedule

5 month old girl has supraclav cystic swelling after tubercul vaccine mantaoux is negative what is other management

when we omit dose of insulin in diabetic child

is dexamethasone the drug of choice for antenatal corticosteroid therapy to speed up lung maturiy_?.If not,why

how can we differentiate between asthama and recurrent ARI with wheezing in a two years old child

newborn with prothrombin time 17sec and appt 40 sec andpositive fibrin degradation product is these level are abnormal even if platelet is 87000 and baby has mild respiratory distress and what is management

diabetic child his glucose is 60mg befor morning 10 unit of insulin what dose to be given

child not taken any vaccine except one dose of diph-pertu-tet what vaccines to be given to him

baby with microcephaly,prominent forhead,microphthalmia,low set ear,post axial polydactyly bilateral,high arched palate,small penis ,undescended testis

afemale 8y with stunted growth of 5y has alopecia-knock knee -vetiligo -skull xray silver beaten -lab norml

Can the use of aspirin be justified in ischemic stroke in infants where etiology of the stroke could not be determined_?

hypotonia improving with age

management of neonate with aspiration pneumonia

if glucose is 80mg in insulin dependant diabetic befor 5unit morning dose what will we do

why in reye syndrome we try to keep osmolarity high

indication of giving albumin in generalized oedema

what is restrictive and non restrictive v.s.d

x-ray finding in trancus ang anomalis of venous return

what is run off phenemona

what is cause of hyperapnea in throbocytopenia

difference between hypeapnea and tachypnea

range of prothrombin time and aptt in neonate-bleeding time -clotting time

IS THERE ANY ROLE OF IMMUNOMODULATOR TREATMENT { VERMISOL }IN APTHOUS ULCERS_?

I am a general pediatrician working in a small set-up. My name is Aasma Rasul. My question is about .......

Can fetus feel pain_? How early in gestation _? Do painful procedures during pregnancy result pain and its consquences in fetus_?

A child, 1 year old with Rickets- Nutritinal rickets who has developed significant bowing of the leg.......

a 3 months old boy has obstructive hydrocephalus most probably post infectious. his present csf shows 40 cells all lymphocytes, 340mg, dl protien and 13.5 mg, dl sugar. Is it appropriate to put a vp shunt in this boy.

what to be done if a child bites the mercury thermameter in his mouth and swallows small amount of mercury.

a 4 yr old child came with complain of recurrent vomitting since 3months the vomitting is non biliou.......

afemal child with stunted growth and alopecia

what is pi antigen

hn hypoplastic left heart why distress appear after murmur and what types of murmur in this condition

management of hypernatreamia -according to sodium level and siutable fluid for it

Is there any role of steroids in the management of Bronchiolitis in current practice_?

treatment of hypokalemia according to serum potassium

in hypernatreaemia how we can select iv fluid accordig to blood sodium

what is pencil sign in x-ray for stridor please show this finding

in hypoplastic left heart i noticed that manifestation starts after murmur being audible and baby is stable with no symptoms till murmur appears . if this is ductus so the reverse must occur.

What is the role of steroids in the management of Bronciolitis in current practice_?

I am a generl pediatrcian working in a small set-up. Last week I had a 6 years old child with typica.......

A 3 years old child diagnosed to have Nephrotic syndrome. He was given 6 weeks of daily prednisoloen.......

A child who is on high dose steroid, do we have to consider giving him Calcium and Vitamin D for the bones_? And for how long_?

please give me the current statistics of perinatal,infant and neonatal mortakity rates in india.My e mail is r_kalarikkal@rediffmail,com.I have serched everywhere but couldn`t find it.This is for my exams

a 15 month old mulsim male patient born to consanguinuouis marriage was presented with history of re.......

in emergency management of status epilepticus if anticovulants failed to stop seizure,our doctor said that we can use ventilation,how does hyperventilation stop seizures,what`s the mechanism_?

for treatment of neonatal apnoea- how to calculate the dose of theophylline ,the ampoule of injection deriphylline contains both theophylline and etophyllate

my daughter is 22 months old,one of our family member is havin mediastinal lymph nodes on HRCT,LUNG PARENCHYMA NORMAL and minimal plerual effusion.he has been started on AKT.DO MY DAUGHTER REQUIRE AKT PROPHYLAXIS WITH HR_?

Is it worth to initiate Vit D 400 I.U , Day in new borns, because AAP suggests to initiate only Vit D nothing else .

11 year old with shock like presentation withh, o fever for 2 days, systolic BP-70 which responded t.......

A 6 years patient having fever,vomitting,pain abdomen fever is around 103 continuos not responding.......

can u please tell the duration of treatment with leukotriene antagonist when used for intermittent asthma and in continuous prophylaxis . thank u for the detailed answer on indications for the same

a 3 yo, with no previous medical conditions, has one patch in the middle of the head with light hair loss and a patch that was red for a while than turned to flaky, dandruff look. what can be the differential diagnosis_?

after how many days of chicken pox vaccine MMR vaccine can be given

bad obst. history with multiple aborthion` anti phospholipid Ab plusve and IgM toxo plusve in First .......

Is it true after mantaux test the test area should not be washed for 2 days_?

7month old baby with H FLU Meningitis sensitive to ceftriaxone treated with inj ceftriaxone for 10 d.......

What is the latest recommendation for administering Rota virus vaccine_?Since it is available many paediatricians advise parents to give the vaccine.

when do we start a child on leukotriene antagonists, dose and precautions to be taken when we start on them

why is it advice to do hb electrophoresis after 3 months of blood transfusion in suspected transfusion

why is it advice to do hb electrophoresis after 3 months of blood transfusion

what is the mindset behind the use of cephalosporins in the treatment of dengue and dengue like illnesses_?

my baby had UTI. urine culture showed 1lakh colony count of e.coli. USG showed prominent right extra renal pelvis. she had right pelvic dilatation prenatalyandpostnatal period. wat will be future status_? will she go for any complication_?

dear dr Can we start antibiotic on the basis of urinalysis until c, s report, patient symptomatic and known Nephrotic syndrome and on steriod alternate day dose. not toxic. or we should wait report of c, s.

Dear dr Would you please guide me regarding management of deep bite teeth in children less than 2yrs of age. Thank you

Can Deflazocort b used in place of wysolone in Nephrotic Syndrome_?If so whats the regime_?

Sir, Pl. give me guidelines reg. follow up of children {vaccinated with 3 .......

TREATMENT FOR A 6 MONTH OLD FEMALE BABY WITH DIARROHEA. STOOL EXAMINATION SHOWS TAPEWORM INFECTION. SO WHAT IS THE TREATMENT

Sir, Reg. H P V . Vaccine, is it indicated to all teenagers, or optional_? How fa.......

Management of Vaginal Adhesions : 1. Indications 2. Drugs, dose , duration , w.......

5 month old female baby with fever and cough. on examination there was congestion of throat. She also has history of straining during micturation since 1 month. Urine exam shows slight turbidity and 24 pus cells. USG abdomen is normal.

Is it neccessary to give pneumococcal vaccine to all healthy infants in India if parents can afford_?

do 2 or 3 episodes of seizures at the height of temperature in a day in the age group of 6 months to 6 years still be called typical febrile or atypical febrile seizures_?

is linezolid is safe and recomended in neonates or in pediatrics use_?_? please provide me supporting journals...as soon as possible..........

in case of severe rickets..after i give vitamin D3 injection for 1 year old child at dose of 600,000 IU what other drugs should be used.. or the injection alone is satisfactory_?

i asked before about car or home delivery...but if unsterlised instrument is used...is it neccessary to start anti tetanus before 6 weeks_?

if a newborn delivery at car or at home and the umbilical cord is cuted by unsterlised instrument ...is it must to give anti tetanus vaccine immediately_? and what is the dose_?

what precaution taken when we give gentamicin iv in children_? is it safe to give iv gentamicin with iv claforan at same time_?

what the best time for baby circumsision_? can we do it immediately after birth_?

if a child vaccinaited regulary untul 4 mounths and then not vaccinated for next 6 mounths...is it neccessary to repeat the schedule of vaccinated again_? what we do if child not vaccinated regulary_?

what is the better antibiotic to be given in otitis media_? if we dont have ear swap culture

in newborn that delivery at car or at home is it neccessary to give anti tetanus_?and what is the dose and how it given_? what other management to these cases_?

in dog bite in children about 3 years old...what the doses of anti rabes_? and how it given_?

in snake bite in children...i want to know the doses of antisnake...and how it given_? what the risk of anaphylaxis_? can be given intramuscular or iv can be given in iv drip_? is it must to give anti tetanus_? and what the dose_?

10 year old overweight boy with BMI-26.78,weight 47 kg and height 4 feet 7 inch for weight manageme.......

Sir, A 10 yr old male pt . on Tab .Chloroquine andT. Primaquine as he his reports sh.......

a 3yr girl was refeered with report showing platelets to be around 20,000 smear showed platelets in clumps.the child had no ho fever she was active and playful with no complaints.plz give me the diagnosis and management

6yr old male ,previously healthy, presented with abdominal distention that was ascitis by P, E and d.......

Sir, Pl . tell me how to manage a case of PICA _?

Q1: When can we start multivitamins to a premature baby 28wks gestation and 1250gm wt, Q2: For G.......

Why EEG is adviced 3 month after febrile convulsion{simple and atypical}_?

WHICH IS MORE SEDATIVE FENTANYL OR PHENOBARB_?

cefpodoxime

2.5 years old female with high grade fever for one month, splenomegaly, some axcillary L.ns, her CBC.......

should i restrict fluids in patient with poststreptococcal glomerulonephritis presented only with periorbital oedema and mild hypertension

what is the dose of Ampoxin {Ampicillin plus Cloxacillin} in a 20 kg child and of age 10 years _?

an adolescent girl having intermittent episodes of loud crying of recent onset and it is not precede.......

What are the criteria to say RESISTANT TUBERCULOSIS, {If a pt is on A.T.Tand not responding}

Sir, What are the VACCINES{inaddition to routine schedule} to be given to SICKLE CELLand THALLASEMIA pts{both for trait anddisease} and their schedule, pl. inform.

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

while nebulising with nebulisation chamber , should the total volume of the liquid be made to 3 ml w.......

what is the minimum recommended age for DPT primary dose , can it be given earlier than 6 weeks too_?

MMR and Varicella can be given simultaneously , infact a combination vaccine is under trial , i read.......

when H1N1 vaccine will be available in India_?

A pt . on post exposure RABIES VACCINE PROPHYLAXIS, forgot to take 2nd dose, came after 3 days, what to do_? Shall we repeat from the 1st dose_? what to do_?

6month male baby with irritability andleukocytosis,{TC-29000 on 19, 8, 16000 on 24, 8 treated with a.......

Is Hib vaccine is a must to all children , like D.P.T, Hep B, andB.C.G, or optional like Varicella,andTyphoid,{ in Indian Govt. hospitals} pl. clarify_?

is any case of ITP must be admitted.or can manage it as opd

TO WHOM PNEUMOCCAL VACCINE INDICATED_? DOSE, andSCHEDULE , PL. INFORM_?

are there any changes in the neonatal resuscitation guidelines after 20005 guidelines . If there are please let me know or the address of website from where i can read it.

a child aged 4 years presented to me with history of fever {not varicella infection} and followed by.......

short staure,microcephaly,small hands,failure to thrive

I saw a 3 y.o. apparently well child 2 days ago . PE Less than unremarkable . Parents wanted exec.......

what is oxygenation index what is the difference between OI and Alveolar - arterial difference when and how is OI useful in clinical practice

Which are the hospitals in Cochin provides Child developmental analysis._?

FROM DR.SIBI THIRUNAVUKKARASU JUNIOR RESIDENT DEPT. OF INTERNAL MEDICINE THANJAVUR MEDICAL COLLE.......

Male - 7months old - well child - Immunised as per schedule incl Prevenar, Rotarix and Hiberix-DT.......

i have to sons with neonatal onset of hyperammonemia i.e within 24 hours of life .I want to ask is .......

can we giving the cal. gluconate injections to an anemic child having history of pica since long time_?

i couldn`t find drug `cefdinire` and arteether plus lumfifentine` combinations` dosages or details on the site

hi pls.help me,i am 34 wks pregnant with twins.now having severe generalised body itiching as my.......

for parasitic index 4plus with p. falciparum can i use alfa beta arteether and Quinine both together with TMP_?

I am a neonatology residdent at Nair Hospital Mumbai. We have a preterm baby with h, o HEV infectio.......

can nimesulide be used in children under 11_?

I work in a Level III NICU. We are looking for a reference as to what IV fluids to hang properativel.......

It is a common scenario in our NICU that babies suffering from neonatal sepsis develop direct hyperb.......

what is course and frequency of immunizing a baby whose mother is HbsAg plus _?

sir, here by ma sending case profile of a 5plus year child born to 2 non consanguios parents with e.......

about: albendazole If patient with itp throbocytopenia. Is it safe to give albendazole And if baby 6 mounths old with worms is it safe to give albendazole

A child of 6 yrs presnted c fever 14 days,used ABs and Antimalarial before coming here.Investigation.......

How far combination of Cetrizine and Ambroxol useful {if any} in Allergic Rhinitis_?

Can Levofloxacin b prescribed in comminuty acquired pneumonia in childeren aged 6mths to 5years in place of coamoxyclav,cefodoxime_?

My son is 22months,he has pilonidal sinus since birth,but it is not troubling him.a}Do I have to get it operated_?b}will it creat problem when he grows up_?

1 . Is Clofibrate available in market_? Please mention brand names , strength , formulation and it.......

What are pharmacologic and nonpharmacologic methods for symptomatic relief of Hoarse Voice without any distress in outdoor setting_?

Im 25 years old. I`m in 6 month pregnant now. My LMP : 23, 03, 09. Due date: 05, 01, 10. I did blo.......

1 1, 2 years old boy presented with recurrent knee joint arthritis{ one side at a time},treated as septic in the first time because of elevated wbcs and CRP. now this is 3rd time, what line of work up is needed. thanks

a 4 month old child has received D P T and Hemophilus enfluenza B combined vaccine the vial used was already expired 3 months back. What effects to expect, Should we give it the same vaccine again_? what dose and when if we need to give it.

After acquiring infection of H1N1 how many days the throat swab or nasal swab can remain plusve foer.......

What is role of METHYLPREDNISOLONE in the treatment of RDS due to H1N1 in fection_? If it is indicated then what is the dose, duration and the side effects and dangers due to its use_?

I Have a 13 yr old girl, who presented with obesity. Normal delivery, birth weight 3kgs, started to .......

marble syrup urine disease what is the available treatment_?

Why RHD predominantly affects left side of heart, particularly mitral valve_?

now a days lot of priscription contains cefixime or amoxyclav for any respiratory problem. is it justified_? is drug like simple amoxycillin etc do not act_?

This is a 45 day old child who is on mothers milk and thriving well was brought to my office for vac.......

2 months girl, cholestasis, peripheral pulmonary stenosis, no thyroid dysfunction, torch negative, urine metabolic screening negative, fundus- bilateral foveal schsis

what is the treatment of toxoplasma and CMV in neoborn and infant..............thank you

20 month old child was given DPT,HIB,OPV at 18 th month of life but the parent forgot to give MMR at 15 month should this child be givenMMR DR SHAJI

can we give claforan or rocephine by intra muscular injection especially large dose What a possability of causing abscess in mounths old infants

one year old girl found to have granular cast{plus}and hayaline cast{plus} in urine, the presnting c, o was recurrent fever , no pus cells and no RBCs in the urin , does this indicate kidny disease and how to proceed,please _?

ACUTE URTICARIA .What should b the Emergency management_? Any role of Mast cell stabilizing agents in acute Urticaria_?

Acute periumbilical pain.What should b the Emergency management and preventive measures if any_?

A 50 days old Hindu male baby,exclusevely breast feed has been passing fresh blood in stool for last.......

is cefoperazone and salbactum combination recommended for neonatal meningitis _? if so plz guide me about dose .

what precaution pediatricians should use while examining patients...there are reports that surgical .......

Acute urtricaria-Atarax,Famotidine given,no respose -Inj Decdan,given, still no response by 24 hr.What next to do_?Can Ketasma b worth trying in acute utricaria_?

Besides antispasmodic drugs what else to give to releive acute periumbilical pain_?Any role of Atarax,Famotidine in such abdominal pain_?

children presenting with periumbilical pain{,recurrent,}usg showins nonspecific mesentric lymphnodes enlargement.Parents want treatment,inspiteof counselling.Next what to do_?

write death certificate for child 3 years had leakemia and had hemetesis and melena then died what are main cause of death we can write in death certifcate what are 2nd cause of death what are tertiary cause of death

how we can write death certificate as primary cause 2ry cause complication

1 1, 2 yr girl hepatosplenomegaly, no pallor, icterus or lymph nodes proportionate short stature .......

2 month old female baby, home delivered with uneventful immediate neonatal period brought with jitte.......

a girl aged 12 years presented with itching and redness in both palms,pain in hand since couple of d.......

a3year old child who presented to me with aprolonged non febrile seisure ,he received 3 doses of dia.......

The maximum normal adult value of HbA2 is 3.4 percent as per the Nelson Text book of Pediatrics, but in the MCQ set 2, the correct answer is given as 2.4 percent. Kindly verify.. Thank you.

how do we prepare prostaglandin for infusion with respect to dilution , rate of infusion , compatible fluids , and titration

I have a female patient,13 y old with prolonged fever 1 mo ago,delayed puberty,short stature,no HSM........

What are the criteria to label a nephrotic syndrome patient as steroid dependent._? What are the lines of management in a labelled case of the same_?

Probable causes of five days neonate having Bradicardia

3 doses of antibiotic to newborn should be given if during delivery frequently vaginal examination done_? mother has no fever and CBC is NAD.

In the growth chart calculator, what is considered in normal range- in 90th percentile or 10th percentile_?

Is Femite {Denatonium benzoate} recommended for stoppng thumbsucking_? What are its side effects , contraidication.

Thanks for answering my query upon sensitivity test before injecting drugs. In continuation furthe.......

What are the antibiotics that can be safely given to children having G6PD deficiency

1. Besides Penicillins and animal venoms , which drugs need skin sensitivity test _? Please provide.......

what is the manegment of dettol ingestion in 2 years old child please_?

respected sir i have treated a 1 year kid from pyogenic meningitis .now she is conscious bu.......

Can the drug Trichlorophos sodium{Pedichloryl} be used in neonates.If so what are the side effects_?

SUB :- EPILEPSY CLASSIFICATION Sir, I knew that the meaning of SIMPLE is consciousness not impair.......

1 year old male baby with sudden inability to use right upper limb ,not able to crawl for past one d.......

What are the drugs besides steroid which can cause considerable increase in weight as their side effects_?

one of the most common condition ,i m seeing in my practice is allergic rhinitispersthama.my confusi.......

-1- WHO WE CAN WRITE DEATH CERTFICATE _?_? -2 - WHAT ABOUT CONSENT IN UNDER 16 AGE AND PARENT .......

femal circuncison : indication and contraindication legal aspects and WHO RECOMMENDATIONS SITUATION IN ISLAMIC COUNTRIES AND WHAT THE CURRENT CONCEPT

what r the treatment options available for allergic rhinitis in infants less than 3 months.which r the best

i am having 11 year male with lower limb purpuric rashes and bilateral knee and ankle swelling.cbc s.......

Is there any problem if a child gets daily oilbath and headbath_?Is there any advantage if given ho.......

i really want to know when exactly these drugs can be used by pediatrician. is there any cut off age for them. i am not able to find any cut of age for them 1.phenylephrine 2. promethazine 3. chlorpheniramine 4. triprolidine

thanks for your previous reply. i am having 2 month baby who was born at term gestation with 2.6 kg.......

1 Symptomatic treament of excessive cry in infantile colic - which drugs, doses and duration _.......

1 Formula to calculate Body surface Area _? 2 Symptomatic Relief of Cough in Pertusis 3 Role o.......

how long the stability of breast milk when retaind in abottle

is ceftriaxone not used in 1st 3 mo. of age

how do we calculate developmental quotient in achild with developmental delay example : a 3 yr old .......

5mo. old male chilld with b, l chr. painful parotitis with fever for the laast 2 mo. cbc normal. suggest the diag. and line of managment

20 day old newborn presented with not able to suck and swallow feeds. mother 2nd para, 1st female n.......

calories and protiens in a child has to be calculated with present weight or expected weight_?

Sir, We give Kidrolyte {contains 5 percent dextrose along with electrolytes} to newborn on 3rd day. To give 6-8 mg, kg, min of glucose, how much 10 percent dextrose should be added. Yours sincerely, Dr Milon Mitra.

sir,iwould like to know if in a child of treacher collins,with microtia,ear econstruction surgery is bein done anywhere in chennai or south,if so what l be the cost of it.he having heard of hearing too

1 educated parents brought their child of 9 months for measles.they informed me that in past they have taken only ipv and not taken opv.they were asking me that in future should they give opv or they should take only ipv. what is your advice

my patient 6 month old received combination of dptplushibplushepb1. after 3 days child develops swel.......

Can isolated 6th Cranial Nerve palsy be reported as AFP which was preceded by Gastroenteritis 10 day.......

Levofloxacin suspentions are now freely available in the market. Can and should levofloxacin be used in children especially below 6 years and in what doses and indications_?

is it normal for augumentin syrup to change its color after reconstition, next day and can we use

Is powder is safe for neonatal skin how much SPF is safe for same what are other neutral ph soaps available apart from DOVE

what is diagnostic test {specific} for tuberculosis_?

Does preandprobiotic combination effective in recurrent abdominal pain_?

Medical companies r coming with Glutamine with Zn,preand pro biotics combination.How far Glutamime is effective in acute diarrhoea_?

Are prebiotics and probiptics combination, effective in acute diarrhoea, in recuurent abdominal pain of children_?

Treatment of mouth ulcers_?How far levamisole is useful in mouth ulcers_?

Hello what care and follow up should be done to hepatitis C plusve mother neonate_? many thanks

8yr old malnourished child with history of fever on and off since 8 months,now presented with severe.......

adult aged 34years ,in contact with 1-2cases of chickenpox in office had chicken pox in childhood . is it safe and advisable to take immunisation against chickenpox{inj.varilix or inj.okavax} dr.shenai{family physician} dahisar{e}

we are frequently faced with children beyond infancy having amixed picture of bilateral chest infect.......

dear sir, as a family physician ,i would like to know dignosis criteria for whooping coughin child 4-6yrs.not given dpt in infancy. earlier _?sy siozide {inhpluscogh mix} was used. with regards. dr.s.shenai,dahisar{e}

i have a 2 and half month old infant of hbsag positive mother taken hbig and 2 doses of hepatitis b one at birth and second at 6 weeks and third due at 14 weeks .is there any need to investigate child for hbsag or anti hbs titre

Can we say that dyslexia in childhood corresponds or equivalent to gerstman syndrome in adults. If i.......

how to lab work for criggler najjar syndrme_?_?

should to prefer autohalers vs spacers above 4 years of age in br asthma

one year male first product of distant consanguity,delayed motor milestones,normal mentally,BW 3 kg,.......

What antihelminthic can b given in age group less than 1 yr_?

Can antihelthmintic b given during acute acute diarrhoea episode_?

this 20 months old boy presented with history of pallor for long time , he was given iron therpy for.......

can carminative b prescribed in acute diarrhoea_?

can Nitazoxonide b prescribed in diarrhoea in age group 1-5yrs_?

what is the managment of mild DKA with patient can take oral feeding_?

What is T1,T2 and Flair images on MRI_? How can we use these for interpretation and differentiating disorders _? Dr Pote

Is there a role of Influenza vaccination available in the market in prevention of the current outbreak of swine flu caused by H1N1 virus._?One of the brands Vaxigrip by sanofi claims partial protection against H1N1.

why are chickenpox is called chickenpox

sir please tell me bout IMNCI PLUS

A.K,8yrs. has SickleCell Disease`he had one crisis in past with dactilitis and shoulder pain` presently fresh crisis severe lt.arm pain` ibuprofen 6hrly,added Naproxyn` very little relief` in pain since 13, 4, 09` Xray arm NAD` suggest relief.

dear dr. please give me ipv inj.schedule for children after 6mths.or one yr.of age ,who have been already given opv as per schedule,and also booster dosage. dr.shenai.

dear dr., Ajanta pharma is marketing disomec{dioctahedral smectite} powder in sachet form for diaor.......

1.is zifi better than monocef-o in enteric fever 2 is oflox vs ciplox in enteric 3.is iv still better then oral in uncomplicated , stable {enteric}o.p.d. patients

4.5 y old boy has severe growth failure, both weigt and HT are below 5th centile , he has chronic in.......

Pl. Madam, Sir, What is the defibrillator value, s in joules in children on normal defib and biphasi.......

A 12 YEAR old healthy male hindu child presents with a fixed black coloured rash on the right side of face{supraorbital ridge} with each episodes of fever which dissapear on fever subsidence. What is it_?

Treatment of acute Urticaria_?

What should b the ideal antidiarhhoeal drug besides Zinc andORS in age group 6 mth-2 year_?

What is the rationality of prescribing cetrizine with Ambroxol combination_?

short stature,polyurea

During the II trimester ie: on 150th day. an ultrasound abdomen reveals that the cysterna magna dimension being at upper limit of normal range. Interpretation pl_? What follow up investigation needed_? All other health records normal

which cough syrup should bbe prescribed to a child-cough suppresant or with bronchodialotor_?

mother of babies often complain of abdominal bloating, fullness after suuffering from diarrhoea -whats the cause andremedy_?

a new born baby found echimoses at groins and axilla .. immdiately after birth her compltely blood picture was normal {plate lets 1.8 lakhs } . pls reply me soon

2 siblings aged 2 and 5 years are asymptomatic, have normal CXRs and ESR, but montoux test positive{.......

if alactating mother became pergnant , should she stop breast feeding her baby or it depends on adequacy of milk flow. thank you

What is the role of Midazolam in neonatal seizure

Is divalporex is better than valproic acid, valproate for convulsion and migrain.

A case of mild pleural effusion on left side complicated by collapse 20 days ago with persistently e.......

Can we give netilmicin inj in OD _?is that it effacaciy will be same and there will be no other effects_?

which is the empirical antibiotic of choice in diarrhea in children_? some pediatrician are using ofloxacin ,some r ofloxacin plus nitazoxanide combination, can we use ciplox what r yr experience with levofloxacinand cefixime

can i do a skin sensitivity test with benzatahane pencilin before injecting it. or the sensitivity test should be done by benzyl pencillin. thanks dr.ishtiaq

i just want to know what is the cost of HPV {human pappiloma virus } vaccine in india and where it is available in india.also which brand is in india cervarix or gardisil.

there was 4 month child with resistant seizures without fever.the patient was not controlled on phen.......

A 12 YEAR CHILD KNOWN ASTHAMATIC IS ON BENZATANE PENCILIN EVERY MONTH FOR R.F PROPHYLAXIIS SINCE O.......

IN INFANTILE TREMOR SYNDROME WHAT IS THE TREATMENT_? Q` VIT B12 SHOULD BE GIVEN ORALLY OR PARENTERALLY AND IN WHAT DOSE.

please let me know how to perform skin test before giving benzathane pencillin and how to interpret the result. please let me know in detail dr.ishtiaq

what is the treatment of tinea unguim

We have a patient admitted, 12 yrs old male child was seen in OPD for back pain of 1 month, he also .......

What is the place of `Fractional exhaled nitric oxide` measurement in the diagnosis and management of Asthma_? Is the device available in India_?

advance tratment for septecemia and how to get and use of rectal arteesunate in rural areas

What is RVI and RV5 rotavirus vaccine.

What is the latest schedule for Rotarix, should be used in 2 or 3 doses. Can it be used upto 2 years or so_?

calcium is reqired for formation of tenace in ccoagulation cascade.thn why doent thr occrse any bleding in hypocacemia_?

a 14 yeas old male child presented with deep jaundice since 15 days,no fever,mild tender hepatomegal.......

It is a academic question.Should we give 2per3 of required fluid in new born IN ALL RDS NEONATES what is the reasoning behind deciding fluid in RDS.2}HOW MUCH FLUID SHOULD BE GIVEN IN NEONATE WITH RESPIRATORY DISTRESS AFTER INITIAL 3-4 DAYS.

cefoperazoneplussulbactam is available in two combinations 1:1 and 2:1. which is a better and rationale combination_? kindly give some justifications if possible.

4 yr ols with rsv pos bronchiolitis, incidiental thrombocytopenia, bloodcuture pos for strept pnuemo,physical exam- hepatospleenomegaly. bm bipsy normal. likely DD

IS MEROPENAM andVANCOMYCIN COMBINATION RATIONAL FOR TREATMENT OF BACTERIAL MENINGITIS _?

The two tissues in the body with the fastest turnover of cells are hemopoetic system and GI epitheli.......

Does Vitamin D Deficiency produce increased sweating of scalp_? If so how_? Because I see some practitioners prescribing Vit D For this symptom without any other clinical or documented evidence of Rickets

One month male product of non consangious marriage, first baby, doing well till now,with sudden onset severe hair loss, with no organomegaly, no systemic symptoms, no icterus...how to proceed_?

A 3 years old female child came to hospital with a dog`s bite. Should I give her rabies vaccine or not and what is the dose_?

I need your help regarding dilution of cow`s and goat`s milk in infancy if not baby is not breast fed. Thank you

A BABY OF eighteen and half MONTHS OLD WAS GIVEN 3 DOSES OF HIB WITHIN 3 MONTHS OF LIFE AND TWO MORE DOSES OF HIB WERE GIVEN AT THE AGE OF 14 th and 15th MONTH OF AGE {IGNORANTLY}! SHOULD HE BE GIVEN THE BOOSTER AT 18 MONTHS OF LIFE_?

Why there is evening rise of temperature in tuberculosis_?

Why there is fever in lymphoma_?

What are the differential diagnosis for cold abscess_?

If a new born is fed on pasturised milk or cow`s milk through infant feeding tube in NICU even then added sugar is not needed_?

What kind of syndrome can a child have with the following: microcephaly, delayed mile stones, squint, ambigous genitalia_?

What is primary acute dystonic reaction_? What are the presentations and how is it managed_?

what is the difference bet a-b arthemether, b arthemether, and plain arthemether_? Which one is more potent_? Is artesunate better than artemether_?

What are the paediatric diseases with 100percent concordance in monozygotic twins_?

What to do if accidentally cold chain could not be maintained for 3-4 days, can the vaccines still be used_?

Is sulfa-trimethoprim used in treatment of tonsilo-pharingitis_?

Neonate with persistent distress {tachypnea over 100 with intercostal retraction }on nasal canula. Pulse oximeter show normal saturation 90-95percent. What is the possible cause of distress_?

3.5 years old girl complaining of limping plus pain in the right hip. Ultrasound done showed hip eff.......

Is there any need for multivitamin supplementation and calcium supplementation for IUGR babies just like preterm neonates_? Are there any study done on this_?

HOW MANY MAX. DOSES OF SILDENAFIL CITRATE IS REQUIRED FOR TREATMENT OF PPHN_?

ROLE OF MAGNESIUM SULFATE IN SEVERE BIRTH ASPHYXIA

Can we use Phenobarb as sedative_?

Can we use cold sponging in high fever, as it causes vasoconstriction but for heat dissipation we need vasodilation_?

What is the management of a 2 month old exclusive breast fed baby with moderate atopic dermatitis of.......

Is analgin is contraindicated in pediatrics_?

Is there any superiority of GSK MMR vaccine over Serum MMR_?

Can sickle cell disease present with massive splenomegaly_?

CAUSE FOR HAEMOLYTIC FACIES

Does IV administration of ceftrioxone requires prior test dose_?

I come across many children with CRP test positive. Many children are with recurrent RTI associated .......

One and half year old male child had been accidentally given BenzylBenzoate suspension oraly by his .......

Why inspite of thrombocytopenia, patients with HUS donot bleed significantly_?

My one patient took HIB vaccine at 6 wks of age. Returns to me after 4 months. Is there need to repeat all doses or just to give remaining doses_? How much maximum gap allowed between 2 doses of hib_?

A 6 yr old boy with mantoux positivity, normal chest x-ray, esr 20, cbc normal and contact with adult patient of TB. Should I start TB treatment_?

Current concepts on management of Hepatic Encephalopathy

What is the difference between epinephrine and nor epinephrine on maintaining blood pressure__?

I hav a 8yr old child on 2nd line HAART for HIV. He seems to be still failing therapy. I recently go.......

FEMALE BABY DELIVERED BY LSCS, PRESENTED WITH ABNORMAL LARGE HEAD WITH ABNORMAL FACE. BORN TO 2ND DE.......

A 6y old epileptic pt. on tegretol and depakin got type A hepatitis how to deal with drugs_?

There are two companies preparing combination vaccine of dpt,hib ,hep b . One preparing readymade li.......

By recent immunization shedule the first dose of rotavirus should be given before 12 weeks only. One.......

A 4 month old female baby came with fever since 3 days, respiratory distress since 12 hrs, drowsines.......

One and half year male had Miliary TB with hepatosplenomegaly. He was born preterm at 32-34 wks with.......

A 5yrs old had a read traffic accident sustained minor injuries five days back. Now developed tetnus. Controlled seizures on medication. Just want to know how long I should be giving tetglob?

When does abstract thinking appear in chidren?

A 5 yrs old child brought to the hospital with left sided facial tics, no vocal tics for 3-4 days.Th.......

A 6yrs old boy, second child of a non consangous marriage {has an 9yrs old brother,normal} presented.......

Can anti-scabicidal lotion be apply on face, head in a patient of scabies?

How do you rate DEC provocation test for Filariasis? How it is done?

What is the role of anti-D in Idiopathic thrombocytopenic purpura? and what are the side effects of using IVIG in the same condition?

A 2month old baby came with complaints of occassional cough abd nasal discharge. Elder sibling on tr.......

A child is having muscle deep CLW following dog bite. Is it not at all advisable to get the wound sutured? I came across many surgeons doing suturing of the deep lacerated wounds following dog bite. Please clarify.

What is the incidence of Chickenpox cerebellitis? Is anti viral drug useful for these patients?

How do you manage a 5year old with asymptomatic cardiac mummur?

What is growth velocity?

Please tell me the normal cardiac catheterization values which should include presures and saturation in all chambers of heart like superior vena cava, IVC, RA, RV, PA, LA, LV, AORTA.

A three year old female child continues to pass adult beetle-like insect occasionally through stool .......

Why arthritis in acute rheumatic fever is migratory in nature?

I have a patient who have persistent fetal hemoglobin. He is 20y old. He is well,does not need blood transfusion ever. Now he has yellow sclera and mild increase in the serum indirect bilirubin. What could be the cause?

What happens if a 3 yr old child consumes a bottle of Cyclopam drops which has 10mg of dicyclomine per ml?

In our institute, albumin infusion is generally given to any preterm neonate if his bilirubin level .......

What is the meaning of healing ulcer in case of deep burn? please explain the procedure of skin grafting.

How often is de-worming recommended for kids? My daughter is 3 yrs 10 months old.Can I use Bendex for the same ? What time is it recommended to give this, is it after breakfast or lunch or dinner or with empty stomach?

What is the corelation between the turner syndrome and noonan syndrome?

What is the role of chicken pox vaccination and acyclovir in prevention of chicken pox in an immunocompetent unimmunised child?

Amblyopia or Lazy Eye is mentioned as a common cause of blindness in chilren. What causes the blindness? Both eyes or the lazy one becomes blind?

A 12 year old hiv positive female presented with progressive abdominal distention since a year and s.......

Is it good to use cefixime clavulanic acid combination? How far it is successful in enteric fever and uti?

When a case of congenital hypothyroidism is diagnosed, is it necessary to do radionuclear thyroid sc.......

3 years old comes with napthelene ingestion. How to manage?

In normal vaginal delivery and cesearan section, when will the lactation be fully established so that the baby will have atleast 6 times of white urine? What should one suggest before that when there is less urination?

Should rotavirus vaccine be included in routine immunisation schedule or it should be kept reserved for selected cases?

Prolong rupture of membrane is how many hours of duration according to recent concept of neonatal septicemia?

What are the criteria for diagnosis of neonatal septicemia?

What should be the strategy for IPV in our clinics at present?

How to write death certificate for children?

My 3.6 yr old son always gets cold and flu. Can i give him flu vaccine? He is allergic to egg and some kind of daal. I read that flu vaccine is contraindicated in egg allergic people. Please reply.

In NICU whenever a neonate when initially NBM{NIL BY MOUTH}and when he is started on feeds as he imp.......

How constipation predisposes to UTI?

A 2 year male child has complaints of dificulty in urination, initially dripping and then some strea.......

An 8 year old male child, resident of Aligarh presented to us with recurrent fever for the past 3 ye.......

If a neonate born to HIV positive mother tests negative for HIV ELISA, can it be safely ruled out that baby is HIV Negative?

We have a child with hepatospleenomegaly {liver span-12 cms,spleen-5 cms} with no identifiable cause.......

What are the causes of X - linked disorders in females?

Till what age or weight of the preterm baby after the discharge from the hospital,feeding with Preterm Formula should be continued. When can one switch over to regular formula in babies born premature? Are there any Guidelines too ?

Is dexa still useful in pediatric brain tumour induced increased ICP?

5 years old male presents with one week history of fever 38-39 c with generalized lymphadenopathy hi.......

I have a patient 2 months old. She has jaundice, failure thrive, persistent hypoglycemia, hyperamonemia, metabolic acidosis. Metabolic screening for galactosemia, acylcarnitine profile, aminoacid profile are negative. Can you help me?

A 7 month old female has rocker bottom edematous feet with saw like upper and lower gums and extra digit in right hand. What is the diagnosis?

My 3 month old baby boy is suffering from PUJO in the right kidney. On ultra sound , right kidney me.......

Is it necessary to gradually taper the dose of IV aminophylline infusion before stopping, in the management of asthma in children?

Why brain abscess is more common than abscesses of other organs in children with congenital cyanotic heart diseases?

What is dosage schedule of Methyl prednisolone IV as pulse therapy in Nephrotic syndrome?

My daughter is 18 months old. Her weight is around 9 kg. She is having DOWN SYNDROME with CYANOTIC H.......

Could you please let me know the standard treatment protocol for treating vit.D deficiency rickets as some disagree with the conventional strauss regime?

AT WHAT WEEKS OF AGE INFANT STARTS RESPONDING TO SPOKEN SOUND?

What is the dose of steroids in septic shock? Is it 10mg per kg or more than that? Do we also add fludrocortisone along with hydrocortisone for better effects in managing the shock?

I have boy of thirteen months {Date of Birth: 21 Nov 2005}. On the advise of a nearby maternity hosp.......

I want to know rational use of cough syrup combination which type and when to use?

In a routine stool examination cysts of Giardia Lambia were found in an 8 years old girl. What is the drug of choice, its dosage and duration of treatment?

If a male child, 2 months old presents with intra cranial hemorrhage diagnosed by CT brain, apart from platelet count, PT, INR, APTT, sepsis work up, what other investigations one should do to know the cause of bleeding?

I would like to know about the role of levamisole as an immodulator. What would be to dose of it as an immodulator ? Any specific indications for its use ?

A 10 days old abandoned neonate was admitted to a n orphanage. Orphanage people are doing HIV ELISA .......

One year old infant with Osteogenesis Imperfecta ,family history is positive for another male. How can one help him?

Today I have come across a girl of 8 years who has absolutely painless lesions of herpes zoster on t.......

Which is better - an IUGR or a preterm baby?

One year old with multiple endocriny proplem- hypothyrodism, IDDM, skin rash and ecezma ?ipex assosiation. I want to know more about the case.

what is the best parentral antibiotics combination that can be started before culture reports have come, in a typhoid fever child 7 yrs old with suppurative arthritis of one of the knee joints

Why is pseudotumour cerebri produced after eltroxin administration in a child with hypothyroidism?

What is bone mineral density?

In G6PD can we get splenomegaly?

What is the management of DMD?

How common is Steven Johnson Syndrome with amoxycillin?

A 10 month old infant presented with sudden onset of pain and tenderness in right lower limb without.......

5 year old boy had a fever for 4 days unresponding to antibiotics , he was given Augmentin 312 mg,5m.......

It is said that 2 live vaccines should be given on the same day or one month apart. But as we are do.......

Why among corticosteroids Prednisolone has been specifically indicated for cases of Nephrotic Syndrome or Rheumatic Fever?

My daughter has 987 striptolycin in her blood test. Is is good or bad? What is the treatment to reduce it??

8 year old male patient known case of retro viral positive , whose count was only 5 and was put on z.......

What is the role of monotherapy of lamivudine in hiv?

Can we use comination of nevirapine and rifampicin by increasing the dose of nevirapine?

I have seen that patients are in habit of misusing nimesulide. If the patient is seen after two to t.......

In a child with nephrotic syndrome with gross edema and the child has started diureting as the prote.......

I had a case of 3 month old child weighing 3.3kg{ Prematurely born child , now on EBM}, with a diagn.......

8 yrs old male child presented with a 7 months history of repeated falls and initially complex parti.......

What is the youngest age when children can cooperate to complete spirometry test successfully?

I have a 5 month old baby who has low trunk , neck tone and a protruding tongue and a flatten nasal .......

In hypersplenism which indices come down first in the most common circumstances - is it neutropenia or anemia or thrombocytopenia ?

In a child with post viral infection neutropenia, which might take a few days sometimes also a week to pick up again,how does one manage and what is the mean duration of time to expect the counts to increase?

Is it possible in enteric fever that Widal test O antibody is found negative and H antibody is 360 titre positive?

What's the reason for hyponatremia and hypoklemia in nephrotic syndrome?

In a child with central apnea most probably secondary to cerebral malformation, what are the medications that can be tried that might help improve the central apnea?

What is the indication for an EEG in a child with recurrent complex febrile seizure with no other signs to suggest any form of neurological disease? Does the EEG change the prognosis?

If a mantoux test read after 48 hrs is negative, but after 4 days the child develops induration and erythema more than 10mm at that site, should it be taken as significant?

What types of special precaution to take if the child has been diagnosed as Hetrogygous Galactosemia, and his parents also has the same, and all are healthy. Child is 7 month old with breast feed, Reducing substance Absent, Cataract Absent.

What dose of Vitamin A is preferred in KERATOMALACIA?

A 3 year old male child presented with complaints of generalized swelling of the body and scanty uri.......

What are possible causes of oil in urine?? Thanks

How safe are the mosquito repellants for men,children, neonates ?

A newborn with autosomal recessive polycystic kidney disease, hepatic cysts and mega cysterna magna. What are the possible differential diagnosis?

Is adrenline nebulizer safe and effective in cases of acute bronchiolitis? Is it preferred over salbutamol?

A 3y8m boy uses his both hands alternately and is quite clumsy in his drawing and coloring. Do I insist on using one particular hand?

Should we go every time for Skin sensitivity test before administering Benzathine Penicillin? Recent.......

What is medical line of management in treatment of osteogenesis imperfecta?

What is the minimal cut off for mantoux for a child less than two years?

Is sputum induction better than gastric aspirate for detection of TB bacilli?

Opened tuberculin vials can be kept only for two days. ref-{esssential of tuberculosis in children, chapter 19 on tuberculin test, 3rd edition}. Please comment on this because CDC guideline states that it can be kept for 30 days.

Why Quinine if given alongwith artimisnin compound is harmful ?

At what age can we use ciprofloxacin to treat typhiod fever and what is the dose?

What are the indications of metoclopramide injection and what is the safe dose?

Should 1st dose of pertussis vaccine be given in infant treated for neonatal seizures?

I had a 20 days old neonate weighing 1800 grams born to 1st degree consangineous marriage brought in.......

AFTER RECONSTITUTION OF LINEZOLIDE DRY SYRUP FOR PAEDIATRIC USE , CAN IT BE STABLE FOR USE WITHIN THREE TO FOUR DAYS WHILE LINEZOLIDE IN I.V FORM IS SUGGESTED TO USE WITHIN 24 HRS. PL SEND UR OPINION. WITH THANKS Y.P

WHAT IS THE ACTUAL DOSE AND DURATION OF LEVOFLOXACIN TABLETS FOR THE TREATMENT OF TUBERCULOSIS OF SPINE ?

What is the antihelminthic drug of choice other than piperazine citrate in less than one year of age?

Dose of Levo salbutamol for nebulization in children

What is the role of using ACTH in treatment of infantile spasm?

How can I dignose neurofibromatosis?

What is pathogenesis for polycythemia in infants of diabetic mothers?

What is refeeding syndrome?

Why should we give thalassemic patient Folic acid? Why do you give vitamin C?

Should we treat a case with an incidentally found high ASO { More Than 400}, if yes, how and how long?

Does sucrose act as an analgesic component in treating the pediatric age group patients?

An apparently normal 3.5 years old girl child is passing stool which contains blackish fly like insects which really fly on coming out from body. What is the diagnosis and treatment?

current treatment for SLE

What is the difference between cerebral diplegia,hemiplegia and quadriplegia?

Which drugs are effective in thrombocytopenia secondary to dengue virus?

Is pulsatile fontanelle always pathological?

Children coming with the complains of excessive salivation - what is the treatment?

What is the range of dose of Arteether i.e. what is the higher side at which toxicity appears?

Is the combination of artemether plus lumefantrine effective against P.Vivax malaria?

Can we switch to intramuscular Arteether after giving intravenous Quinine for 2 or 3 days in Chloroquine resistant falciparum malaria?

What are the complications caused by chikungunya virus in Less Than br More Than 1 More Than new b.......

What amount of ringer lactate{RL} must be given to a seriously ill patient of dengue hemorrhagic fever? Does the RL causes any complications?

How to differentiate clinically between dengue fever with bleeding complications and Hemorrhagic dengue fever?

One and half year old child brought with complaint of passing motion 10-12 times in a day of which 6.......

If fasting and PP sugar are in normal limit, what is the use of going for GTT to rule out glucose intolerance?

What is the approximate cost of complete repair heart surgey for TOF with complete AV canal defect in a good hospital?

Inj Diazapam precipitates when we dilute it with Distilled water. Can you tell the reason?

Can racecadotril be used in infants below six months for decreasing stool output in acute diarrhea?

Whether to use ganciclovir or not in treatment of cmv hepatitis in neonates?

Is the use of analgesic,antibiotic ear drops contraindicated in cases of Acute otitis media without perforation?

How many weeks after a blood transfusion can Hb Eletrophoresis be done to get a correct result?

Can we use itraconazole for candida sepsis rather than amphotericin?

A 9 yrs old boy brought in OPD with only presenting compaint of abdominal distention.No significant .......

Is a cytological count of 12.5 polys in a CSF sample in a neonate normal?

How to manage normally looking children with excessive sweating of palms and normal thyroid function?

One year old child presented with obesity {17kg, mentally normal, milestone normal},severe metabolic acidosis, shock and convulsion. Child died within a day. What could be the possible diagnosis?

Is there any chance of getting chronic liver deasease with hepatitis A infection

I want to know after how much interval between two doses of Hepatitis B vaccine and Diptheria vaccine it is called as drop out case

Is a booster dose of Hepatitis B vaccine required?

In routine immunisation Hepatitis vaccine is given at 6 weeks, 10 weeks, 14 weeks. But in adult it is given 0, 1 month and 6 months.Why there is this diiference in adult and infant immunisation?

I wanted to know about following how to dilute adrenaline 1:10000?

If a baby is partially immunised for Diptheria can he still have diptheria?

Please give full information about infantile tremor syndrome

Can I know the utility of and physiology of performing captopril GFR SCAN?

Please guide me as to the exact indication and duration for using enalapril for intractable CHF not responding to DIGOXIN plus DIURETICS.

chickungunya fever management

What are the indications for surgery of thyroglosal cyst?

Please tell me in detail steps for managing hypernatremic dedydration.

Please give me criteria for SOME and SEVERE dehydration as a lot of books and manuals have confused me with a lot of criterias.

I have a child with the following symptomatology- fever past 7 days, dysentry and now melena past 4 .......

What is the daily dose of VITAMIN-A for 4 years old boy having night blindness and Corneal Xerosis?

I examined a neonate {20 days old, weight-3.6kg} coming from poor faimily who had plenty of maggots .......

WHICH IS THE BETTER CHOICE- ANATOMICAL SHAPED MASK OR ROUND SHAPED FACE MASK ALONG WITH SPACER DEVICE AND WHY ?

Is it possible that in LMN lesions say NM Junction lesions or myopathies, Deep tendon reflexes be br.......

WHICH ONE IS PREFERABLE IN MANAGEMENT OF PEDIATRIC ASTHMA- VALVELESS OR VALVED SPACER DEVICE and WHY?

Can BCG vaccination be associated with bluish discoloration of the skin around the scar?

Can you please tell me the latest recomendation of RNTCP in children?

What are indications of PAM in organophosphorus poisoning?

My biggest problem is that my institute receives meningoencephalitis cases from all over delhi and a.......

If mantoux test has been done in a patient recently can PCR or ELISA be done in this Patient?

What is the drug of choice for Enteric fever in order of preference {1}-Tab Cefixime {2}Tab Ciproflox{3}Tab Oflox {4} Cap Chloramphencol{5} Tab Cotrimoxazole {6}Cap Ampicillin {7} Inj Ceftriaxone?

I want to know if Widal test will be positive after taking antibiotics for 5 days?

Please tell me how to differentiate Chronic from Acute renal failure?

What are latest regimens to treat congenital tuberculosis?

Can you please tell me the different modalities of treatment available for congenital nephrotic syndrome? Why is it steroid resistant?

2 yr male child born of non consangineous marriage has right lateral rectus palsy following a episod.......

I have a query on a 6 years old boy child, frequently grinds his tooth while at sleep, please advise

How should I approach an epidemic of pertusis in a area?

Why we don't give Benzathine penicillin prophylaxis for AGN?

Why post streptococcal AGN doesn't recur?

Which are the live vaccines that can be given to an hiv plus child?

If an infant presents to us at age of 5 months with confirmed CMV infection should we still treat him,her with ganciclovir?

Why do we give antihelminthics at night only?

What is the sequence of improvement in treated rickets? Is it calcium, phosphorus, alkaline phosphatase or line of healing on Xray?

What is the role of ketotifen in asthma and other forms of Atopy?

What is the role of chlorpheniramine in the management of Asthma?

Why there are hair changes in PEM ,but not in other conditions with hypoproteinemia?

Why cyanosis in TOF appears late, i.e. why is it not present at birth?

What is the role of chrosomal analysis of parents having a child with Down Syndrome?

What is the mode of inheritance of sickle cell disease?

If 7 months baby's mother is having TB then can she breastfeed the baby?

Which is the most common infratentorial carcinoma in a child - medulloblastoma or astrocytoma?

Which colouring agents used in syrups etc. are harmful for asthamatic children or those with other allergic problems?

How do you manage a mother who has not had chickenpox in the past, who is 3 months pregnant, whose child develops chickenpox and lives in a place where variciella immunoglobulin is not available?

A 6 years old male presented with fever followed by swelling of the face within 24 hours which was f.......

1.9 years old male child presented with steven johnson syndrome, he was on drug Carbazamapine{tegratol}. Now,What are the drugs of choice for the child we can use?

what will be the differential diagnosis in a child with excessive growth and subtle sign of precocious puberty with lax and hyperextensible skin. Can it be ehlers danlos?

Information about chikungunia disease

Can I have more info on congenital heart block? How to manage such a child medically?

How can I further investigate a neonate for its seizures and lethargy after the following investigat.......

WHEN SOULD WE LABEL A CASE OF MALARIA AS "RESISTANT MALARIA"?

Two year old female, known case of PURE RED CELL APLASIA was receiving blood tranfusion since birth........

What is the interpretation of presence of reducing sugars in urine?

Which test is best for malaria between card test and malaria slide test and why?

What is the current treatment modality for the management of breast milk jaudice?

I want to ask about differential diagnosis of ectodermal dysplasia and treatment.

After how many days does widal test become positive in an enteric fever case?

After how many days we can immunize a child who had recovered from typhoid recently?

Can't antifungal be started empirically if patient fails to respond to usual antibiotics and the sensorium continues to deteriorate?

Can you give me the most accepted and result wise best regimen for steroid resistant and steroid dependent nephrotic syndromes?

How far are we to accept the new Hepatitis vaccine - Live attenuated Hep. A vaccine?

Is it safe to use ivermectol in paediatic age group?

What is the pathogenesis of air bronchogram? Is air bronchogram necessary for the diagnosis of consolidation?

What is the treatment protocol of pertussoid cough,pertusis like cough i.e spasmodic cough lasting over weeks?

I want to know whether there is any role of steroid inhalor in allergic bronchitis not responding to oral anti allergic and when other causes of cough are ruled out?

What happens to sodium in DKA?

There have been studies on ranitidine and PPI's causing community aquired pneumonia in children using them for GERD or acid peptic diseases. My question is what other option do we have if not gastric acid inhibitors?

What is meant by central pontine myelinosis?

How to differentiate scarlet fever from atypical measles [measles in immunised childeren]?

12 yrs girl presented with persistent generalised seizures and later develops oedema,hematuria,and hypertension. Patient was afebrile for 2 days before onset of seizures. Can Acute glomerulonephritis present with seizures?

A neonate has severe scabies. How to treat ?

In cerebral malaria is artemether or quinine superior?

what is the treatment for seborrheic dermatitis?

Can steroids cause skin atrophy if applied on face?

I am working in an HIV project where we regularly do baseline investigation and DNA PCR. The trial i.......

This is regarding pediatric HIV. IAP HAS RECOMMENDED few simple measures to reduce breast milk HIV t.......

There is a 3 months old child with a recently noticed lump in axilla about 3cms sq. No fever or any other sign. BCG vaccine given at birth. X ray chest is NAD.

A 11 month female infant presented with swelling of left hand and lower end of left forearm. All i.......

A 6 years old child presented to us with complaints of reccurrent pyoderma localized to face for 4 y.......

Can we give prasozin when the BP is not recordable and the pulse is very weak in a case of scorpion sting?

Information regarding chickungunia disease

What is the duration of therapy of artemisin drugs?

Which is the best artemisinin agent in pediatric age group?

Should quinnie be the 1st drug or artimisinin in complicated malaria?

4 month baby admitted with excessive crying which resolved in 2 hours. Aas a part of investigation -.......

After how many weeks of Anti Tubercular treatment can a child have a clear cytology in his CSF?

Can booster dose of DPT be given at 6 yrs of age?

I have a patient one month old with testicular torsion. The values of the AFP are more than 1000 mikrogram,l. I have no experience with AFP on the newborn childen. What is the normal value of AFP in one month old?

What harmful effects a normal child can have if he,she consume excessive protein for months?

What is difference between potter type 1 and 2?

What is the genetic cause of arnold chiari?

Role of biotin in seizures.

14 year old girl has gall stone and splenomegaly. Hb 7 gm Percent, Reticulocyte 3.2 Percent, TLC 3,.......

A 2 half years of female having 3 to 4 episodes of severe cough per day for 10 days. Each episode .......

What sedation can normally used in the chidren during lumbar puncture especially those who can't be .......

What is the effect of sedation on Deep tendon reflexes?

What is meant by codominant and partial dominant inheritance in both autosomal and x-linked cases?

Is single dose Hepatitis A vaccine equally effective in comparison to double dose Hepatitis A vaccine?

In HSP does aspirin has any role?

In which month of intrauterine life can diaphragmatic hernia be diagonsed by sonography?

Some parents come with the problem of sweating on forhead in infants. What is the management?

Why are serum ferritin levels elevated in renal patients though Hb is low?

Is potassium restriction necessary for nephrotic syndrome? Shall proteins be restricted in nephrotic syndrome?

When a case of pertussis comes to us, is there utility of giving dpt vaccine?

DO new artimisin derivAtives have any role on vivax malaria? Does quinine has any action on vivax malaria?

What are the current treatment guidelines for hyperlipidemia in children?

During foetal life amniotic fluid is required for integrity of alveoli. Can amniotic fluid not causes aspiration pneumonia? Why so?

IS MONTELUCAST INDICATED IN RECURRENT URTI WITH HIGH EOSINOPHIL COUNT?

A neonate on day 3 presents with dullness. On examination vitals are stable, crying, sucking,activit.......

I have nicu setup. In summer season its difficult to maintain temp. I cannot afford an AC in nicu. Can we do wet mopping if child is running fever?

If we use different manufacturing company at the time of vaccination means once for hepatitis b we use gsk next time some different company then how much it affects immunity?

Which type of fluid should be given in a newborn who has not passed urine after 48 hrs ringer,ns,isolyte -p?

Dear sir,madam,when we see a patient of chicken pox or mumps, parents ask for vaccination of other siblings. Should we wait till incubation period for disease to manifest, especially for mumps or can we immunize them?

What is the brand name of DTaP vaccine?Is it available in india

In rat killing poisoning, sometimes there is atrial fibrillation. Is this is an accidental finding?

I have a four year child with consolidation of lung. It suggest tuberculous but child has early hepatitis {SGPT - 57}. I want to start AKT. What are your guidelines?

Is booster of Hepatitis A vaccine required?

Lots of neonates have scanty scalp hair and some have plenty. Sometimes parents ask what is the cause of less hairs and any medication for same? What should we answer? Shaving once may increase them - does it really work?

Sir, I am giving a personal experience of having a case of hyponatremia induced by a phosphate enema.......

Sir, I have a patient, 2 years old male child who had 2 episodes of generalised convulsions, both wi.......

Do steroids have any role in cerebral malaria?

What is the role of probiotics in acute or chronic diarrhoea in children?

3 months male child wt-3.3 kg, repeatedly admitted after every 7days from the age of 2 months of lif.......

Is it true that it's no more contraindicated to use phototherapy in DIRECT HYPERBILIRUBINEMIA?

Is nalidixic acid safe for children less than 3 months old?

I saw a 3 month patient with acidotic breathing and fever. There was no cough or any respiratory com.......

I have come across two cases, one, a neonate and another an infant, with cervical and cervico-dorsal.......

What is role of thrombophob ointment for relieving swelling of leg after DPT? Does it really work.

Post DPT vaccination can we apply pain relieving ointment like diclonac at site to give temporary relief?

How patients with GBS should be monitored in ICU for respiratory involvement? What are standard clinical and lab tests? At which stage ventilatory support should be started???????????

In summer season, neonate and para neonates are crying during micturation. Urine routine is normal. What is the cause?

I have a few patients with cardiomyopathy secondary to cardiac siderosis {B thal patients}. I am planning to start them on continuous infusion of desferral since they are in heart failure. What would be the method to do that?

What are emolients?

I have a child who is a known case of hiv plus ve since two years and is on septran prophylaxis. Sh.......

I have a patient aged 10 yrs, right handed, born of non consanguineous marriage with tremors {pin ro.......

An infant is passing urine which becomes whitish on standing i.e the area of the floor becomes whitish after sometime. What may be the diagnosis? How to treat this case?

If bone age is delayed, what will be the first investigation to be done? Please answer.

How is pulmonary hydatid disease treated?

A 7 months old boy has a single palmar crease. I could not find any other anomaly. His milestones are normal till date. How should I follow him and what investigations are required?

A 20 month old girl brought to emergency room with acute onset of generalized weakness followed by s.......

If the platelets are low in an aplastic anemia patient and she is bleeding from a wound secondary to.......

Can paracetamol can be used safely in newborns.

5 years old boy presented to emergency department as fever plus prolonged febrile fit and treate.......

What is diagnosis, presentation and treatment of Chickungunya fever?

For a child with ramsay hunt syndrome what is the treatment? Is it steroids, antibiotics, acyclovir?

Patient with microcephaly, deafness, packed nose, delay motor milestones, hypotelorisum, small mandiable. What syndrome fits all these criteria?

For FIRST ATTACK OF FEBRILE SEIZURE IS LP{LUMBAR PUNCTURE}NEEDED?

A child could not be given his regular dose of DPT booster, can he still {he is 6 now} get the regular DPT booster or we should get him only DT?

Why constipation occurs in hypothyroidism?

Why skin pigmentation starts from head to extremities in neonatal hyperbilirubinemia in relation to the severity of jaundice?

Are quniolones safe in children?Should they be used, esp: gatifloxcin and ciprofloxcin.

Can Polycystic ovarian syndrome present with menorrhagia?

In a child with liver failure and borderline increased coagulation profile but no symptomatic bleedi.......

Dear sir, how does sickle cell protect a person from severe malarial infection? Why is it that this is only possible for heterogenous not for those who are sickle cell anemia{homogenous? What's the mechanism? Thank you

Can acyclovir be given to a child who already shows vesicular lesions, may be in third or fourth day.......

3.5 yrs girl born of second degree consaguinity with 2 normal older sibs and mother had jaundice in.......

Complete dietery advice on celiac disease.

Is there any range of baseline room air saturation in case of cyanotic heart disease patients?

How to detect anemia in a case of congenital cyanotic heart disease,with secondary erytrocytosis?

Is Vit C therapy contraindicated in thalassemic patients on desferal with cardiomyopathy in failure?

2 month old female child presented with generalised tonic clonic convulsions {4 episodes for 12 hrs}.......

What is the current status of skin {allergen} testing in the management of pediatric asthma?

What are the causes of increased salivation in infant who is developmentally normal? Can tongue tie be a cause?

What are the causes of thrombocytosis in a 16 year old with a normal bone marrow result?

Can a child who develops convulsions with the first dose of DPT be given acellular DaPT?

Known case of medulloblastoma treated surgically by nearly total excision followed by {6} courses of.......

While giving Inj Penidure,Pencom{benzathine Penicillin} I,M for prevention of recurrence of Rheumati.......

How to differenciate between infective hepatitis and malarial and enteric induced hepatitis?

Whatis obstructive sleep apnea syndrome?

Why scabies affect face of a child and head also? In adults it did not affect.

CAN NUSOBEE BE USED FOR ACUTE DIARRHOEA AND NUSOBEE CASEIN BE USED FOR PROLONGED DIARRHOEA?

36 yrs old female married with one child is on Penidura prophylaxis for Rheumatic valvular disease {mild mitral regurgitation} since 13yrs of age. She is asymptomatic. How long should she continue Penidura prophylaxis?

A male newborn expected to have Hemophilia A is being born tomorrow. Should his Vitamin K should be given as usual? He is term and being induced.

In 12 year old female with a h,o mesenteric adenitis x 2 months, occasional hoarse "crow" like cough, pallor, fatigue, slight anemia and painful lymph nodes what is the diagnosis?

Of late, drug companies are promoting bovine colostrum preparations to improve immunity status of chronically ill children, even claiming that it will help the ashmatics, is there real proof that these supplements are really useful?

Are colourless expectorant advisable in Asthamatic patients?

ASOM can present as diarrhoea in children. How should we treat such cases as antibiotics used to treat ASOM can also cause diarrhoea?

A two year old baby came with complain of whenever she comes in contact of cold water, her exposed part becomes blue. What is the the cause?

What is glottic index?

What is the maximum oral dose of salbutamol?

How to approach a boy, 3yrs with Acute retention of urine?

Does nebulisation with salbutamol or any other bronchodilators have any role in treatment of pneumonia in children Less Than 5 years or in older children.

What are advantages and disadvantages of tween-80 in PPD for tuberculin test?

A baby of one half month with very small ant fontanelle. What will be future of baby? Any further investigation required?

This is regarding anti-tubercular therapy. We have been taught that pyridoxine supplementation is no.......

Is there any different preparation of adrenaline for nebulisation or can we use commonly available Inj. adrenaline?

What is cool mist? How should it to be given to a child suffering from croup?

A patient's 7 month daughter received the 23 valent pneumococcal vaccine in error. The baby had no i.......

What is the mechanism of the fatty liver changes in severe malnutriton? Thank you!

What is the most pathognomic and earliest sign of CCF in children?

How do we differentiate between a capillary and cavernous haemangioma clinically?

A stray dog has bitten a boy , who has recieved two doses of Rabipur vaccine. now this boy while pla.......

What are the manifestations of hypocalcemia in newborn other than neonatal seizures?

What is the cause of recurrent dull aching suprapubic pain in a female chid of 8 years even after completing the treatment of UTI according to sensitivity test. No abnormal finding detected in USG ABD and KUB and plain X Ray ABD.

Is Cystic Fibrosis a common disease in India? How much prevalent it is?

Post-mature newborn delivered normally of a mother who underwent renal transplant and mother is on a.......

Can ceftriaxone when given iv cause convulsions? I had such experience in atleast two or three cases. Please explain

When do you consider surgical removal of a chalazion in a five year old girl with a large pea sized one that has not responed to 5 weeks of warm compress, massage and tobradex ointment?

What is the cause of abdominal pain in adrenal crisis?

What is the incidence of trecheoesophageal fistula in the down syndrome baby?

I was wondering why a 13 year old girl with bilateral pneumonia, {diagnosed on xray} would be treated with IV antibiotics initially in hospital until fever settled. Why not antibiotics PO? There was no problem with vomiting or with GIT.

Which combination of antibiotics is most appropriate as chemoprophylaxis in a new born baby when mother had prolonged rupture of membranes { More Than 12 hours}? The setting is a 15 beded maternity nursing home.

A 13 year old male child has been on Sodium Valproate for 5 years for an episode of seizure. His E.E.......

Are there chances of nephrotic syndrome children to develop CRF in adulthood?

How does blood cholesterol levels increase in children? What is the exact pathology?

2 years old male child presents with recurrent eosinophila despite treatment with 2 courses of 21 days hetrazan and 1 short course of steroids. Transient response was seen. What is the further course of action?

What can be done in a case of postmastoidectomy ear discharge with facial palsy? Discharge sterile on 2 occasions.

How common is utero-vaginal prolapse in newborns and what are the causes and its treatment? How commonly can it occur in babies with lumbar meningomyelocele?

If an infant has received one hepatitis dose and has come for the second dose after 8 weeks. Can it be given or is rescheduling necessary?

A mother had Serum Rubella IgG And IgM positive Jan 2005. She had a miscarriage then at ten weeks ge.......

13 year old girl presented with complaints of facial puffiness since 3wks,abdominal distension for 2.......

Child presents with dismorphology- long philtrum, hypotonia and mental retardation. What syndrome have these features?

Why is bone marrow aspiration not contraindicated in thrombocytopenia ?

What is exact difference between SIMV and SIPPV in mechanical ventilation?

Can a child have a throat swab culture growth of B hemolytic streptococcus and a negative ASO titre?

How to confirm the DPT induced seizures? Is there any need to treat DPT indused seizures with anticonvultions?

What will be the CSF finding in DPT induced seizures?

Why bone marrow aspiration is not contraindicated in child with thrombocytopenia but lumber punctre is?

I have many patients with cyanosis, polycythemia, normal cardiac cahetarization and normal hemoglobin electrophoresis. How should I treat them? Thanks

13 year male child present with ataxia for one month after falling in bathroom. He is known case of .......

What would be the most likely diagnosis of a child 4 years old coming with hepatosplemegaly, hand and feet swelling, lethargic, mild anemia, FTT and low albumin with no proteinuria.

Drug of choice in Recurrent UTI of 14 month old girl with normal VCUG.

For the treatment of umbilical granuloma ,silver nitrate cautarisation has been mentioned. {Nelson t.......

What is PONDERAL INDEX and its usefulness in IUGR babies?

This is regarding "cyclic Neutropenia". What is the treatment?

AN OTHERWISE NORMAL CHID AGED 3 YEARS, WITH INCIDENTAL FINDING OF THROMBOCYTOPENIA {PLATELET COUNT = 14000}. SHE HAS NO PURPURA. WHAT WILL BE THE MANAGEMENT?

A boy who is 4 yrs old did a test called " Antibody to Tuberculosis - IgM" , and the result was EQuivocal { 0.96 units }. Family screening is negative. Is it suggestive of TB?

Many parents complain of loose motion in infants at the time of teeth eruption. We have been taught .......

If a pregnant mother gets a scorpion sting, is there any correlation that the baby born will develop minimal or no symptoms of envenomation?

Can infant botulism can be blamed as a cause of floppiness for a child who survive the acute illness and for how long its effect will remain?

Is mumps recurrent?

Can "Cefepime" be used in the treatment of meningitis and osteomyelitis?

I want to know the latest management of congestive cardiac failure in a neonate.

Male child aged 6yrs has gall stones. What is the role of gallstones dissolving drug in children and its dose?

How will you approach a 10 year old child who presented with facial puffiness. No history of oliguri.......

Is the hepatitis A live attenuated vaccine safer and better than the killed one as only one dose is needed and that too at the same cost?

A breast feeding mother having a two month infant develops Chicken pox. How is the infant and mother to be managed?Is Aclovir to be given to the mother?Is the infant to be given VZIG,Acyclovir?

How to differentiate ABG whether it is venous sample and arterial sample.

Treatment of excessive sweating of a 2 year old child

What is treatment of excessive salivation of a 9 months old child though oral cavity is clinically normal.

I WANT A LIST OF ALL GLUTEN FREE FOOD FOR A CHILD WITH CELIAC DISEASE

IAP has mentioned 5th PRIMARY DOSE of OPV at 6th month of age. But latest 2005 version iof IAP guide.......

I would like to know what is whartons jelly cyst? Are they common and are they benign? Articles pres.......

2 month old baby of a working mother. BF not possible in day time {9 working hours} . Started by a.......

I need clarification regarding congenital hypothyroidism screening. Some countries do screening for .......

Treatment of of liver and lung hydatid cyst.

Does condition neonatal kwashiorkor exist?

2 and half yr old boy who gets recurrent vesiculopustular lesions over palms and soles which is itch.......

A 2 month old child coming with h,o of poor weight gain and fever for 2 weeks. The child was found t.......

Does a single blood transfusion {either pcv or whole blood}affect bone marrow examination. if it is so after how many days of blood transfusion bone marrow aspiration should be performed?

a 5 month old male has come to me with fourth episode of loose motions . the first attack was at one.......

12 years old male presented to the casuality complaining of: fever,dry cough,S.O.B and swelling of t.......

A 12 years old child with otism, scoliosis of thoracic spine of 15 degrees, with carotinemia, lipid .......

Dear sir 4y male child present with abnormal jerky movement involving all the body with ataxia and .......

1 year old child with a birth weight of 1800 gms{ full term } now has a weight of 7 kg. In order to grade PEM, what should be taken as expected weight ? Upto what age can diagnosis of PEM be made ?

Newer treatment for staphylococcal pneumonia

Why do children less than2yrs get only bronchopneumonia and not lobar pneumonia?

IAP has given guidelines for management of HIV {pcr positive}infants and children which depends on e.......

fanconi's anaemia . Please give incidence, diagnosis and management

15 month infant is visiting India. Is malaria prophylaxis recommended and if so the drug and dosage.

Disadvantages of smoking

Any online reference about WHO clinical case definition of HIV in children? Whether case definition issued for adults can be applicable to children also.i.e. 2 major and 2 minor criterias.

What is coeliac diet?

How many days usually should a child stay at home before reentering a scholastic enviroment after an.......

What exactly constitute Hypervitaminosis D ?

What can be the cause of bilateral occipital protuberance in a five year old multitransfused thalasaemic patient?

8 year old boy with 2 episodes of lt knee monoarthritis accompanying exudative tonsilitis in a span .......

WHAT IS THE DOSE OF AZITHROMYCIN IN ENTERIC FEVER? WHAT IS THE DURATION OF TREATMENT?

What is the dose of ibuprofen for treatment of PDA? What are the indication of surgery?

What is the drug of choice for helminthiasis in a 11 month infant?

13 years old obese patient with a weight of 65kg has DM {diabete mellitus}, acanthosis nigrican. What are the likely future complications?

Causes of upper moter neruron with absent ankle jerk and up going toe.

8 year old girl born of non consanguinous parentage with diffuse thyroid swellig since 3years on dex.......

Why all NSAIDs are not given for the treatment of Rheumatic fever?

How will you assess the intelligence of autistic patients?

What are the indications of metabolic screening in neonates?

What are the clinical evidences of VSD closure?

What is the clinical evidence of VSD in TOF?

What are the side effects of long term usage of promethazine tablet?

Can protein losing enteropathy present without diarrhoea? What is the diagnostic method of choice in protein losing enteropathy?

Treatment for Gammascab lotion ingestion

Respected Sir, Madam, this is regarding a five month old female baby born of a non non-consanguineou.......

What is the role of Tablet Udiliv in treatment of infectious hepatitis? Many doctors write it these days in adults.

Can Vaccines of different manufacturers be interchanged while completing the schedule?

4 years female presentd with sudden attack of fever,loose motion. No Family history of favism,or blo.......

In baby with hemophilia how does one give vaccination?

what is the best drug for prophylaxis for malaria? Most for the visitors are prescribed mefloquine.

Treatment of infective endocarditis in brucellosis

It has been mentioned in textbook that urinary tract infection can lead to direct hyperbilirubinemia.......

My baby took Tetra Hib vaccination last month and it formed an injection abscess.How ever there was .......

How do you treat hemophagocytic syndrome and how do you follow up such patients?

What is the role of steroids in dengue fever?

What are causes of cardiomegaly without murmur?

Treatment for the baby with maternal thrombocytopenia

Does a V-P shunt cause intestinal obstruction in a child having congenital hydrocephalus?

Is 25 Percent glucose hypertonic or hypotonic fluid?

A three months boy has not formed BCG scar. Does he need 2nd dose of BCG?

What is physiology and pathogenesis of febrile seizures?

Could Tonsillitis " bacterial type" occur befor age of 3 years or is it very rare?

Can we use propranolol i.v to treat SVT with heart failure, in infants if other methods for restoring sinus rythm like ice bag on face was not succesful or other drugs are not available?

What is the youngest age at which Monteleucast can be used? What are the side effects of long term use of Moteleucast and is there any monitoring to be done for the same?

Can you please tell me how will macrophage activation syndrome present IN K,C,O JRA?

Is it safe to use the inactivated vaccine for JE currently available? where is the cell derived vaccine available?

A woman is hiv plus ve. She has delivered 4 days back. Postpartum her tuberculin test is positive. .......

In the recent past I have seen few patients of diptheria coming for medical attention within days of.......

My patient is 8 years old and male. He presented to us with high fever, generalized lymphadenopathy,.......

For how long we have to continue treatment with immunogammaglobulins for a case of panhypogammaglobulinemia? Thanks

Is there any correlation between hyperglycemia and organo-phosphorus poisoning?

A 2 yrs child has swallowed Mercury collected from a broken thermometer.What is the management and anticipated problems?

What is the current role of MRI in pyogenic meningitis in neonates?

A baby has vaccination of DPT and OPV at 6 weeks of age. He is almost 8 weeks. Can I give Hib vaccine alone at 8 weeks?

How to differentiate between primary and secondary PPHN in newborn baby?

A 12yrs old male known case of nephrotic syndrome since 2001 with 3 relapses. Last one in dec 2004. .......

A case of enteric fever with hypothermia . What is the cause and management . This hypothermia was after Nimesulide. Is there any link of Nimesulide in enteric fever to causes hypothermia?

For prevention of mother to infant transmission of hiv various trials are used like THAI, ACTG076 a.......

Neonate with gross hypotonia, cutis laxa, communicating hydrocephalus, acynotic CHD - pda and asd, abnormal facies such as high forehead, impalpable supraorbital ridge with feeding difficulty presents to me. What is the genetic condition?

We have a 10 year old boy with the foolowing features: Macrocephaly, Dolicocephaly, Hypertelorism, M.......

I have been referred a mother whose antenatal usg shows fetal mesenteric cyst. How to manage this case further?

1 year female paient has recurrent hypoglycaemic attacks with tachycardia tachypnoea, dehydration, k.......

A newborn presents with severe hypotonia and abnormal facies which included high forehead, supraorbi.......

When children between age 6-12 months present with halitosis without respiratory tract illness, where would the focus be? What should be done in such children?

Can you please tell me the features of pseudolymhoma syndrome caused by prolonged use of phenytoin? Will it produce hepato- splenomegaly along with generalised lymphadenopathy?

11 year old child came to OPD with scattered white hair. Positive Family History in older brother. What is differential diagnosis?

Can you please tell me if Warfarin is safe in lactating mothers? Will it cause bleeding tendencies in the baby?

A 3 year old child who was diagnosed as a nephrotic syndrome is not cooperative in taking oral prednisolone. Can i use injectable methylprednisolone as an alternative drug?

Can the use of dexamethasome be linked to precocious puberty in premature infants?

Can a healthy newborn or an infant travel safely in aeroplane?

A leading brand of chickenpox vaccine turns straw in colour after dilution. The leaflet with the pro.......

Just wanted to know the role of beclomethasone dipropionate in form of dry powder inhaler specially in childern, whether dpi is more effective then mdi in chronic asthma management in childern?

WHAT ARE THE DIETARY RESTRICTIONS DURING VINYL MENDELLIC ACID TEST?

Should urine bile salt and bile pigment be positive for viral hepatitis A?

What is the differential diagnosis of fleeting joint pain?

WHY ABNORMAL MOVEMENT OF RHEUMATIC CHOREA DISAPPEAR IN SLEEP?

Why joint pain in acute rheumatic fever is fleeting?

I would like to know how can I manage a case of autoimmune hemolytic anemia {agglutinin cold antibodies}, one year old, her hemoglobin 7gm Percent, her blood group AB plus which isn`t compatible with the same blood groups in our bank.

In baby with history of neonatal meningitis is pertussis vacine contraindicated? Why?

What is the dose of anti snakevenom in neuroparalytic snake bite?

What is the dose of tetanus immunoglobulin in tetanus neonaturum and in big children?

How important is the role of determination of Adenosine Deaminase as a diagnostic aid for Childhood Tuberculosis ?

During anti-malarial therapy why iron supplemenation is not given?

Causes of subcutaneous calcifications in one limb alone. Can extravasation of dopamine cause such calcifications?

Causes of pink colored urine especially in morning in children?

What`s the treatment for accidental kerosene ingestion presenting with intense cough and x ray signs too?

As a resident in a tertiary hospital how should I manage various congenital heart diseases referred .......

Can any one tell me about management of mosquito mat ingestion?

I would like to know how does keeping the ductus arteriosus helps in oxygenating a child of d-tga? { as the aorta is carrying unoxygenated blood and the shunt at PDA level is from aorta to pulm circuit}.

Respected sir, Madam, recently we came across a case of intrahepatic biliary atresia with marked fib.......

12 years old male presented to the casuality complaining of: fever,dry cough, S.O.B and swelling of .......

IF A CHILD {AGE-2.5YRS}COMES TO ME WITH NO IMMUNISATION HISTORY , HOW MANY DPT DOSES SHOULD BE GIVEN?

What is the role of topical antibiotic ear drops in treatment of acute otitis media?

How common is amoebiasis in infants?

Can dopamine and dobutamine can be mixed in same infusion?

What is the Vitamin D therapy dosage and route of administration for infant and children?

What is dose of diazepam in case of tetanus by continous iv drip

2 month oid baby came to opd clinic with cystic swelling 2×2 at side of BCG. Baby is well, thriving, afebrile, no axillary LN swelling, feeding well. Does baby need antitubercular drug therapy?

11 year rajsthani female born of non-consanguious marriage presented with c,o- 1. abdominal pain si.......

What is the cause of gross wasting in HIV ?

Can the baby survive without PDA in- utero?

Can we get aphasia,dysphasia in internal capsular lesion? If yes HOW ?

Where is exactly is the pathological lesion in pre-sinusoidal portal hypertension?

What is the pathology of todd's palsy? How long it will last maximally?

The half life of dexamethasone is 24 hours, then why we are giving it six hourly in treatment of bacterial meningitis?

My daughter-in-law broke out with shingles two days after their wedding, on their honeymoon. Three w.......

WHY ALBENDAZOLE IS GIVEN AT BED TIME{NIGHT}?

SHOULD MENINGOCOCCAL -A plus C VACCINES BE GIVEN TO ALL NORMAL CHILDREN?

A neonate presenting with massive pericardial effusion drained on 2nd wk of life. Exudative type. Only positive finding is both mother and baby are Hepatitis B positive. Can it cause such massive Pericarial Effusion?

I have a B thal patient who is hep B antibody negative and she has been immunised 2 times full immun.......

What are the best modalities for antenatal diagnosis of lipomyeloschisis and what are the chances of missing the diagnosis in antenatal routine ultrasound?

What are the causes of death in JRA of age group of 14 yrs?

When do we give booster dose of Hepatitis B vaccine? After 5 or 10 yrs of primary immunization?

Please highlight me about investigating a child aged 5 yrs who is getting recurrent episodes of parotitis. She is HIV negative. The individual attacks respond to Antibiotics and Antiinflammatory drugs.

Do we need to continue the treatment of cerebral malaria with Quinine or chloroquine after treating the patient with artimisinin drug?

Test for IgM antibodies for salmonela typhii is how much useful to a clinician? On which day of infe.......

What is immunisation schedule for twinrix {combined vaccine for hep. A and B}?

10 year old male came with h,o weakness in both lower limbs since 1 day.there was h,o fever 3-4 days.......

CAN STEROIDS CAN BE USED IN DIAPER RASH?

Do oral hypoglycemic drugs have a role in type 1 Diabetes Mellitus?

What is the reliability of typhidot in diagnosis of enteric fever?

What is the pathological difference in Wilson's disease,Menky's kinky hair disease and ICC ?

How knee chest positioning helps in managing cyanotic spell in Tetralogy Of Fallot?

What are the actions of NSAIDS and steroids in Rheumatic fever?

In kerosene poisoning which antibiotic is safe after pneumonia develops?

In my clinic, a male baby aged 1.5 years presented with developmental delay. On physical examination.......

In continuation with the last query: Regarding the previous case I asked for, we did liver biops.......

I would be happy if some one helps in diagnosis of this problem. 13 yr old child presented to us wit.......

Is polymaltose complex form of iron effective in treating iron deficiency anemia?

Which type of following solutions are hypertonic or hypotonic {a}GDW-5 Percent {B}ISOLYTE -P {C}GDW-10 Percent {D}ISOLYTE-M

A woman is hiv plus ve. She delivered 4 days back. Postpartum her tuberculin test was positive. Henc.......

Is aminophylline useful as a prophylactic measure in apnea in neonates?

6years male presents with exertional dyspnea,no cyanosis. Ecg and Echo plus clinical exam prove pulmonary stenosis. How to follow and manage such case?

How significantly can retrognathia cause obstructive apnoea with cyanosis, or any other additional risk factors should be there?

8 day old male baby born of nonconsaguinous marriage with compaints of passing brown colour urine st.......

Is there is any difference in clinical presentation of a down syndrome child if it's due to nondysjunctional or translocation type?

What's the pathogenesis and clinical presentation of lesch nyhan syndrome?

With so many new iron preparations in the market claiming higher rates of absorption, does the dose of iron for treating iron deficiency anemia remain the same viz-6mg,kg?

If I cannot find the PCV7 vaccine, can I use the polyvalent pneumococcal vaccine for my 2 months old baby?

How do yoy manage and follow a case of VSD ,15y old with diameter Less Than less than 1cm ,CXR is normal ,ECG is normal ?

Is there any new treatment regimen for severe type of epidrmolysis bullosa?

A 2 day old non-asphyxiated baby whose mother had an adequate liquor volume in a scan done 10 days b.......

For how long has phenobarbitone to be given to a case of neonatal hepatitis with hyperbilirubinemia?

Which antipyretics can be safely used in cases of viral hepatitis?

Can Ondensetron or domperidone be used as antiemetics in cases of viral hepatitis?

Which carbohydrate, LACTOSE or SUCROSE BE USED IN INFANT MILK FORMULA? WHICH ONE IS MORE INFANT FRIENDLY?

When should MENINGOCOCCAL - A plus C VACCINES given?

Should ORS plus PROBIOTICS{LACOLITE, BIO-RS} be used as combinations or should ORS and probiotics be used separately?

Could we use the drug omperazole for treating GER in infants,and how much the dose and duration ?

2week old full term born newborn presented with lethargy,weak cry. Previous 2 siblings died at day 2.......

A 10 YEARS OLD GIRL HAS A SMALL VSD {4mm}. SHE IS OTHERWISE HEALTHY. WHAT SHOULD BE THE TREATMENT?

Why staphylococcal scalded skin syndrome mostly affects infants? What is its pathology?

Can we get cardiomegaly in TGA with VSD and PS? How?

What is the use of the drug enalapril in pediatrics? What is the dose and what are the side effects?

Will clubbing regress in Tetralogy of Fallot when there is anemia?

What is the definition of mental retardation?

What is the minimum age at which IQ can be assesed?

Why cyanotic spell appears around 6 months of age in TOF ?

What are the actions of propranolol in cyanotic spell?

What is the rationale of giving oxygen in cyanotic spell?

2y old child present with ataxia, flushing ,tachycardia More Than 150,m, drowsiness. The mother gave history of bitter almond ingestion. How to manage her?

Why chorea occurs in rheumatic fever?

Where is the site of lesion in atonic cerebral palsy?

In one single visit, a nine months old unimmunised child can be given which vaccines?

What is the etiology of reccurent parotitis in hiv?

Why there is palmar erythema and parotid swelling in chronic liver disease?

What is the criteria for remission in acute lymphatic leukemia?

What are the indications of steroids in henoch shonlein purpura?

When will you call chronic liver disease?

Can we give routine immunisation to all cases of cerebral palsy?

What are the clinical features of hyperspleninism in children?

Is there any role for aspirin in rheumatic chorea?

What is the dose and route of administration of vitamin k in chronic liver disease?

How stridor occurs in hydrocephalus?

Can Arteether and Quinine be administered simultaneously in severe P.Falciparum malaria?

Why neonate's BP is lower than adult's BP{ half of adults value},while cardiac output and heart rate are higher than adults?

Can a 5yr old male have left conjugate gaze palsy involving left MLF ,with simultaneous UMN type of facial nerve palsy as a complication of TB Meningitis?If SO ,kindly explain the mechanism.

12 yr old female presented with generalised joint contractures including inability to open mouth ful.......

What is mediterrenean fever, what causes it and how is it cured?

What is the prognosis of advanced stage of hepatitis-C currently?

An eight and half years old female child was brought to me with following positive points and invest.......

Dear colleagues, I have a patient - 2 years old female child presented with itching in hot weather........

What is the cause sclerotic subphyseal bands in distal and metaphyses of left radius and ulna?

1yr1month old male child has a black patch back of tongue,duration over 1 month,slightly raised from.......

IS THERE ANY TREATMENT FOR MESENTERIC LYMPHADENITIS?

A CHILD HAS TAKEN 3 DOSES OF ANTIRABIES 10 MTHS AGO. AGAIN HE HAS TAKEN 5 DOSES OF RABIPUR 1 MTH BACK.WILL IT DO ANY HARM?

A 2YRS 7 MNTHS CHILD IS STILL HAVING OPEN ANTERIOR FONTANELLE.IT IS PULSATILE, NOT BULGING. HEAD CIRCUMFERENCE and INTELLECT are NORMAL.WHAT INVESTIGATIONS TO DO? WHAT ARE THE D,D?

A 12 year old male child is suffering from RHD with Mitral regurgitation and Mitral Stenosis. Echoca.......

IS THERE ANY ROLE OF AMBROXOL IN ACUTE ASTHMA?

A 6YRS BOY IS HAVING RECURRENT ATTACKS OF PAROTITIS WITH FEVER. HE IS IMMUNISED AGAINST MMR. WHAT WILL BE THE D,D?

A 5YRS BOY WAS BITTEN BY A DOMESTIC DOG 9 MONTHS BACK. THE RECEIVED 3 DOSES OF RABIPUR ON 0,3 and 2.......

What conditions should one think of in case of fecolith in a child under one year of age?

What is the difference between diplegia and paraplegia?

Why Familial fatal Insomnia, Gerstman Straussler sheinker syndrome ,dementia patients should not donate blood?

Should all newborns be given stomach wash after birth by passing a nasogastric tube?

Now it has been recomended that in kawasaki disease the antinflammatory dose of aspirin been reduced.......

A seven year old male child presented with pain in legs, unable to get up from bed. On examination c.......

A 6 yr old child with hydatid disease of Right lung underwent surgery yesterday. Is it necessary to give albendazole and for how long?

How long should we give imipramine for bedwetting in partial response? Any better drug? Any known side effect of new drug?

16 years old girl with diabetes mellitus diagnosed one year ago and given insulin as two doses one o.......

IS PRIORIX VACCINE{MMR} SUPERIOR THAN CONVENTIONAL MMR VACCINES WHICH WE WERE PREVIOUSLY USING?

WHICH ONE IS RATIONAL: EASY FIVE{CHIRON}VACCINE OR HIBERIX- plus TRITANRIX HB VACCINE? IN TRITANRIX-HB plus HIBERIX WE HAVE TO RECONSTITUTE BUT IN EASY FIVE WE CAN GIVE IT DIRECTLY.

At what minimum weight of a baby can BCG be given?

We have a case of neonatal thrombocytopenia. Mother HIV plus VE,totally asymptomatic except moderat.......

Does oral formulation of Ofloxacin causes raised intracranial tension as is seen with Nalidixic acid ?Whether Nalidixic acid comes under quinoline group?

Which one is rational in anemia, carbonyl iron formulations or conventional ferrous iron formulations?

Should ceftriaxone be used in enteric fever or ceftriaxone -sulbactam combination be used?

IN DOG BITE WHICH ONE IS SUPERIOR: HDCV OR PCEV?

SHOULD HIB VACCINE BE USED ALONE OR SHOULD IT BE USED IN COMBINATION VACCINES?IS THERE ANY HARM IF HIBERIX AND TRITANRIX-HB ARE MIXED AND USED?

IS THERE ANY ROLE OF ONDANSETRON IN MOTION SICKNESS?

SHOULD NIMESULIDE BE USED AS ANTIPYRETIC?

A 4 MONTHS MALE BABY HAS TAKEN 4 DOSES OF HEPATITIS-B VACCINE.ONE AFTER BIRTH,NEXT AT 6 WKS ,10 WKS, and 15 WKS.WHAT WILL HAPPEN AS HE TAKEN AN EXTRA DOSE OF HEPATITIS-B VACCINE?

SHOULD FLU VACCINE BE GIVEN TO ALL IMMUNOCOMPETENT CHILD?

WHICH ONE IS MORE USEFUL IN Respiratory tract infections- CEFEXIME OR CEFPODOXIME?

IS RACECODOTRIL APPLICABLE IN ACUTE DIARRHOEA?

Can one of twins be HIV positive and other negative?

Can a hypothyroid mother continue taking Thyroxine tablets while breast feeding her baby?What effect will it have on the baby? Will it affect the results of Thyroid fuction tests in the neonate?

In TPN in premature infant, do we need to maintain any specific concerntration of aminoacids?

Does erythromycin have effect on gastrointestinal motility? if yes, can we use it to increase gastric motility in neonates?

Is there any need of vaccinating a child who has suffered from Hepatitis A?

An infant presenting with Acute upper respiratory tract infection and accompanying vomiting and leth.......

How do salicylate ingestion can lead to raised levels of serum uric acid?

Can vitamin D administration lead to gall bladder stones?

What is the minimum age when Inj. Chloroquine can be given?

10 years old girl suffering from type 1 Diabetes mellitus for last 4 years. Her weight is 30kgs and.......

17years old girl had 1st episode of jaundice at age of 7yrs. From July 04, she has icteric eyes, ur.......

Can cefepime be used in enteric fever?

A 5 yrs female child is having high fever{106 f}since 7 days.CRP is positive. WBC-6100,ESR-10,urine .......

A 4 year 4 month old child: Child had neonatal pustulosis- treated with antibiotics. Child had in.......

A 28 yr old woman, now 27weeks pregnant with fetus having complex cardiac anomalies {endocardial cus.......

In a child with cholestasis, can fat soluble vitamins be absorbed if given orally?

How to treat a case of infected molluscum contagiosum which is infected with secondary lymphadenitis?

How long can one wait for brachial plexus injury to recover caused due to birth injury?

6 month old child has been given BCG twice , but the scar has not developed. Does the child need to be vaccinated again for the same?

I had a patient aged 12 years with c,o fever 1 month back associated with vomting, for which he took.......

One and half year old boy-first product of II-consanguinous marriage had isolated progressive moto.......

A child received 3rd dose of hepatitis-b vaccine and developed chicken pox after 2 days . Will the effect of the hepatitis-b vaccine be nullifed? Does he have to take repeat dose of Hepatitis B vaccine? If yes,then how many days after?

A child known to have hemiplegic cerebral palsy, came with status epilepticus and persistent metabol.......

I have a 5 year old male patient who presented with 49 days of fever and pallor. He was admitted twi.......

I have a 10 year old white male with 5 days history of severe abdominal pain, afebrile with neg exam.......

10 years girl presented with history of severe muscle pain and fever for 15days , systemic reveiw and examination are NAD. INVESTIGATIONS:ALL ARE NORMAL EXCEPT HIGH ESR. What is the diagnosis to consider?

I am currently pregnant {15 weeks}. I would like to inform you that this is my second pregnancy. Fir.......

An 8 years old boy is admitted to my ward with polyarthritis for the past 5 days prior to admission .......

What to do in a child with mild hepatosplenomegaly but no complaints or other clinical findings?

How to manage a patient with nephrotic syndrome with very frequent relapses?

What is the dietary advise in hyperammonemia?

32 month old male with pneumonia and fever three times in the last six months. Serum IgG=570, serumIgA=39. How to manage further?

How to manage oculogyric crisis in pediatric age group? What is the drug of choice?

In managing a patient with kawasaki disease ,when is the best time to satrt the aspirin -is it after the IVIG dose or simultaneously? When is the best time to reduce the dose of the aspirin and when to stop?

IS CARBONYL IRON PREPARATION BETTER?

I have a 4 year old admitted at present in ICU on ventilator .Known case of bronchial asthma was adm.......

Is it safe to use inhaled steroids in a child who, as an asthmatic warrants its use,however is HIV plus and asymptomatic? Any specific recommendations?

Any scientific evidence for " Use of Quinolones in neonatal sepsis"? Is it recommended?

Can GCSF be given in an induction phase of a child with Acute lymphoblastic leukemia having a wbc count of 400,mm3 with high grade fever and negative cultures.

Can height be gained after puberty in girls and boys?

Inspite of ascitis ocurring secondary to hypoproteinemia it rarely occurs with kwashiorkor. Why?

A 9 year old child ,product of consangious marriage is brought to us with history of pallor. On exam.......

A baby was discharged from our hospital on 3rd day of life after being completely immunized for hepa.......

What could be the probable cause of increase in the WBC count after typhoid?

Sometimes it seen is that children get white spots on their face and sometimes these spots are also seen in their nails. It is generally thought that they occur due to calcium deficiency. What are the other causes?

Female child with chronic pallor for 2 years and needed blood transfusion 4 times previously. There .......

If parents are sickle trait or thalessemia minor what antenatal screening can be done?

A thalasemic girl{Beta Thalasemia minor-HbA2 = 5} is having high iron binding capacity. Does she require Iron therapy?

I want to know that weight for stature growth charts only gives you figures for weight upto to height of 137 cm. How will you know the weight from height of a female child whose height is beyond 137cm and a male child whose height is beyond 145cm?

Is Hepatitis B Immunoglobin necessary along with HB Vaccine if mother is HBSAG POSITIVE?

Can Inj.Contramal,Tramadol given during labour cause respiratory depression in the newborn?

Can nimesulide suspension cause urinary retention in paediatric age group?

Can nimesulide suspension be given in children between 6 months to 3 years of age?

What is starvation diarrhea?

In case of hypotonic cerebral palsy when lesion is cerebral, how a cerebral or umn lesion cause hypotonia?

I have a patient with a hemangioma on the ventral aspect of the tongue and undergoing sclerotherapy for the same. Is there a possibility of doing any surgery for the same?

An 8 yr old girl,weight 30Kgs, apparently in a healthy condition, developed low grade fever for 3 da.......

Infant 10 months old presented with acute onset of pallor { since 4 days }. This infant was treated .......

When should macrolides be prefered in children in primary care practice?

3 year old boy had 3 swellings on the scalp - biopsy proved Langerhan cell histiocytosis. Left optic.......

How long to treat with IV antibiotics and then shift to oral antibiotics in Enteric fever?

How useful is IV magnesium sulphate in treating neonatal asphyxia?

A 14 year old male child presents with insidious onset of loss of vision with generalised muscle wasting except on hands and feet with arthritis of knees and hips and progressive severe anemia since 2 years. What is the differential diagnosis?

I had got one child before 2 days with complain of fall from height with vomiting. It was head injur.......

A mother is taking Verapamil and Amiodarone for PSVT. Can she breast feed her child?

Is oral Fluconazole effective in treating pediatric Onychomycosis?If so,in what dosage and schedule?

Till what post natal age, in a preterm neonate is Ibugesic,Indomethacin effective for closure ofPDA? How long should one wait to see the response of the above drugs after the recomended three doses?

An 11 year old girl had strep throat 2mth ago. 1mth ago onset of LUQ pain, fatique and loss of app.......

What vasodilator and or treatment is appropriate for a 5 year old with Congestive heart failure?

Is pneumo-23 vaccine needed in a child with cirrhosis of liver with huge splenomegaly?If yes, how many doses?

A child has been bitten by a dog{street dog}6 weeks ago. What to do? What schedule of anti - rabies vaccine to be given ?

Is MMR VACCINE needed in a child of 7-10 yrs, who has taken mmr at 15-18 mths?

Is a booster of hepatitis-b vaccine needed after 5yrs?

A 4 month infant old male child presented with multifocal convulsion . Child was breast fed. Investi.......

Is there any advantage of MMR vaccine from GSK as compared to other MMR brands?

How to select a pulse oxymeter? For a budget of Rs 35000, what are the options? Thanks

7 month male child presented with left sided gynacomastia. No other physical finding. No h,o any drug intake. Milestone was normal. How to proceed with the case?

Can Paracetamol or Diclofenac suppositories be recommended for Children? If yes, on what indication and age group?

Does anyone use any other acute phase reactant other than C reactive protein to aid in the diagnosis of sepsis. What is the opinion about procalcitonin?. Thank you.

Can a patient with thalessemia intermedia needs to go for bone marrow transplant?

What are the causes of isolated 3rd and 4th ventricular dilatation with normal lateral ventricles, w.......

Does thyroxine supplementation in breastfeeding mother affect T3,T4,TSH estimation in the neonate?

Can a breastfeeding mother with hypothyroidism continue taking thyroxine medications?

How does one manage a neonate with positive IgM and IgG for toxoplasmosis? Can the combination of sulphadiazine and pyrimethamine be given as separate preparations are not available in India. Can spiramycin be used?

Can you suggest the significane of delayed detachement of the umbilical cord in a sick preterm.

Treatment of chloroquine resistant falciparum malaria in children?

What are the consequences of inadvertently giving two doses of Varicella vaccine to a child less than 3 yrs old but given more than 6 months apart?

A 5 yr old child was diagnosed to have nephroyic syndrome in relapse. He is having respiratory infection. Started on Anti Tuberculous drugs. When should we start steroids?

Which test is more "specific" to the diagnosis of Dengue fever? How much of importance to be ascribed to do detection of IGM antibody by ELISA in dengue fever?

9 year old boy, presented to ER with severe allergic reaction to halloween mask, angioedema of eyes,.......

Is it safe to use Propafenone in arrhythmia induced by viral myocarditis? Why?

7 yr old male child came with h,o fever and cough since 6days, malaena since 2 days. Physical exam r.......

2 half month old child with fat malabsorption is not gaining weight. Child is on exclusive breast feeds. Presently child is weighing 2.2kgs. Tell me how to improve his nutritional status? Can we use MCT in this child?

HOw is barium meal follow through helpful in malabsorption?

HB-ELECTROPHORESIS: HB-F:34 Percent, HB-A:5 Percent, HB-E plus A2:59 Percent IN A 6 YRS OLD CHILD. IS IT B-THAL?

Do children having propranolol to control their cyanotic spells in TOF have a high ionotrope requirement after the repair surgery in ICU?

A 10 year male child presented with incontinence of urine and sometimes fecal incontinence since 6.......

A 10 years old female child presented with blindness since 4 years of age. She was diagnosed as toxi.......

A 2 yrs 10 months is suffering from Nephrotic Syndrome since past 1 year. He had 3 relapses includin.......

What effect does ingestion of nail polish have on the developing embryo?

One week before delivery an ultrasound {to determine position of the baby} showed multiple cysts on .......

A 2.5 months male baby's HB-ELECTROPHORESIS REPORT: HbA: 79.7 Percent HbA2: 2.1 Percent HbF: 18.2 Percent IS HE A CASE OF THALASSEMIA?

What are the side effects of Rimactazid in children?

IS MONTELUCAST SAFE IN 2 YRS OF AGE?

CAN SUCRALFATE BE GIVEN IN A NEONATE? AT WHAT DOSE IT SHOULD BE GIVEN?

IS CHICKEN POX VACCINE MANDATORY FOR ALL CHILDREN?

IS ONDANSETRON SAFE IN A CHILD OF 6 MONTHS? CAN IT BE GIVEN IN ACUTE GASTROENTERITIS?

A 14 years old child with presentation of severe anemia came in near failure with HB of 3.5 needed b.......

Should Calcium be added to the IV fluids routinely to all full term severely asphysiated babies?

A 4 year old child who has had fever of 1 month duration. On investigation was found to have primary.......

Is it necessary to give booster doses of HEPATITIS-B after 5 yrs.?

IS CALCIUM MANDATORY IN NEPHROTIC SYNDROME{ON STEROID}?

A CHILD HAS TAKEN 2 DOSES OF HEPATITIS-B IN 8-97 and 9-97. THEN A LAPSE OF 6 YRS. HOW TO CONTINUE HIS DOSES?

IS CALCIUM SUPPLEMENTATION MUST IN A NEWBORN{WT: 2.2KG}?

Is nimesulide safe for children?

CAN HIBERIX AND ENGERIX-B BE MIXED IN THE SAME SYRINGE?

A 13 week old girl is being treated for a UTI. After 3 days her fever is under control, however, her WBC count is the same as when she was admitted 24,000,cumm. Should we change the antibiotics?

A 12 yrs old boy was diagnosed to have primary pulmonary complex.He was given 6 months treatment of INH Rifamficin and Pyrazinamide. Does it mean he has completely recovered from it or can he have reactivation later in life?

Male child 3 half "Years" with persistent catarrh and coughs, chest Xray shows huge thymic shadd.......

Male child 3 half months with persistent catarrh and coughs, chest Xray shows huge thymic shaddo.......

A child with factor IX deficiency {7 Percentof normal}needs liver biopsy for chronic hepatitis. He h.......

What is the abnormality of the brain where the brain does not split into two halves?

What is "ATYPICAL NEPHROTIC SYNDROME" and what is the response to steroids?

What is the cause of relative leucopenia in typhoid fever?

Can height be gained after puberty in girls and boys

What is the rationale for dosing UTI prohylactic antibiotics at bedtime??

A 4year female child presented with mod. grade fever since 2 days,mild puffiness of face and passi.......

Is there danger to fetus if mother has nephrotic syndrome?

What would be the blood group of a 3 half years old girl? Both the parents are A plus ve.

When can steroids be stopped in a case of SLE? Is there any role of alternate day steroids in a child of SLE and if so for how long?

Is TERFENADINE banned? Is FEXOFENADINE which is an active metabolite of terfenadine safe? Please explain in detail. Thanks.

what is better in a chid of 1 year, Salbutamol or terbutaline ?

A 4yr old had bilateral cataracts - operated in October last year. Now advised to have IOL implants. What would you recommend?

A 7 month old girl has a 3 recurring anterior bulging fontanel. Everything has been ruled out so far.......

A child with nephrotic syndrome for more than 1 year with relapses every time the steroids are taper.......

Prognosis of polycystic kidneys and fibrocystic liver

What are the long term effects of Ritalin or ritalin based medication when beginning at the age of 4?

What is the sister disease to turner syndrome?

A blood test for T3 T4 and TSH is done for a child, which is taking steroids for increase in platelets. Will the results be original or will the test be affected by use of steroids?

A 17 year old with calcifcation in brain. What is the differentail daignosis? H,O migraine plus plus

Is breastfeeding safe when the mother has a cold sore outbreak? can the virus transfer to the baby this way?

What are the long term effects of renal pelvis dilatation due to PUJ obstruction?

What are the causes of high platelet counts?

A 15 months old male child has ?Breath holding spells since he was a few weeks old. He does it 3 to .......

A 5yr. old female child is salivating profusely for last 3 weeks, no other complaints,examination NAD . Suggestions please.

A 10 yr boy who did not have any significant problems earlier except reactive air way disease in lat.......

PROTOCOL FOR BIRTH ASPHYXIA

What is the dose of ofloxacin for children in URI and UTI ?

What is the dose of Chloroquine in the treatment of SLE and for how long can it be given? ?

What are the indications for starting oral steroids in a case of SLE{Systemic Lupus Erethematosus}?

What is the WHO recommendation regarding the management of Resistant Kala azar?

A 22Months old male child is having deficiency of factor VIII {5 Percent}. when he suffers from cold and caugh ometimes he bleeds from his nose. Is this bleeding related to hemophilia?

Is gingivitis contagious?

In which type of cerebral palsy aspiration pneumonia is more common

What is ivemark syndrome?

Treatment for thumb sucking.

NIMESULIDE IS HARMFUL IN CHILDREN OR NOT? IS IT SUPERIOR TO PARACETAMOL? WILL IT BE BANNED IN INDIA? WHAT IS IT'S INCIDENCE OF HEPATOTOXICITY IN INDIA?

I came across a five days old baby with drying umbilical stump. There was a yellowish creamy materia.......

If splenectomy is done, should we give prophylatic antimalarials throughout the life? Also is pnemococcal vaccine to be repeated every 5 years or to be given once only in these pts?

Which antihistaminic can be used safely in infants especially less than 6 months old?

Can IV Nitroglyserine be used to treat hypertensive emergency if IV Nitropruside is not avilable? If so at what dose?

A 34 months old boy is suffering from Nephrotic Syndrome. He is on prednisone 30mg,day since 4 weeks.......

Can we use ORAL Ibugesic for trt of PDA in Preterm babies?If not what is the injectable preparation avilable in India for treating PDA?If given PO what is the dose?

A 2 years-old girl drinks water a lot {2 liters a day} and urinates a lot. Her father is a diabetic. What should be the differential diagnosis considered?

A girl aged 10 months has a low neutrophil count - 400. The child is asymptomatic and never been sic.......

IS NALIDIXIC ACID BANNED IN INDIA FOR USE IN PEDIATRICS ?

Duration of antibiotic therapy in enteric fever with ciprofloxacin for a child of 10 years ?

A 17 yr. old male child - complaint of inability to flex his fingers and short stature and delayed puberty and broadening of the wrist and small jt pain. CNS examination is normal. What is the possible diagnosis?

Can DPT plus HEP-B plus HIB plus OPV BE GIVEN IN ONE SITTING FROM THE AGE OF I.6 MONTHS? CAN TRITANRIX-HB and HIBERIX BE MIXED IN ONE SYRINGE?

How to treat when an infant comes to out patient dept. with history of diarrohea,vomiting- with moderate dehydration?.

Prognosis of benign neonatal myclonus of sleep.

what is the disease where the following signs are seen: *brownish discoloration of the sclera *brown.......

Why there is macrocephaly at birth in a case of glutaric acidemia type 1?

Is lansoprazole, tinidazole, and clarithromycin given to pediatric patients? If yes, what are the dosages?

A 20 day old baby was recently brought to from an ashram.Being an abandoned baby she is being fed la.......

How to know approach to a case of micropenis ?

Can doxapram be used in older children?

How to diagnose partially treated bacterial meningits ?

How Diazepam infusion is used for refractory seizures?What dosage?

How to diagnose partially treated bacterial meningits ?

How Diazepam infusion is used for refractory seizures?What dosage?

Is the development of the lung affected in TGA?

Is their any modification to the Immunization schedule in a neonate who has undergone exchange transfusion?

Are their any trials of Inj.Voveran in the treatment of PDA as it the only injectable alternative to Indomethacin in India?

What is the dose and schedule of Ibuprofen in the treatment of PDA?

A 12 year old with Spina Bifida has developed extreme hypertension. She has a broken left knee cap and a displaced right hip. Kidneys,neuro,tumors, stress or heart related has been ruled out. What could be the cause of the hypertension?

A 12 years old male child is poor in studies. he is not able to reproduce in writing {In the examina.......

How to treat when an infant comes to out patient dept. with history of diarrohea,vomiting- with moderate dehydration when the parents are not willing for admission ?

I have had lot of cases of perinatal HIV with DNA PCR positive but subsequent ELISA negative. Any comments.

A couple has 2issues. Both developed ascending paralysis beginning in the legs at 4 months of age an.......

A child has swallowed a Digital {button}Battery. Is it poisonous? What is the management? Thanks.

Can inhaled Budesonide at 400mcg.,day,{ long term } produce Fungal infections of the lungs or resistant Bacterial infections of the lungs and bronchi?

What is the treatment and its duration for a case of Tropical Slenomegaly Syndrome in a Malaria endemic area?

Can a 2yrs old child having Thalessemia minor also have concomitant Iron deficiency? Will giving Iron supplements in this situation lead to Iron overload?

What is the treatment avilable in India for a case of SSPE?

In last 6wks I have been seeing numberof cases from infancy to 6-7yrs. children presenting with paro.......

A child has taken 1st Hib shot at age of 7 months, took 2nd shot at 8 months, 3rd shot at 9 months deferring Mealses Vaccine for 1 week. Will the unwarranted 3rd monthly dose likely to harm the infant? What about the booster dose?

I saw 3 babies duing early neonatal period who refuse to latch to the lactating breast although atta.......

A child, with category III dog bite, recieved Neural Vaccine and Anti Rabies Serum on day of bite. He wants to switch over to cell derived Vaccine. What schedule of cell derived vaccine should be followed?

A 15 weeks pregnant woman shows Rubella IgG Ab positive. This is her second pregnancy. What should be the next course of mangement?

Is there no role of the diuretics in nephrotic syndrome? what is management of choice in child presenting with severe anasarca with ascitis? child is on steroids already.

A 4 year old girl is gettting her secondary upper insicor. I realize that this is quite early, is it a matter of concern? What should be done?

A three years old child had bowed legs as a toddler and now has knock knees. Her lower legs are about 4 inches apart when her knees are touched. Her great grandmother had knocked knees as an adult. What needs to be done?

What is Bactec culture technique?

can ofloxacin be used in pediatric age group.if so ,from which age groups onwards and for what all indications.

what is dose of hepatitis -b vaccine in immunocomprimised persons

While correcting hyponatremia the multiplication factor used to calulate sodium deficit some books mention it as .3 while some as .6 which is correct?

A patient had come to me with short stature constipation and delayed in school .She was found to be .......

A 6 year old child just got his permanent lower central incisor, but it came in behind his primary teeth, which are not even loose. It's like a second row, What should be done?

12yr. male proved B-0 Thalassemia admitted for mod to severe abd.pain,fever of 102F and mild jaundic.......

A 2 year old child has come with fever since 5 days and petechiae on the soft palate. What would be the differential diagnosis?

My son has urinary urgency but has no urinary tract infection. His pediatrician has tested his urine and given him laxatives due to stool present in rectum. He still has the urgency. Is there something he may be overlooking?

If a baby has a slightly sunken fontanelle but is fine otherwise, what should be done?

An 8 year old girl has a whitish umbilical discharge. What are the causes and how should I investigate the child?

What are the current recommendations for management of MDR TUBERCULOSIS IN CHILDREN

10 yr old female child with knee joint pain ,pallor ,hepatosplenomegaly.peripheral smear showing atypical lymphocytes 3 Percent,thrombocytopenia.what is the differential diagnosis?

what is the differential diagnosis of tumors or space occupying lesions in the region of clivus or pituitary gland

I have a child who will be attending my school that has been diagnosed with Primary Pulmonary Hypertension. He is currently on IV Flolan. I am interested in anything you can give me on care for the active school-age child with this situation.

what is the differential diagnosis of tumors or space occupying lesions in the region of clivus or pituitary gland

We have a child about 3 yrs old with H nana infestation. We are unable to get Niclosamide , Praziquantel . Other options ?

Can a child get head lice if they have scalp psoriasis or eczema?

Can Ecosprin 325mg which is a 'delayed action' ASA be used as against plain Aspirin to treat rheumatic state?

What D.D. do you suggest for a child of 4 months with Resp Distress ,fever, cough, lymphocytosis 90 .......

I have an 8 year old daughter who still wet's at night. We have tried the standard things, nothing to drink after a certain time. Bladder streching exer. and such. She has now started to have U.T. infections. What can be done?

Can nutritional rickets be seen in only one twin with both twins having the same diet?

10-year-old female diagnosed for fibrous dysplasia. Bone curettage, bone grafting and steel plate fi.......

A 10 year old girl was anemic or borderline normal for her whole life. The last time she was tested was about 3 years ago. This time, her hemogloben was 17.3. What to do further?

The penis of a 9 year old is almost non-existent {micropenis}. His scrotum appears to be normal size. What to do?

I have a malignant skin disease namely "Neurofibromatosis". I am getting tumour like lumps on my neck and stomach. Is there any medicine for preventing the spreading of lumps on my skin? What is the treatment for them.

A 9 month old boy has S,S including:inspiratory and expiratory wheezes, difficulty breathing, and a rash. What could it be?

My daughter is 6 months old. When she was born the doctor said she has an anterior anus. The only vi.......

A newborn baby was given Hepatitis B vaccine on day 1. On day 4 an exchange transfusion was performed due to neonatal hyperbilirubinemia. Can we consider the vaccine given still of value or should we repeat it ?

Is giving our 3yr. old son milk at night, or in the middle of the night, bad for his teeth?

I have a child who had a CBC today and his platlets were 86,000 and WBC was 3,000. This is accompanied by a fever that stays around 102 to 104. He's had a fever for 3 days. What to do?

FOLLOWING BCG VACCINATION A CHILD AGED TWO AND HALF MONTHS COMES WITH SWELLING IN AXILLA AND MEASURING AROUND 1.5 CMS. THE SWELLING IS SLIGHTLY RED AND SEEMS TO BE NON TENDER WHAT SHOULD BE DONE ?

Is it necessary to give Passive immunisation of Tetanus in a person under proper Active immunisation coverage.

What is normal temperture for a 4 half month old? At what degree temperture is it considered as fever?

IS THERE ANY RELATION BETWEEN MARKEDLY RAISED LEVELS OF SGOT,SGPT ENZYMES AND PROGNOSIS OF A HEPATITIS CASE

A 20 WEEK OLD BABY HAS FAILURE TO THRIVE. HE IS BREASTFED AND WEIGHS ONLY 10LB 14OZ. HE HAS NOT GAIN.......

My daughter complained of a back ache for a few days. Today, she told her teacher she couldn't get u.......

My daughter is 15 months old. - She was a very sound sleeper until very recently. For the last one .......

My daughter is 15 months old. She has not said her 'first word' , though she understands and can respond to simple commands. She can even identify ojects by their names. Should I be worried? Her other milestones were more or less on target.

I have 3 months old daughter. She has some white scars, very light, below eye area. What does it mean?

My second child is male 2yrs and 6 months. he has started holding pencils and scribbles, and does mo.......

How much blood can be safely drawn {for testing}from a 37 pound 2- half year-old?

my daughter zones out throughout the day in class and doesn't hear when her name is called over and over again. I noticed that she does day dream alot. What should I do?

10 yrs male boy getting low grade continous fever since 2months.Appetite normal. no weight loss ,not.......

What do elevated rheumatoid factors signify?

My daughter is 3 months old. She has a red rash on both her cheeks and her chin. It appears dry and it is not bothering her. What could it be?

My 11 year old son has Tourette's and was recently diagnosed as right ventricle conduction delay. What could be the cause and how seroius is it?

My child occasionally wakes in the night complaining of leg and foot pain. He has asthma for which h.......

My Four year old daughter has underarm order like an adult. Is this normal?

My six year old son is constantly yawning. He gets at least 10 hours of sleep per night but the yawning persists. This has been going on for about a month. What is the reason?

My child is 7 weeks old. She rarely makes eye contacts with persons and toys,objects. She rarely gives social smile. Basically she seems to be quite lazy. Her EEG, CT-Scan and electolyte tests are normal. What could be the problem ?

My son is 1 month old and he has a hard lump underneath his one of his breasts. The other breast seems to feel normal. What this might be?

My child is 44 days old. About one week back whe was suffering from cold and slight fever when sudde.......

My 2 half year old son may have a mild form of Spina Bifida. He was born with a tiny pit in the b.......

I am 20 years of age and have been diagnosed as having turners syndrome since I was 17 years old. I .......

A six year old boy has tics. These "tics" are in varying symptoms. Last year it was a strong exagger.......

A two year boy is having squint significant on left side,recently noticed by parents.Child looks per.......

Is there any known association between Cornelia de lange syndrome and stomatocytosis ?

To control refractory seizures is diazepam or epsolin better for infants

Are mosquito repellants like odomos,Good Night etc safe for infants?What about sprays like Baygon etc?

A 1 month old baby presented with cyanosis, hyperepnoea,on enquiring had cyanosis since birth. 1.Could it be TOF with a spell 2.Does propranpolol have role in management of this baby

A three years old child suffering from dyserythropoietic anaemia is being administered regular top up tranfusions.Does the child need to be administered chelating agents ?

A three years old child suffering from dyserythropoietic anaemia is being administered regular top u.......

9 months old BCG vaccination given but no scar healthy child what is your advice regarding measles vaccination in this case

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