Access current issue (August 2010) online

Zainul Gagan

A 4 day old child presented with jaundice. On examination there was hepatosplenomegaly. Investigations revealed bilirubin level of 45 with direct component of 30, SGPT - 40, SGOT - 80 and Alkaline Phosphatase - 331. CBC shows anemia with thrombocytopenia. Reticulocyte count is 18 %. What is the diagnosis?

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

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

Last month's teaching file: A 6 years old girl presented with irrelevant speech, rowdy behavior and uprolling of eyes and clenching of teeth 8-10 times. There was no history of fever. She had a similar episode 1½ years back. She also had an episode of vomiting followed by limpness a month back. Her scholastic performance has decreased since past 1½ years. What is the cause of her recurrent encephalopathy ?


Answer: Lactic Acidosis

Missed the Seminar on Respiratory disorders - held on 28th March 2010 at Mumbai? Now access all the sessions online on www.pediatriconcall.com

Shrestha M, Basnet S, Shrestha PS
Comparison of Liquid Crystal Device (ThermoSpot) with Low Reading Axillary Thermometer in Detecting Neonatal Hypothermia.

Girija Mohan, Krishnan C, Sunil Daniel, Renjith Simil Joseph, Sarin K, Swapna K Pillai.
Cholelithiasis in a Young Infant

Bedangshu Saikia, Himanshu Aneja, Ayush Manchanda Carbamazepine Induced Pure Red Cell Aplasia in a Young Girl.

Amar Surjushe, Vinayak Kulkarni, Ravindranath Chavan, Minal Thakre
Subcutaneous Fat Necrosis.

Vivek Shivhare, Rajesh Kulkarni, Aarti Kinikar

Spot diagnosis?



Last month's image gallery:
Case 1:Tibia Deformity
Case 2: Recurrent Strokes

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