A 3 months old male presented with moderate ascites with slight firm hepatomegaly. Investigations show mild hypoalbuminemia. Marked increase in lipase level. Echocardiography shows mild percardial effusion. CTabdomen without contrast shows no abnormalities. What is the diagnosis?
Ira Shah
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 ?
Read the entire teaching clinical query in the section of “TEACHING FILES” and try the correct answer.
Last month's teaching file: An 8 years old HIV infected boy was referred for further management. At the age of 6 years, he was diagnosed to have ITP. He was treated with platelet transfusions, whole blood and steroids after which his platelet counts were normal. There was no other illness in past. Both parents were HIV negative. He continues to be asymptomatic. When should he be started on antiretroviral therapy?
Answer: This child currently does not require antiretroviral therapy.
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