November - 2005 Newsletter - Pediatric Oncall

ISSN 0973 - 0958

November - 2005 Newsletter

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SPECIALIST ANSWERS

Rakesh Kumar, Puja Bhagat Department of Pediatrics, Katihar Medical College, Katihar, Bihar, India ...

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Get the Vaccine Schedule for your child."

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November-2005 Volume-2, Issue-11

Dear Doctor :

Latest articles on Pediatric Oncall:

DIAGNOSTIC DILEMMA:
This month's diagnostic dilemma: A 1½-year-old girl presents with facial puffiness since 3 months and polyserositis. Her urine albumin, autoimmune workup, color doppler of superior vena cava is normal. What is the cause of her facial puffiness? Read the case further in detail...

http://www.pediatriconcall.com/fordoctor/diagnosisdilemma/listdilemma.aspx

Last month's query of a 4 year old boy with recurrent jaundice, hepatosplenomegaly and raised liver enzymes had several replies from the viewers. Most viewers have suggested to rule out Hepatitis C and Autoimmune hepatitis.

TEACHING FILES:
This month's teaching File:
A 1½ year old girl presents with frequent head drops and low grade fever since 2 months. She hah measles 2 months back. On examination, she has hypertonia with brisk reflexes. After 3 days, she develops hypertension signs of raised intracranial pressure. What is the diagnosis? Read the entire teaching clinical query and see the clinical picture in the section of "TEACHING FILES" and try the correct answer.

http://www.pediatriconcall.com/fordoctor/teaching/clinical_propblem_week.aspx

Last month's teaching file:
Query: A 2 month old boy presents with chronic renal failure due to renal anomalies, congenital heart disease, multiple rib and vertebral anomalies, inguinal hernia with dysmorphic features and hypocalcemic convulsions. What is the genetic disorder?
Answer: The karyotype in the child is normal. The correct answer is VATER ASSOCIATION. Discuss this case further in the section of "DISCUSSION GROUPS".

CASE REPORTS:
APLASTIC ANEMIA DUE TO HEAVY METAL INTOXICATION:
Read about a 15 year old boy who had aplastic anemia with skin manifestations due to heavy metal poisoning -

http://www.pediatriconcall.com/fordoctor/casereports/aplastic_anemia_metalintoxication.asp

ORIGINAL ARTICLE:
TO ASSESS USEFULNESS OF WHO CLINICAL CASE DEFINITIONS FOR DIAGNOSIS OF AIDS IN CHILDREN IN DEVELOPING COUNTRIES
Preeti Raikwar, S. Thora, Liladhar Kashyap
This is a prospective study to determine the sensitivity and specificity of WHO guidelines for diagnosis of AIDS in children. Read more -

http://www.pediatriconcall.com/fordoctor/Medical_original_articles/who_classification_in_aids.asp

REVIEW ARTICLE:
BARIATRIC SURGERY FOR THE ADOLESCENCE
Sunita Goel
Obesity is reaching epidemic proportions in the pediatric and adolescent populations. Because of this epidemic, adolescents are increasingly seeking bariatric surgery as a realistic and effective treatment for their morbid obesity. Read more about this bariatric surgery -

http://www.pediatriconcall.com/fordoctor/diseasesandcondition/PEDIATRIC_ANAESTHESIA/bariatric_surgery.asp

Next : November-2005 Volume-2, Issue-11 [Supplement 3]

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Today's Poll

Should all patients with viral respiratory infection be treated with oseltamivir in current epidemic of H1N1 influenza_?

Yes, it may be H1N1

No, only if test is positive for influenza

Only in sick patients admitted in ICU

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