December- 2005 Newsletter - Pediatric Oncall

DIAGNOSTIC DILEMMA:
This month’s diagnostic dilemma: M.Natarajan.
2 year old toddler presented with cough, fever & difficulty in breathing since past 2 days. She had extensive wheeze bilaterally. Day 2 of stay child became drowsy. What could be the cause of drowsiness? Read more…

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

Last month’s query of a five year old boy with fever, petechiae, gangrene at ear pinna, convulsions (once) and signs of raised ICT had several replies from the viewers. Most viewers have suggested viral hemorrhagic fever and herpes encephalitis as probable causes.

TEACHING FILES:
This month’s teaching File:
A 7 year old girl presents with splenomegaly and anemia. Workup for hemolytic anemia, storage disorder, malignancy, portal hypertension and bone marrow suppression is negative. What is the cause of her splenomegaly? 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_list.asp

Last month’s teaching file:
Query: A 1½ year old girl presents with frequent head drops and low grade fever since 2 months. She had 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?
Answer: SOL most likely in the posterior fossa obstructing the 4 th ventricle. A neuroimaging urgently is required to prove the diagnosis. A CT brain in this child showed a posterior fossa medulloblastoma. Discuss this case further in the section of “DISCUSSION GROUPS”.

http://www.pediatriconcall.com/fordoctor/gd/gdCategoryWise.asp

REVIEW ARTICLES:
Steroid Resistant Nephrotic Syndrome In Children.
Rajendra Bhimma. This article reviews the pathogenetic mechanisms leading to the development of steroid resistance and the current therapies used in the management of this condition .

CASE REPORTS:
Severe Combined Immunodeficiency – A Case Report.
A seven months old male infant presented with recurrent oral ulcers, fever and failure to thrive. He had no tonsils. Read about the underlying immunodeficiency .

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

VIEWERS CHOICE:
Packed Lunches.
Monika Adhikari.
Read about innovative and nutritious lunches that can be packed for school which a child would enjoy eating .

http://www.pediatriconcall.com/forpatients/DietandDisease/packed_lunches.asp

IMAGE GALLERY: Try your clinical skills in the “SPOT DIAGNOSIS” for the fortnight and the lucky winner gets a set of 3 child health CDs – Courtesy Pediatric Oncall

This fortnight’s spot diagnosis:

Spot diagnosis?
Last months answers :
Case 1:Congenital syphilis (Winner – Dr Faisal Shafiq )
Case 2: (Winner – Dr Faisal Shafiq )

CONFERENCE ABSTRACTS:
- OOTY PEDICON 2005 : Avail the abstracts of the scientific sessions of the OOTY PEDICON 2005 held in August 2005.

Sincerely,

Pediatric Oncall


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