June- 2005 Newsletter - Pediatric Oncall

DIAGNOSTIC AID (Updated): Get a differential diagnosis by typing in the symptoms and relevant features (e.g. Convulsions, hepatitis, arthritis, myalgia = SLE). Avail of this updated DIAGNOSTIC Tool to help you reach a differential diagnosis in your patients.

http://www.pediatriconcall.com/fordoctor/pediatricanalysis/pediatricanalysis.asp

Upcoming conference

PULMOPEDICON 2005: Avail details of the First East Zonal Conference on Pediatric Pulmonology to be held in Kolkata in June 2005.

http://www.pediatriconcall.com/fordoctor/conference/pulmopedicon2005.asp

Conference Abstracts:

Bihar PEDICON 2005:
Avail the contents of the scientific sessions of the BIHAR PEDICON 2005 held in March 2005 at Bhagalpur and revisit the important scientific sessions.

http://www.pediatriconcall.com/fordoctor/Conference_abstracts/biharpedicon2005.asp

Scientific sessions online:

• CLASSIFICATION AND DIAGNOSIS OF ANEMIA DURING CHILDHOOD: ABC OF CBC - Dr. Bharat Agarwal

• AN APPROACH TO A SICK CHILD - Dr. J P N Barnwal

• CONTROVERSIES IN RABIES VACCINATION - Dr. Tapan Kr. Ghosh

• CRYING CHILD - Dr. (Prof.) S. A. Krishna, Dr. R. K. Murmu

• AN APPROACH TO CHILD WITH FEVER - Dr. S. P. Srivastava

• ABSTRACT OF TALK ON “MENTALLY ADVANCED CHILDREN - Dr. S. K. Jha

• STREET CHILD: THE UNHEARED CRY - Dr. Bharat Prasad Singh

• From the desk of Organizing Secretary and Vote of Thanks - Dr. R. K. Sinha

Latest articles on Pediatric Oncall:

DIAGNOSTIC DILEMMA:
This month’s diagnostic dilemma: A 10 month old presented with recurrent pneumonia. BAL grew pseudomonas. Her ? F 508 mutation analysis for CFTR is negative, with normal sweat chlorides, negative HIV ELISA and normal serum immunoglobulins…
What is the differential diagnosis? Read the complete case and answer the dilemma…

Last month’s query of a 6½ years old boy with hepatosplenomegaly, intermittent anemia, intermittent jaundice and negative hemolytic anemia work up had lot of answers. Most viewers have suggested Wilson’s disease, hereditary spherocytosis, G-6-PD deficiency, Kala azar etc. The authors have replied that his Wilson's workup was negative. Liver biopsy was inconclusive. His bone marrow and liver biopsy did not show any evidence of LD bodies ruling out KALA AZAR. Barium meal follow through also is normal. They will repeat his G-6-PD after 3 months to see if he is deficient.

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

TEACHING FILES:
This month’s teaching File:
A 6 month old child had recurrent convulsions since day 10 of life. On examination he had tachycardia with cardiomegaly and hypertension. What is the diagnosis? Read the entire teaching clinical query 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 child diagnosed with Tuberculous meningitis and operated for VP shunt had clinical deterioration after 4 months of treatment. What is the cause of the clinical deterioration?
Answer: Since the child has been on Anti-tuberculous drugs since 4 months and now has deteriorated, one should consider Blocked VP shunt, tuberculomas, Progressive TBM with left middle cerebral artery vasculitis in the differential diagnosis. A CT brain showed multiple ring enhancing granulomas. Discuss this case further in the section of “DISCUSSION GROUPS”.

PRACTICAL GUIDELINES:
POST-EXPOSURE PROPHYLAXIS (PEP):
Tripti Pensi, Professor of Pediatrics, Dr.R.M.L Hospital, New Delhi
A very lucid presentation with tables gives specific guidelines for post exposure prophylaxis following exposure to HIV.

http://www.pediatriconcall.com/fordoctor/Infectious_Diseases/
diseasesandcondition/Conference_abstracts/post_exposure.asp

ORIGINAL ARTICLE:
SUCROSE AS AN ANALGESIC IN NEWBORN INFANTS
Dr. Amar .M. Taksande, Mahatma Gandhi Institute Of Medical Sciences, Sevagram, Wardha,
A study to assess the analgesic effect of orally administered sucrose in healthy full term newborn whereby sucrose solution seems to reduce crying and the physiological effect of a painful procedure in healthy neonates. Read the full text…

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

CASE REPORTS:
APERT SYNDROME
Neeraj Awasthy, Harsh Gupta. Safdarjung Hospital and Vardhman Mahavir Medical college, New Delhi.
Apert's syndrome (acrocephalosyndactyly) is a rare congenital disorder characterized by craniosynostosis, mid-facial malformations and symmetrical syndactyly. This is a case of an 11-month-old boy having all the features of classical Apert's syndrome.

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

DIPHTHERIA: Read about an unimmunised 1 ½ year old child who developed diphtheria and subsequently developed myocarditis, glomerulonephritis, peripheral neuropathy and hepatitis as post diphtheric complications. Read more…

http://www.pediatriconcall.com/fordoctor/casereports/diphtheria.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:
This is a 54 days old male with this swelling since birth. Authors- Awasthy, Karam Chand. Safdarjung Hospital, Delhi

Last months answers :
Case 1: Muscular dystrophy/ Congenital myopathy
Case 2: Oral thrush due to immunodeficiency

http://www.pediatriconcall.com/fordoctor/imagegallery/imagegallery.asp

Sincerely,

Pediatric Oncall


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