October - 2004 Newsletter - Pediatric Oncall

ISSN 0973 - 0958

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October-2004 Volume-1, Issue-7

Dear Doctor :

NEW FEATURES :

DIAGNOSTIC DILEMMA:
This month’s diagnostic dilemma: A 5 years old boy presents with recurrent episodes of hematemesis and hypoglycemia. He has been diagnosed as a case of chronic liver disease and his HBsAg, Anti HCV, ANA, dsDNA, Wilson’s workup is negative. What is the differential diagnosis? Read the complete case and answer the dilemma…

Last month’s query An 8½ years old boy presenting with recurrent fever, diarrhea, abdominal pain, hypernatremia with normal serum antidiuretic hormone levels and abnormal renal function tests had several replies. The authors have replied that the child has been treated as a Partial Diabetes Insipidus as the serum ADH is normal inspite of hypernatremia when one would expect it to be high.

TEACHING FILES:
This month’s teaching File:
This is the case of a 5 month old with cardiomegaly, hepatomegaly and hypotonia. Read the entire teaching clinical query in the section of “TEACHING FILES” and try the correct answer.

Last month’s teaching file:
Query: A one month old child born to an HIV infected mother with twice HIV DNA PCR positive and negligible HIV Viral load. What is the HIV status of the child?
Answer: The child is HIV negative. False positives with HIV DNA PCR are known due to its high sensitivity. Most of our viewers have answered this query correctly. Discuss this case further in the section of “DISCUSSION GROUPS”.

ORIGINAL ARTICLES :
A randomized clinical trial of intramuscular artemether versus intravenous quinine in the treatment of severe malaria in children:
M R Karim, M N Islam, M I Khan, A Kashem, M M Rahman,M A R Chowdhury.

PRACTICAL GUIDELINES: APPROACH OF ANTENATALLY DIAGNOSED HYDRONEPHROSIS:

Dr. Kumud Mehta gives a very lucid analysis as well as management guidelines for a case of hydronephrosis in a fetus and how to approach such a case. Read on….

CASE REPORTS:
ANTIRETROVIRAL THERAPY - IMPROVING QUALITY OF LIFE IN HIV POSITIVE CHILDREN:

We all know that antiretroviral therapy leads to improvement in an HIV positive patient. Read about the child infected with HIV who leads a near normal life due to ART.

INTOLERANCE OF NRTI (NUCLEOSIDE REVERSE TRANSCRIPTASE INHIBITORS) IN AN HIV POSITIVE CHILD:

Just as we know that ART improves the quality of life in HIV infected children, ART has also its side effects. Read about the HIV infected child who has all possible adverse effect to ART and subsequently died of AIDS.

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:

Last months winners :
Case 1: Axillary lymphadenopathy. Lucky winner is Dr. S R Dave
Case 2: Cystic Bronchiectasis .Lucky winner is Dr. Sandeep Sangar

ANNOUNCEMENTS:
POST A JOB/RESUME: Now you can post for job recruitments (Be it for a consultant, RMO, Registrar or Houseman) for your hospital/clinic on PEDIATRIC ONCALL. Also submit your biodata online. This is a free service to the medical fraternity and aspiring doctors can get to know of vacancies at one place itself.
POST A CONFERENCE: All organizing secretaries of SCIENTIFIC SESSIONS please note. You can now post your conference details on PEDIATRIC ONCALL by filling in a simple online form and it will be displayed on www.pediatriconcall.com for all doctors to view.

Sincerely,

Pediatric Oncall

Grants

Ped Tools

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