It Has been mentioned in textbook that urinary tract infection can lead to diract hyperbilirubinemia(ref Nelson textbook 17 edition page 1198 topic normal gi tract phenomenon. SEPTICEMIA LEADING TO DIRECT OR MIXED H BIL IS well known.PLEASE explain how uti will lead to h bil nemia? Check out the answer

Awoman is hiv +ve.s we has delivered 4days back.postpartum her tuberculin test positive. hence further screened for kochs. On USG she is having abdominal lymphadenopathy with splenic microabscesses.Physician says that it is a case of abdominal kochs.sputum is negative. CHEST X-RAY IS NOT SUGGESTIVE OFpulmonary kochs. Physician says that though it is not a open case. it can be disseminated kochs. ANDsputum report can be false negative. Should we start prophylactic antitubercular therapy to the baby considering it as a case of contact morher is going to breast fed the baby. We have similar case ie similar finding but whose afb culture came positive 3 weeks later Check out the answer

In the recent past I have seen few patients of diptheria coming for medical attention within days of developing symptoms. Can I use injection erythromycin in them for treatment. Within how many days of developing symptoms can I give/ use erythromycin in them? Check out the answer

Can putting ear drops in a child with AOM lead to perforation of the Tympanic membrane? Check out the answer

Dear poc, the last time i asked you what was the normal csf cytology and biochemistry values for a neonate( TERM/PRETERM)..it was answered very confusingly and imcompletely. Please let me know the complete answer this time with some referrence also if possible. 2) my next question is whether we can use itraconazole for candida sepsis rather than amphotericin?? considering the latter's side effect profile is itraconazole a good alternative for use? Check out the answer

Is the use of analgesic/antibiotic ear drops contraindicated in cases of Acute otitis media without perforation? Check out the answer

I have seen some pediatrician using i.m.immunoglobulin for recurrent/chronic respiratory infections.(Especially for cold & cough not responding to regular antihistaminics & antitussives for a month trial.) Is the therapy justifiable? Any other remady for the cough & cold not responding to the regular antihistaminics,antitussives for more than a month? Check out the answer

what are the complications caused by chikungunya virus in 1> new born baby 2> in neonates 3> in age group of 3-9 yrs 4> in age group 10-14 yrs Check out the answer

what is the primary procedure to be done in comatised patient of tubercular meningitis Check out the answer

How do diagnose the child suffering with rubella and what are the tests? Check out the answer

Is it possible in widal test case That O anti body found negative and H antibody are 360 titre positive.What will be the interpretation of O anti body negative and and H antibody 360 positive report in widal test Check out the answer

Hi,in a child with post viral infection neutropenia,which might take a few days sometimes also a week to pick up again,how dowe manage and what is the mean duration of time to expect the counts to increase Check out the answer

I had a case of 3 month old child weighing 3.3kg( Prematurely born child , now on EBM), with a diagnosis of septicaemia, found to be Hyperglycemic( Child not on IVF,Steroids).Without any active interventions as regards the hyperglycemia, the child came out of the crisis. the subsequent blood sugar was normal.Child has active and vigorous sucking now. Check out the answer

A 3 year old male child presented with c/o generalized swelling of the body and scanty urine for 1 week. No past h/o sore throat or pyoderma. o/e anasaeca,bp 98/52.cvs,R/s,gi,cns normal. urinalysis: protien +++,puscells 10-15,Rbc occassional/h.p.f.,coarse granular casts++ Hb. 9.2gm,TLC : 10800,P 64,L33,E -3%. ESR:77mm/1st. hr. Bun 22,se creatinine 0.7,se cholestrol :438,Total proteins : 5g, albumen 2.6g. Urine culture: Klebsiella (Sig.) S : Amikacin,Nitrofurantoin,gentamycin. Ultrasound scan of KUB : NAD Mx. test negative,Xray chest normal. This child was diagnosed as Nephrotic syndrome and UTI. He was give Inj Amkacin x 10 days and put on Prednisolone 2mg/kg/d. His urinary flow increased and proteinuria subsided to + but pus cells were still 6-8/hpf.and urine culture continued to be positive on 3 weekly repetitions. Repeat ESR 42mm and se cholestrol ;370 after 4 weeks of steroids. After mikacin he was put on furadantin 6mg/kg/day for 2 weeks and then on 2mgS/kg/day;on which he is still continued to combat a chronic UTI. The query is: 1.Is the UTI persisting because of steroid therapy? 2.Should steroids be discontinued and rstarted after urine culture is sterile on at least 2 repetitions? Dr. J.S. Chugh Consultant Paediatrician S.N.S PAHWA HOSPITAL IND. AREA-B, LUDHIANA(Pb.) Check out the answer

a 2month old baby came with complaints of occassional cough abd nasal discharge. elder sibling on treatment for LRTI with parenteral antbiotics. the baby was well looking and feeding well,not febrile.As they refused inv: empirically started on amoxycillin.Came after 2 weeks with history of cough not subsiding.Baby still not febrile, active, no signs of pneumonia..counts normal for age, CRP-6, ESR-4.cxr Normal..Baby was started on azithromycin. Does she require parenteral antibiotics. How to releive cough? Check out the answer

Increasing Reticulocytocytosis with persistentanaemia in apatient suffering from Kala-azar. Probable pathogenesis please Check out the answer

Information about chikengunia disease Check out the answer

In which age grp atypical bacteria infection occurs Check out the answer

Today I have come across a girl of 8 years who has absolutely painless lesions of herpes zoster on the left side of the neck. She did not have any lesion in th external ear canal. On very careful examination very sublte signs of Left Bell's Palsy were observed. 1. How common is this condition in this age group? 2.Is Herpes Zoster in children is always due to HIV disease? Check out the answer

How do you rate DEC provocation test for Filariasis? How it is done? Check out the answer

being a pediatrician in remotest districts of the country.........i would like to know the recent trends in management of viral encephalitis in children.....thanx. Check out the answer