April 2013 Newsletter Volume-10 Issue- 4

4th Pediatric Infectious Diseases Conference

ISSN 0973 - 0958

April 2013 Volume-10 Issue- 4

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April 2013 Volume-10 Issue- 4 (ISSN - 0973-0958)

TABLE OF CONTENTS
Access current issue (April 2013) online Read more...

DIAGNOSTIC DILEMMA

Jyoti Sharma

A 15 year old presented with generalized swelling, which started with periorbital puffiness and hematuria for 5 days. On examination he had edema with hypertension (BP 170/100). Fundus examination was normal. His serum urea and creatinine were 85 mg% and 1.1mg/dl respectively. ASLO was raised and serum C3 level was reduced. On urinalysis,RBC count was 250/ml, proteins 4 plus and leucocytes 100/ml.

Shall we categorise him to the hypertensive emergency or hypertensive urgency? If it is to be categorized as hypepertensive emergency, shall we treat this with calcium channel blockers and frusemide or aggressively in PICU with intravenous antihypertensive drugs i.e. Sodium nitroprusside or labetalol under constant monitoring?

Read more...

TEACHING FILES

Ira Shah

A 10 years old boy who is a diagnosed case of hemophilia not on regular Factor VIII therapy presented with abdominal pain and black stools since 1 day. On examination, he was pale, had tachycardia with bilateral basal crepitations and hypotension.

To stop bleeding, what can be given - cryoprecipitate or fresh frozen plasma?

Read the entire teaching clinical query in the section of "TEACHING FILES" and try the correct answer.

Last month's teaching file: A 4 year old girl presented with recurrent seizures since 1 year of age with delayed speech, microphthalmia, microcornea, low set ears, microcephaly and an ejection systolic-murmur in pulmonary area. What is the possible diagnosis?

Answer: Congenital rubella syndrome

Read more...

REVIEW ARTICLE
Narendra Chaudhary, Anupama Borker Significance of Karyotyping in Childhood Acute Lymphoblastic Leukemia. Read more...

CASE REPORTS
Ruchika Sharma, Nasreen Bhumbra, Deepa Mukundan Recurrent Fevers in Two Teenagers. Read more...

LETTER TO EDITOR (VIEWERS CHOICE)
Kush Dev Singh Jarial, Akshata M, Raj Kumar Surya Cerebral Venous Thrombosis due to Antithrombin III deficiency in Adolescent. Read more... Sunita Arora, Gursharan Singh Narang, Jaskaranjot Kaur, Anubha Khera Subcutaneous Emphysema: A Rare Presentation of Unnoticed Foreign Body Read more...

IMAGE GALLERY

Rajendra P Karambelkar, Suresh Pethe

A six-year boy was brought with skin lesion involving entire trunk and smaller lesions on rest of the body since birth and increasing proportional to the body size. What is the diagnosis?

Try your clinical skills in the "SPOT DIAGNOSIS" for the fortnight and the lucky winner gets a child health CD - courtesy Pediatric Oncall

Read more...

Sincerely,
Pediatric Oncall

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UPCOMING CONFERENCES

6th Europediatrics and The RCPCH Annual Conference: 5-6 June 2013, Glasgow, UK

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Breast Feeding and Maternal Infections.

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Should antenatal diagnosis be offered for conditions where medical termination of pregnancy is not legally possible?

Yes
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management
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Next : August - 2013 Volume-10, Issue-8

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Should teicoplannin, colistin be used in case of neonatal sepsis where culture does not reveal any organism_?

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