An 1½ month old boy presented with sudden onset breathlessness He had irregular pulse with tachycardia {heart rate = 180, min}. ECG shows regularly irregular rhythm with atrial bigemini. What is the probable diagnosis?
Ira Shah
A 10 years old boy presented with accidental inhalation and ingestion of golden metallic coloured powder during Holi festival followed by difficulty in breathing within 10 minutes of the episode associated with giddiness. He vomited once and the vomitus contained golden yellow substance. On examination, he had mild to moderate respiratory distress, yellow staining of face, bilateral fine crepitations, drowsiness and respiratory rate of 42/min. Other systems were normal. What is the diagnosis?
Read the entire teaching clinical query in the section of "TEACHING FILES" and try the correct answer.
Last month's teaching file: A 6 month old boy born of non consanguineous marriage presented with increasing pallor for 2 months and abdominal lump noticed 5 days back. There was no fever. The child is 3rd of three siblings and other two children are normal. Birth, immunization and milestones are normal. He is on breast feeds plus weaning diet. On examination, he had tachycardia, pallor, hepatosplenomegaly and cardiomegaly. What is the diagnosis ?
Barbara Ulibarri, Carlos Martinez-Duncker, Claudia Camarillo, Enrique Omar Guadarrama, Pilar Garcia -Roca, Ricardo Munoz Arizpe, Mara Medeiros.
Comparison of 99m Tc DTPA vs Five Methods to Estimate Glomerular Filtration Rate in Children with Renal Transplantation
Soheila Khalilzadeh, Nooshin Bghaie, Mohammad Reza Boloursaz, Amir Ali Khodayari, Ali Akbar Velayati
Spectrum of Chronic Granulomatous Disease in pediatric patients: a review of 20 cases.
This girl presented with jaundice, skin lesions and anemia of 15 days duration. She was diagnosed to have epilepsy and was started on phenytoin 2 months ago. What is the diagnosis?
Last month's image gallery:
Case 1: Congenital lymphedema
Case 2: Scoliosis
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