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March 2012 Volume-9 Issue- 3
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Pediatric Oncall
 
March 2012 Volume-9 Issue- 3 (ISSN - 0973-0958)
 
TABLE OF CONTENTS
Access current issue (March 2012) online

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DIAGNOSTIC DILEMMA
Vamshidhar
A 7yr old male child presented with 4 days history of fever along with faint erythematous macular rash on chest and hands and numerous petechiae on soft palate noted on day 2 of fever. He became afebrile 2 days later. One week later parents noticed the child developing peeling of skin from the tips of the fingers and whooping cough. CBC shown Absolute neutrophilia with activated lymphocytes unt. What is the likely diagnosis?

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TEACHING FILES
Ira Shah

An 11 years old give presented with unsteadiness while walking for 1 year, change in voice and dribbling of saliva since 6 months. There is no neuroregression.

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 12 years old boy presented with progressive abdominal distension since 8 months and edema feet for 1 week. There is no jaundice, bleeding from any site or fever. He was treated with antituberculous therapy {ATT} for 3 months but had no relief. There is no history of blood transfusion or any other disorder in past. On examination, he has dilated veins over abdomen with flow below-upwards, massive ascitis and hepatosplenomegaly. What is the diagnosis?

Answer: This child has ascitis along with dilated veins.

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REVIEW ARTICLE
Ira Shah

Utility of PCR Tests for Diagnosis of HIV in Infants Exposed to HIV Virus - Problems in India

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CASE REPORTS
Ahmed Riaz

Ictal Syncope.

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LETTER TO EDITOR (VIEWER'S CHOICE)
Rakesh Kumar, Sushant Kumar, Kumar
Amish


Laryngeal Web masquerading as Refractory Bronchial Asthma.

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Poovazhagi V, Ezhilarasi S, Thangam Menon,
Naveen kumar V, Chamundeeswari,
Mohamed Meeran


Invasive aspergillosis and nocardial pneumonia in an immunocompetent child.

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IMAGE GALLERY
Rakesh Kumar



A five-month-old male child presented with an umbilical mass. It had appeared on 8th day, 2 days after the umbilical stump has fallen off. There was a history of serous and sometimes bloody discharge from the mass. On examination, a red polypoidal, firm, non-tender umbilical mass with a nodular and glistening surface, and 2cm x 2cm in size was found. What is your diagnosis?

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

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Sincerely,
Pediatric Oncall


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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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