DIAGNOSTIC DILEMMA

Anand Ingalagavi
An 8 year old presents with abdominal distension for a year. On examination he has hepatosplenomegaly. Blood investigation showed anemia, normal counts, high ESR, Malaria and Brucella test negative, peripheral smear was microcytic hypochromic blood with no abnormal cells, normal hemoglobin electrophoresis and negative ANA. What is the diagnosis? Read more...

Last fortnight's query of a 6 month old boy with multiple episodes of generalized tonic clonic convulsions since 1 month and continuous left-sided focal convulsions without loss of consciousness since one week had several replies. The authors have stated that for the moment the child has been diagnosed to have epilepsia partialis continua.

QUESTION OF THE DAY

Nada: Why in Down's syndrome, there is a single simian crease?

M.Kalaiyarasi: Papin is having inflammatory effect. Is it safe for pediatric use?

IMAGE GALLERY

Amit Agrawal
This 13 years child presented with progressive deformity over occipital region since birth. On examination she had short neck, restriction of neck movements, low hair line and bony prominence over occipital region. There were no focal neurological deficits or other abnormalities. X-ray cervical spine, cranio-vertebral junction and open mouth view are depicted in the figure.

What is the diagnosis?



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Pediatric Oncall

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