ANNOUNCEMENTS

Medical ADRIS is now updated. Apart from list of Adverse Drug Reactions, you can now get a complete list of suspected ADRs related to a generic drug as well as a particular brand.

MEDICAL ADVERSE DRUG REACTION INFORMATION SYSTEM (MEDICAL ADRIS)

Read about the adverse effect reported by

DIAGNOSTIC DILEMMA

This month's Diagnostic Dilemma:

Pediatric Oncall.
A 4 month old with delayed milestones, cataracts and metabolic acidosis. Fractional excretion of phosphorus was 92%; there was no glycosuria, albuminuria. His urine aminoacidogram and urine organic acids were normal. What is the diagnosis? Read more...

Last fortnight's query of a child with suspected biotinidase deficiency was subsequently found to have normal serum biotinidase levels. A strong suspicion of partial Pyruvate decarboxylase deficiency is possible in view of hyperammonemia with lactic acidosis.

PATIENT EDUCATION MATERIAL

QUESTION OF THE DAY

These are questions asked by our viewers to the experts on the panel of Pediatric Oncall.

* Shakeel. What type of special precaution is to be taken if the child has been diagnosed as heterozygous galactosemia and his parents also has the same, and all are healthy. Child is 7 month old on breast feeds and has absent reducing substances

* Nita. What if a Mantoux test read after 48 hrs is negative, but after 4 days the child develops induration and erythema more than 10mm at that site, should it be taken as significant?

IMAGE GALLERY

SPOT DIAGNOSIS


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

Sincerely,
Pediatric Oncall

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