EDITORIAL

HIV in chidren - Where do we stand? Ira Shah. On World AIDS day (1st December 2006), read about all that we have achieved in the field of Pediatric HIV and all that still needs to be done to achieve cure and prevention of HIV in children

DIAGNOSTIC DILEMMA

Mervat . A 12 years old girl in Egypt presented with skin rash, severe pallor, prolonged fever, oral moniliasis, hypotension, tender splenomegaly and oliguria. She had thrombocytopenia, high creatinine and subsequently developed altered sensorium. What is the diagnosis? Read the entire case in the section of DIAGNOSTIC DILEMMA for further details.

TEACHING FILES

Ira Shah
This month's teaching File: A 14 month old boy presents with delayed milestones, excessive sleepiness, hyperpigmentation of fingers and toes and tremors. 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:
Query: A 5 month old boy born of non-consanguineous marriage presented with cold and 6-7 episodes of tonic convulsions in 3 days. Examination was normal except for multiple hypopigmented skin rashes. What is the diagnosis? How to investigate this child further?

Answer: Tuberous sclerosis.
Read and discuss this case in full details further in the section of “DISCUSSION GROUPS”.

REVIEW ARTICLE

Acute Childhood Diarrhea: A Review of Recent Advances in the Standard Management. Seema Alam, Rajeev Khanna, Uzma Firdaus. Read about various newer therapies available for treatment of diarrhea including reduced osmolarity ORS, zinc supplementation, antisecretory drugs, probiotics, Racecadotril and nitazoxanide.

CASE REPORT

Delayed extensive subgaleal hematoma following minor head injury. Amit Agrawal, Akshay Pratap, Allen Sundas, Abhishek Tiwari. Extensive subgaleal hematoma rarely may occur several days after minor head trauma. This case illustrates the need to recognize this entity as well as manage it effectively.

VIEWER'S CHOICE

Neonate with Fatal Hematological Disorder. A.K.Jaleel Ahamed, K.Raghu, A.Subas Mohan Doss. Read about a child who presented with congenital leukemia with Downs Syndrome and immunophenotyping confirmed as AML.

IMAGE GALLERY

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

SPOT DIAGNOSIS: This infant presented with tremors and loss of milestones. What is the diagnosis?

Last month's answers:
Case 1: Erb's Palsy
Case 2: Pre gangrene

ADRIS

ADVERSE DRUG REACTION INFORMATION SYSTEM

Submit any adverse drugs reaction that you have come across. This will aid more and more viewers about the possible side effect of a drug and thus help to create awareness and advocate safe medicine.

DISCUSSION GROUPS / MESSAGE FORUMS

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