May-2005 Newsletter - Pediatric Oncall

ANNOUNCEMENTS:

POST A JOB/RESUME: Now you can post for job recruitments (Be it for a consultant, RMO, Registrar or Houseman) for your hospital/clinic on PEDIATRIC ONCALL. Also submit your biodata online. This is a free service to the medical fraternity and aspiring doctors can get to know of vacancies at one place itself.

POST A CONFERENCE: All organizing secretaries of SCIENTIFIC SESSIONS please note. You can now post your conference details on PEDIATRIC ONCALL by filling in a simple online form and it will be displayed on www.pediatriconcall.com for all doctors to view.

Upcoming conference

RCIAPCON 2005: Avail of details of the 3rd National Conference of Rheumatology Chapter Indian Academy Of Pediatrics to be held in Chandigarh in October 2005.

http://www.pediatriconcall.com/fordoctor/conference/pediatric_conference_chandighar.asp

Latest articles on Pediatric Oncall:

DIAGNOSTIC DILEMMA:
This month’s diagnostic dilemma: A twin has gross hypotonia and edema at birth with cortical atrophy and nephrocalcinosis…What is the differential diagnosis? Read the complete case and answer the dilemma…

http://www.pediatriconcall.com/fordoctor/diagnosisdilemma/listdilemma.asp

Last month’s query of a twin with gross hypotonia and edema at birth with cortical atrophy and nephrocalcinosis had lot of answers. Most viewers have suggested congenital intrauterine infection.

http://www.pediatriconcall.com/fordoctor/diagnosisdilemma/listdilemma.asp

TEACHING FILES:
This month’s teaching File:
This month’s teaching File: A child diagnosed with Tuberculous meningitis and operated for VP shunt had clinical deterioration after 4 months of treatment. What is the cause of the clinical deterioration? Read the entire teaching clinical query in the section of “TEACHING FILES” and try the correct answer.

http://www.pediatriconcall.com/fordoctor/teaching/clinical_propblem_list.asp

Last month’s teaching file:
Query: A six-month-old presents with severe metabolic acidosis, polyuria and polydipsia with neuroregression. What is the diagnosis?
Answer: The diagnosis “LACTIC ACIDOSIS DUE TO INBORN ERROR OF METABOLISM”. This child has a positive anion gap metabolic acidosis with neuroregression. One cannot rely on history of polyuria and polydipsia in a 6 month old without objectively measuring the 24 hours urine output. Discuss this case further in the section of “DISCUSSION GROUPS”.

PRACTICAL GUIDELINES:
APPROACH TO A BLEEDING CHILD:
Mamta Manglani, Balamurugan.P A very lucid presentation with tables to determine the cause of bleeding in a child.

http://www.pediatriconcall.com/fordoctor/diseasesandcondition
/PEDIATRIC_HEMATOLOGY/ApproachBleedingChild.asp

APPROACH TO ACUTE ABDOMINAL PAIN IN CHILDREN
Sudipta Misra, USA Acute abdominal pain is a common problem in pediatrics. A systemic approach is essential in approaching this condition. This article illustrates how to distinguish serious underlying conditions from those which are not.

http://www.pediatriconcall.com/fordoctor/diseasesandcondition
/Gastrointestinal_disorders/acute_abdominalpain_children.asp

REVIEW ARTICLE:
POLIO ERADICATION: HOW FAR IS INDIA TO ERADICATION? Naveen Thacker, Vipin M Vashishtha, Nitin K Shah. Read about the status of poliomyelitis in the country and what additional efforts are required to eradicate polio from India.

http://www.pediatriconcall.com/fordoctor
/diseasesandcondition/infectious_diseases/PolioEradication.asp

CASE REPORTS:
EXTENSIVE SUBDURAL EMPYEMA, PARANASAL SINUSITIS AND ORBITAL CELLULITIS COMPLICATING NASAL SEPTUM SURGERY IN A CHILD Amit Agrawal, Lekha Pandit, Satish Bhandary, Vittal Nayak, Tony P. Mathew. This is an interesting case of a fourteen-year-old boy with seizures and neck stiffness and a nasal surgery done 1 week back. Read more…

http://www.pediatriconcall.com/fordoctor/casereports/NasalSeptumSurgery.asp

RETT’S SYNDROME: Rett’s syndrome is a neurological disorder that affects only girls leading to cortical atrophy, stereotyped hand movements, dementia and extrapyramidal dysfunction. Read about a 3-year-old girl born of non-consanguineous marriage who presented with neuroregression, aggressive behavior and involuntary movements of hands since 1 year. Read more…

http://www.pediatriconcall.com/fordoctor/casereports/rettssyndrome.asp

VIEWER’S CHOICE:
HIV and BRAIN R.R.Singh
HIV has a selective tropism for the immune system and nervous system. Read more about the types of HIV encephalopathy in affected children.

IMAGE GALLERY: Try your clinical skills in the “SPOT DIAGNOSIS” for the fortnight and the lucky winner gets a set of 3 child health CDs – Courtesy Pediatric Oncall

This fortnight’s spot diagnosis:

Last months answers :
Case 1: Hypothyroidism
Case 2: HIV Encephalopathy

http://www.pediatriconcall.com/fordoctor/imagegallery/imagegallery.asp
Sincerely,

Pediatric Oncall


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