November II- 2005 Newsletter - Pediatric Oncall

ISSN 0973 - 0958

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November-2005 Volume-2, Issue-11 [Supplement 3]

Dear Doctor :

ANNOUNCEMENTS

DRUG INDEX: Information on A to Z drugs used in the pediatric age group. Search for generic drugs, their brands available, side effects, drug interactions and indications ...

http://www.pediatriconcall.com/fordoctor/DrugsandMedical/alphabeticaldruglinks.asp

Latest articles on Pediatric Oncall:

DIAGNOSTIC DILEMMA:
This month’s diagnostic dilemma: DR.SATISH MUNDADA
Five year old boy presented with fever, petechiae, gangrene at ear pinna, convulsions (once) and had signs of raised ICT, malena, tachycardia. CSF: proteins 433 mg/dl, sugar 82, cells-10 (100% lymphocytes). Being treated as viral encephalitis. What is the diagnosis? Read the case further in detail…

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

Last month’s query of a 1½-year-old girl with facial puffiness and polyserositis had several replies suggesting protein losing enteropathy, SLE and lymphatic obstruction. However, the authors have replied that the child Pleural tap was repeated after 6 weeks of antibiotics and the report is 140 cells with 100% lymphocytes with 3.4gm of proteins. Serum proteins are 3.0 gm/dl. The child does not have any diarrhea for protein losing enteropathy. Ether test on the pleural fluid was negative ruling out chylous fluid. Workup for SLE was normal. Thus the child has been started on AKT. Also the child had hypertension and was treated with antihypertensives. Workup for hypertension: USG kidneys and colour doppler of renal arteries: normal, S cortisol – normal, MIBG and VMA – normal. Echocardiography showed mild pericardial effusion.

QUESTION OF THE DAY:

• Dr. Minukrishnan G: The half life of dexamethasone is 24 hours, then why we are giving it sixth hourly in treatment of bacterial meningitis ?
• Dr.Minukrishnan.G: What is the pathology of Todd's palsy? How long it will last maximally?
• Dr Minukrishnan G: Where is exactly the pathological lesion in pre-sinusoidal portal hypertension?
These are questions asked by doctors for an expert opinion. Read more about such questions and see what the experts have to say.

http://www.pediatriconcall.com/fordoctor/qoftheday/questionofday.asp

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:

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

Sincerely,

Pediatric Oncall

Grants

Ped Tools

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