Access current issue (November 2009) online

Hariom Rawat
A 45 days old child had cough, fever of 8 days. On day of admission total WBC -90,000 per cumm {n-90 percent}, X ray chest shows right upper lobe consolidation, bilateral diffuse infiltrate. Now after 12days of IV antibiotic, WBC is 51000, mm but fever is still persisting. What should be further management?

Ira Shah
A 6 month old boy born of non consanguineous marriage presented with increasing pallor for 2 months and abdominal lump noticed 5 days back. There was no fever. The child is 3rd of three siblings and other two children are normal. Birth, immunization and milestones are normal. He is on breast feeds plus weaning diet. On examination, he had tachycardia, pallor, hepatosplenomegaly and cardiomegaly. 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: A 12 year old body with extrahepatic portal hypertension underwent splenectomy with mesocaval shunt as he had recurrent hematemesis inspite of sclerotherapy. After the surgery, child again had 2 episodes of hematemesis. Why did the child have hematemesis inspite of shunt surgery?


Answer: Shunt Block

R Bhimma
Newer Insights into Acute Renal Failure in Children.

Nooshin Baghaie, Seyed Shaheen Hakimi, Nazanin Parsanejad, Jean Lauren Casanova 2, Davood Mansouri.
Chronic Granulomatous Disease associated with Juvenile Rheumatoid Arthritis

Pallab Basu
Alkaptonuria - a rare disorder revisited.

Ira Shah
Spot Diagnosis



Last month's image gallery:
Case 1: Complete Heart Block
Case 2:

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