Access current issue (October 2010) online

A 20 months old girl presented with jaundice for 1½ months, anasarca for 3 days and altered sensorium for one day. Patient had been started on Isoniazid, Rifampicin 3 months ago. Is this chronic hepatitis or drug induced hepatitis?

Ira Shah

A 2 years old boy suspected to have dengue hemorrhagic feverwas given 2 normal saline boluses of 20 cc/kg. He was continued on IV fluids of 6 cc/kg/hour to which his hypotension responded and hematocrit decreased. However, he had passed urine of only 0.5 cc/kg/hour in next 12 hours. At the end of 12 hours, he was noticed to have respiratory distress (RR = 46/min) with lower intercostal retractions, deep and not to rapid breathing with puffiness of eyes.

What is the problem? How should this child be managed now?

Read the entire teaching clinical query in the section of “TEACHING FILES” and try the correct answer.

Last month's teaching file: A 2½ years old boy presented with abdominal distension and recurrent diarrhea, bow legs, palmar erythema, double malleoli, and hepatosplenomegaly with dilated tortuous abdominal veins with flow away from umbilicus. What is the cause of his symptoms?


Answer: Chronic liver disease with portal hypertension

Neeraj Kumar Jain, Deepak Seth, Vibha Mangal
A clinicomicrobial association in neonatal septicemia.

Chanchal Kumar Kundu, Radhabinod Paul, Malay Kumar Sinha, Jayanto De
Valvular heart disease in classic homocystinuria - A rare presentation.

Sarkar S, Tyagi P*, Sarkar N, Sarkar D
Gingival Hyperplasia, Hypertrichosis and A Characteristic Facies: A Case Report.

Amit Chitalia, Ranjeet Togalkar, Kulbhushan Dagar
Holt Oram Syndrome.

Spot diagnosis?



Last month's image gallery:
Case 1: Pachyonychia congenita
Case 2: Osteopetrosis

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

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