Ira Shah, Nikhil Thatte, Karishma Kulkarni, Rucha Shelgikar, Gareth Tudor Williams, Jaideep Gogtay, Abhay Choudhary.

   •  How to Collect Throat and Nasal Swab
   •  Swine Flu questions related to isolation        and quarantine
   •  Prevention and prophylaxis
   •  Travel information and swine flu
   •  Swine Flu - how dangerous is it?
   •  Use of surgical masks to prevent H1N1        influenza
   •  Hand washing
   •  H1N1 influenza in children in the UK

Access current issue (September 2009) online.

Jasbir S Chugh
A 7 days old male baby presents unexplained abdominal distension. What could be the possible cause of abdominal distension? Hirschsprung disease? Partial malrotation? NEC? Read more...

Last fortnight's query of 2 years old with splenohepatomegaly and pancytopenia suspected to have Neimann Pick Disease had several replies. Most of the viewers have hemophagocytic lymphohistiocytosis (HLH). However the authors have replied that workup for HLH was negative. They have continued with a diagnosis of Niemann Picks disease.

Ira Shah
A 3 month old child presented with clay coloured stools since birth and jaundice with increased sleepiness noticed since past 2 days. On examination, child had jaundice with hepatic encephalopathy and died due to a pulmonary hemorrhage. Could the child have been diagnosed earlier?

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

Last month's teaching file: A 3½ years old boy presented with 3 episodes of hypoglycemia. Parents have also noticed progressive darkening of skin since 1½ year and craving for extra salt in feeds. What is the diagnosis?
Query: A 3½ years old boy presented with 3 episodes of hypoglycemia. Parents have also noticed progressive darkening of skin since 1½ year and craving for extra salt in feeds. What is the diagnosis?

Answer: Primary Adrenal Insufficiency. Read more...

Chandra Mohan Kumar
Second Generation Anti Seizure Drugs

Abdulkarim S. Almakadma
Familial Hypomagnesemia-Hypercalciuria with Nephrocalcinosis with Severe Myopia and Horse Shoe Kidney.

Elitsa L Pavlova, Rumen A Marinov, Varban M Savov, Vladimir B Pilossoff
Oxidative Stress in Children Undergoing Surgical Corrections of Congenital Heart Malformations.

Karam Chand, Stuti Misra
A 4 days old infant presented with right parietal scalp swelling since birth. The child was delivered vaginally by application of forceps to a primigravida mother. Apart from swelling there were no other symptoms. The head circumference was 35cm, anterior and posterior fontanelles were flat and little tense. The child had right parietal scalp swelling 3cm in diameter which was soft little tender and transillumination was negative. The child was active; vitals were stable, were accepting feeds normally and had no neurological deficit. CT head was done that shows the following: What is the diagnosis?

Last month's image gallery:
Case 1: Kocher-Debre Semelaigne Syndrome
Case 2: Vertebral Collapse

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

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