User Name Password Remember Me  
 
 
   
Video Podcast
Audio Cast
Mobile(WAP)
  Pedi Poll  
With CET being compulsory for post graduate medical education do medical students neglect MBBS clinical studies?
Yes
No
Yes
No
Yes
No
  Translate This Page  
 
SPECIALIST ANSWERS

Question

An 8 yr old girl,weight 30Kgs, apparently in a healthy condition, developed low grade fever for 3 days associated with nausea and 3-4 episodes of vomiting. She was adviced ofloxacin and domperidone by a local pediatrician. Fever did not respond well to these medications and a repeat advice was sought and was asked to continue the same. On day 3, she started complaining of 'Burning sensation' in feet and would'nt allow anyone to touch them and would feel comfortable with application of cold. Her extremities were cold & for this unusual complaint, was taken to a hospital where she was admitted for observations and some IV fluids were administered. Two hours following infusions, she developed agitated behaviour and on examination her blood pressure was found to be progressively falling and hence was shifted to ICU. ECG done showed Ventricular tachycardia and despite adequate intervention succumbed to her illness. All her investigations were within normal limits including electrolytes. No history of diarrhea, oligouria, any congenital anamolies, birth injuruies or cardiac complaints , previous hospitalization.

Answer

One should rule out conditions such as viral hemorrhagic fever especially dengue since she had myocarditis (ventricular tachycardia), shock (progressive hypotension) and fever and vomiting. Other conditions such as demyelinating disorder with infections should be ruled out. What was her renal function tests and liver functions test? Also was her neurological examination normal? Details about that would be useful.

 
  Grants  
 » Apply For Research Grant
  Search  
Hospitals
Pediatrician
Special Schools
Medical Colleges
Pediatric Residency
Pediatric Conferences
Jobs & Vacancies
Journals
NGO's
  Ped Tools  
Pediatric Calculator
Drug Index
Medical Equipment
Vaccine Reminder
Adverse Drug Reactions
Biochemical Profile
Online MCQ's
  Calculators  
+ Growth
+ Conversion
+ Renal
+ Pregnancy
+ Blood Pressure
+ Blood Group
+ Critical Care
+ Drug Dose
+ Diarrhea Solution
+ Reference Values
+ Antibody Test
+ Drug Interaction
 
 
Parent Corner l Kids Corner l Terms & Condition | Privacy Statement l Advertising l Feedback l Awards
About Us
l Link to Us l Site Map l Shopping Mall  
Partner Sites
 HIV in Children  Infection in Children  Pedcall  Medical ADRIS  Vaccine Reminder  Pediatric Oncall Journal

Copyright© 2000-2008 All rights reserved with Pediatric Oncall

Disclaimer:The information given by www.pediatriconcall.com is provided by medical and paramedical & Health providers voluntarily for display & is meant only for informational purpose. The site does not guarantee the accuracy or authenticity of the information. Use of any information is solely at the user's own risk. The appearance of advertisement or product information in the various section in the website does not constitue an endorsement or approval by Pediatric Oncall of the quality or value of the said product or of claims made by its manufacturer.

 
Sitemap For Doctor | Sitemap For Parent | Sitemap For Kids Site designed and maintained by Levioza