Previous Teaching Files - Pediatric Oncall
GRAND ROUNDS AND TEACHING FILES
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Nutritional Hypovitaminosis D Presenting as Tetany in an Infant
Ira Shah
A 12 months-old boy presented with vomiting, diarrhoea and carpopedal spasm. He was exclusively breast-fed till 6 months of age and was on full diet now. On examination, he had fronto-parietal bossing....
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Chronic diarrhea with fever
Ira Shah
A 1 years old boy born of non-consanguineous marriage presented with recurrent watery, foul smelling diarrhea and fever for 2 months. He was treated with antibiotics, steroids and lactose free milk. H....
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Fatty liver in Familial Hyperlipidemia
Ira Shah
A 2 years old girl presented with fever for 3 days. Father had hypercholesterolemia with multiple xanthomas, mother was on thyroid supplements. Child was detected to have atrial septal defect {ASD} in....
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Poor scholastic Performance in an HIV infected girl
Ira Shah
A 10 years old HIV infected girl on anti-retroviral therapy {ART} consisting of zidovudine {AZT}, lamivudine {3TC} and nevirapine {NVP} for 5 years presented with poor scholastic performance. As per t....
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Hyperlipidemia in an HIV infected child on anti-retroviral therapy
Ira Shah
A 9 years old boy was detected to be HIV infected in October 2014 in view of right otitis media with mastoiditis causing focal cerebritis. After treatment of this infection, his CD4 count was done whi....
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Congenital Hydrocephalus: Communicating or Obstructive_?
Jogender Kumar and Amitabh Singh
A two-month-old boy presented with irritability, recurrent episodes of projectile vomiting for 3 days and rapidly increasing head size for 15 days. There was no fever. He was born at term and had a bi....
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Hydrocephalus in tuberculous meningitis
Ira Shah
A 4 years old girl was referred as she had been on antituberculous therapy {ATT} for past 2 years 8 months. At age of 1 year 4 months, she was diagnosed as tuberculous meningitis {TBM} with hydrocepha....
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How to treat congenital syphilis when aqueous penicillin is not available_?
Ira Shah
A 3 days old baby is diagnosed to have congenital syphilis on testing with VDRL. The child is asymptomatic and had normal birth with birth weight of 3kg. Cerebrospinal fluid {CSF} VDRL is negative. In....
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Space occupying lesion in the brain– What is it_?
Ira Shah
A 7 years old boy presented with fever and headache for 1 month, projectile vomiting for 15 days and altered sensorium for 1 day. There was no contact with a patient having tuberculosis. On examinatio....
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Tuberculous Meningitis with Occlusion of Middle Cerebral Artery
Ira Shah
A 7 month old girl was diagnosed as tuberculous meningitis {TBM} with hydrocephalus in April 2011 in view of fever for 15 days and convulsions. She was started on 4 drug antituberculous therapy {ATT} ....
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