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Expert Opinion
Q. A newborn (FTND with good cry) on day 2 is having fever with excessive, inconsolable crying episode.......
Post Date : 29 Jun 2025
Expert Opinion:
One is Clinical: A child with septicaemia is usually sick looking where whereas a child with convulsions is well in between episodes, and during convulsions the heart rate, resp all change. The baby may become unresponsive. Then is the biochemical: in Septicaemia, CRP will be raised, Full blood count will reveal leucocytosis, and blood culture may grow some bugs. In convulsions, it is worth checking blood sugar, calcium, and magnesium.

Q. In cases of typhoid fever, how to asses the response to treatment? After what time do we repeat lab tests and what indicates a good response and cure in it? And if no cure, do we repeat the same treatment?
Post Date : 22 Jun 2025
Expert Opinion:
Clinical assessment of well-being and disappearance of fever. Usually, if fever persists for more than one week even after antibiotics, then resistance should be suspected.

Q. Is ondansetron safe in the pediatric age group for vomiting due to acute GI infection? What is the lower age limit?
Post Date : 15 Jun 2025
Expert Opinion:
Randomized, placebo-controlled trials have since demonstrated the efficacy and safety of ondansetron in the treatment of established nausea and vomiting associated with gastroenteritis. The American Academy of Pediatrics now recognizes that ondansetron 100–150 µg/kg can be effective in decreasing vomiting and limiting hospital admissions in gastroenteritis.

Q. What drugs should be used to relieve chest congestion in children?
Post Date : 08 Jun 2025
Expert Opinion:
Mucolytics and cough expectorants in children above 2 years of age.


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