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Expert Opinion
Q. What are the causes of excessive secretions from the mouth and respiratory distress in a full-term newborn (no meconium aspiration)?
Post Date : 25 May 2025
Expert Opinion:
The most common causes of the above clinical scenario are Transient Tachypnea of Newborn and Congenital Pneumonia (most likely bacterial).
Infants of diabetic mothers and Late Preterm infants (35 - 36 weeks) are also likely to present with the above symptoms due to a partial or transient surfactant insufficiency, but these are usually self-limiting and recover within 24 - 48 hours with adequate oxygenation.
Any quantity of meconium (even mild) in the amniotic fluid may cause symptoms in the newborn, including Meconium Aspiration Syndrome.

Q. How do we perform the BCG test? What is the dose and dilution, and at what site (biceps or ventral aspect of the forearm)? How do we interpret it in relation to the child's age?
Post Date : 18 May 2025
Expert Opinion:
The BCG test is not recommended for the diagnosis of TB now.

Q. In children with viral bronchitis and a congested chest, should we nebulise at 3 percent N? Does dualin have any role? What should be given to relieve the chest congestion in children?
Post Date : 11 May 2025
Expert Opinion:
No role of 3 percent NS. Only if child has wheezing, then one may consider bronchodilators. For congestion, cough expectorants needed.

Q. What is the d/d of periorbital puffiness after waking up in the morning from sleep and later on subsiding during the day?
Post Date : 04 May 2025
Expert Opinion:
Rule out nephrotic syndrome. Rule out renal causes of edema


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