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Expert Opinion
Q. Preterm baby 1.5 kg with persistent hypoglycemia up to 4 weeks of age, serum glucose 22-40 mg/dl. serum insulin, cortisone, glucagon, growth hormone, normal The metabolic screen was normal. What do you expect to cause hypoglycemia?
Post Date : 24 Aug 2025
Expert Opinion:
Rule out galactosemia, GSD. Also, rule out Hyperinsulinemia.


Q. Valparin, gardinal, eptoin, tegretal, these are four common drugs used in seizures. Which of the combinations have synergistic action and can be used together, and which drugs should not be used together?
Post Date : 17 Aug 2025
Expert Opinion:
Tegretol and Gardinal, when taken together, can cause increased levels of Gardinal, similar to the interaction with Eptoin and Tegretol. Valparin is ok to use with any of the other three and is synergistic with Tegretol. Do not use Tegretol for a generalized seizure like absence epilepsy, as it can severely worsen the epilepsy. Additive side effects need to be monitored with eptoin and valparin, both lowering platelet count, the first three causing liver side effects.

Q. A 5-month-old male infant has indirect hyperbilirubinemia 3rd day after birth, total bilirubin reach.......
Post Date : 10 Aug 2025
Expert Opinion:
Rule out Criggler Najjer Syndrome

Q. 10-year-old child presented with a history of high-grade fever with convulsions with impaired liver .......
Post Date : 03 Aug 2025
Expert Opinion:
Do ASLO, rule out viral-induced arthritis and JIA.


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