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Is lumbar puncture indicated?

Pediatric Oncall

A 4½-year-old girl presented with headache, fever for 20 days, and vomiting, and left focal convulsion for 1 day. There was no altered sensorium or focal neurological deficit. There was no contact wit....

Neurocysticercosis

Pediatric Oncall

A 4-year-old girl born of non-consanguineous marriage presented with complaints of not flexing her left leg for 3 days. She was diagnosed as a case of neurocysticercosis 1 week ago when she had a left....

Fever with thrombocytopenia

Pediatric Oncall

A 4-year-old boy born of non-consanguineous marriage presented with fever for 6 days and decreased urine output. There was difficulty in walking due to a wide-based gait for 6 days and pain in the lef....

Stiffness with stridor

Pediatric Oncall

A one and a half months old boy presented with noisy breathing since birth and an episode of pneumonia 20 days ago for which he was hospitalized for 10 days. There was no suck-rest-suck cycle, excessi....

Short stature with rickets

Pediatric Oncall

An 11-year-old boy presented with progressive knock knees and short stature since 5 years of age. He was treated with multiple courses of calcium and vitamin D but had no response. On examination, he ....

Pediatric Oncall

A 1½-month-old girl born of non-consanguineous marriage presented with fever for 5 days, thickening of the skin over back, arms since 15 days of life. She was born of a post term caesarean section, ha....

Pediatric Oncall

A 20-month-old boy born of non-consanguineous marriage presented with recurrent pneumonia, increased sweating on the forehead, and delayed milestones. Currently, the child is only able to stand with s....

Fever with desquamation

Pediatric Oncall

A one-year-old girl with fever for 15 days and diarrhea, vomiting, and maculopapular erythematous rash over the body 12 days ago. She was admitted to a hospital and treated with IV antibiotics but fev....

Is this visceral leishmaniasis or autoimmune hepatitis?

Pediatric Oncall

A 10-year-old girl born of non-consanguineous marriage resident of Bihar, India presented with fever and recurrent jaundice for 4 years. She has fever and jaundice every 15 days that lasted 2-3 months....

A 12 years old with polyarthritis

Pediatric Oncall

A 12-year-old boy presented with difficulty in walking for 6 months and fever and multiple joint swellings for 25 days. He had intermittent hip pain and knee pain. Now, for 25 days, he had swelling in....

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