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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....

JIA or reactive arthritis

Pediatric Oncall

A 10-year-old boy presented with recurrent joint pain and swelling for 7 years. It started with left knee swelling at the age of 3 years apparently precipitated by a fall. The swelling persisted for 1....

Irritability in a one and a half years old

Pediatric Oncall

A 1½-year-old boy presented with fever, vomiting, and cough for 4 days with irritability. On examination, the child was febrile, had pallor, congested tonsils, and insignificant cervical lymphadenopat....

Hepatosplenomegaly

Pediatric Oncall

A 3-year-old born of non-consanguineous marriage presented with progressive abdominal distension after 4 months of age. There was no bleeding, seizures, or jaundice. They consulted a physician for the....

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