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Diagnostic Dilemma  →   Is lumbar puncture indicated?
N
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....
F
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....
S
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....
S
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 ....
H
Hypercalcemia
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....
D
Dysmorphism
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....
F
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....
I
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
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....
J
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....
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