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Diagnostic Dilemma  →   Pneumonia in a 4 month old
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Hyperpigmentation with hypoglycemia
Pediatric Oncall
A 1½ months old girl born of non-consanguineous marriage at full term presented with uprolling of eyeballs 3 days ago. She had a similar episode on Day 3 of life. There was no fever. Parents had notic....
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Diarrhea with blood in stools
Pediatric Oncall
An eight year old girl presented with diarrhea and blood in stools for 3 days associated with tenesmus and fever. Stools were watery associated with mucus 8-10 times/day. There was no history of vomiting, oliguria.
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Anemia with hepatosplenomegaly
Pediatric Oncall
A 2½-month-old girl born to a primigravida mother presented with pallor. Mother was 24 years old. There is no history of jaundice, blood loss or trauma. The child was on exclusive breast feeds. On exa....
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Irritability in a one and a half years old boy
Pediatric Oncall
A 1½ years old boy presented with fever and cough for 4 days. He had similar complaints 1 month ago for which he was hospitalized and treated with intravenous antibiotics for 7 days. He was admitted f....
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Fever and Ileus
Pediatric Oncall
A 22 months old girl presented with fever for 10 days, diarrhea and abdominal distension for 3 days. On examination, she was pale, heart rate was 104/min, capillary refill time (CRT) was < 3 seconds. ....
A
ATAXIA
Pediatric Oncall
A 5 years boy born of non-consanguineous marriage presented with ataxia, frequent falls during walking and weakness of lower limbs for 1 year. Mother also noticed intermittent tremulousness of lower l....
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Vomiting in a child with epilepsy
Pediatric Oncall
A 4½ years old boy presented with vomiting for 3 days. He has epilepsy since 1½ years of age and has an episode of seizure once in 15 days. He was on carbamazepine and phenytoin for the same. Carbamaz....
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BRONCHOGENIC CYST
Pediatric Oncall
An 11-month-old boy born of non-consanguineous marriage presented with a cough for 15 days and fever and breathlessness for 3 days. He had similar complaints at the age of 7 months and was hospitalize....
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Congenital edema of feet
Pediatric Oncall
A 7 year old girl presented with edema of feet since birth. She is otherwise asymptomatic. On examination apart from edema feet (non-pitting) and skin denudation over edema, the rest of examination is normal.
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Subcutaneous Fat Necrosis
Pediatric Oncall
A 1½ month old girl born of non consanguineous marriage presented with fever for 5 days, thickening of skin over back, arms since 15 days of life. She was a post term caesarean section with meconium a....
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