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All Grand Rounds

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Massive Hepatomegaly as a presentation of Chronic Granulomatous Disease
Rhea Vyas, Ira Shah
A 4½-month-old boy, first by birth order, born of a third degree consanguineous marriage, presented at his first immunisation visit with episodes of recurrent diarrhoea for 3 months and hepatomegaly. ....
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Recurrent Vomiting
Himali Meshram
A 3.5-year-old male child presented with recurrent episodes of vomiting (non-bilious, small quantity) for two years. There was no loss of weight, no history of abdominal pain or distension, loss of ap....
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Tachypnea in a Neonate and Diagnostic Conundrums
Udoka Asoh, Hilary Klonin
A term male infant was born by normal vaginal delivery following an uncomplicated pregnancy. He was admitted to the neonatal intensive care unit (NICU) at 33 hours of age with tachypnea [respiratory r....
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Sibling deaths due to infections
Ira Shah
A 6-month-old boy born of second-degree consanguineous marriage presented with diarrhea, papular reddish lesions over hands & feet and chronic bilateral ear discharge since 3 months of age. His eldest....
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Knocking Down the Diagnosis in Knock Knees
Anilkumar M Khamkar, Georgeena Elsa Jose, P D Pote, Pradeep Suryawanshi
An 8-year-old girl, born of 2nd degree consanguineous marriage presented with bilateral lower limb deformity and not gaining height. Other problems included poor scholastic performance, dim....
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A Female Child with Recurrent Pneumonia and Webbing of Neck
Senthil Kumar Palaniappan, Thiyagarajan Srinivasan
A 4 years old female child was admitted with hurried breathing for one day, fever with cough and cold for three days. She was admitted thrice previously for pneumonia elsewhere. She underwent closure ....
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Acute Donath-Landsteiner Hemolytic Anaemia (DL-HA) in a 5-year old male child - How to treat?
Gautam Araya
A 5-year-old male present to the emergency department with fever for 8 days and acute onset of dark coloured urine. There was no bleeding from any other site. Five days ago, he was prescribed amoxicil....
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Differential Diagnostic Challenges During the Covid-19 Pandemic for Pediatricians in an Eastern European Country
Szofia Hajósi-Kalcakosz, Borbála Zsigmond, Andrea Párniczky, Réka Bodnár
A two-year-old girl was admitted to a local hospital in Hungary in March 2020 with fever, difficulty in breathing and one week history of coughing. She had chronic cough, frequent respiratory illnesse....
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Serologic Rebound in Congenital Toxoplasmosis
Beatriz Simões Vala, Vânia Leitão Martins, João Patrício de Sousa e Alvim Bismarck do Agro
A male newborn who was the third child of a non-consanguineous couple was referred for further management on the fourth day of life. Asymptomatic toxoplasmosis seroconversion was detected at 21st....
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Acute encephalopathy: What to suspect and how to prevent?
Vinod Kumar Gupta, Vanita Verma, RK Yadav, Mukesh Vir Singh, Anubha Shrivastava
A 9-year-old girl presented with convulsions followed by unconsciousness. She had fever and cough for one week. On examination, Glasgow coma score (GCS) was 8/15. There were no meningeal signs or foca....
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