All Grand Rounds
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Desquamating Rash with Hepatitis
Parminder Kaur, Vipul Gupta, Reena Jain, Shivanjali Sood
A seven-year-old female child presented with fever for 3 days, oral ulcers and rash all over the body for one day. She was on sodium valproate at 20 mg/kg/day since a month in view of focal seizures. ....
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Hepatic Encephalopathy due to Hepatitis A – Can age predict need for liver transplant?
Kruti Dhaval Gandhi, Ira Shah
Case 1 An 8-year-old female child presented with fever and lethargy for 8 days, right hypochondriac pain and abdominal distension for 5 days, vomiting for 3 days, oliguria and irrelevant speec....
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Pink Hematuria in an Infant
Mohammed Azar, Aryn Jaitley
An 8 months old girl born of non-consanguineous marriage presented with two weeks history of bright blood spotting in her nappy. These episodes were intermittent with 3-4 episodes per week with multip....
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Itching for an Answer: Managing a Recurrent Evolving Annular Rash in a Teen Girl
Benjamin N. Africk, Bridget Boyd
A 13-year-old female with a history of atopy presented with a recurrent and worsening skin rash for 2 months (Figure 1). Around age 3 years, she developed a scaly, pink patch in the shape of a heart o....
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Recurrent Hyperbilirubinemia in an Infant
Pawan Daga, Ira Shah
A 7-month-old boy was referred for recurrent indirect hyperbilirubinemia since day 6 of life. The child had received phototherapy twice for same in neonatal period. He was also on phenobarbitone. When....
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Massive Hepatomegaly - Can it be acute lymphoid leukemia?
Himali Meshram, Ira Shah
A 9 years old female child presented to our Pediatric Liver clinic with a loss of weight of 2.5 kgs in 6 months, abdominal distension and loss of appetite for 3 months. There was no fever, bleeding ma....
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Persistent Diarrhea in an Infant- Could it be Enteroaggregative Escherichia coli
Himali Meshram, Ira Shah
A one and half month-old male child born of non-consanguineous marriage presented in September 2017 with diarrhea for 20 days. He had 20-25 motions per day associated with occasional vomiting. Antenat....
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Hyperbilirubinemia in a child on anti-retroviral therapy
Pawan Daga, Ira Shah
A 20 years old HIV infected girl on anti-retroviral therapy (ART) since the age of 12 years presented with jaundice for 3 months. There was no fever. She was initially on stavudine (d4T), lamivudine (....
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Familial Tubercular Abscesses
Shweta Bargaje, Ira Shah
A 13-month-old boy presented with an abscess over the right thigh following measles vaccine. The abscess was drained and histopathology of the abscess wall showed non-caseating granulomatous inflammat....
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A 9 months old child with Asymptomatic Bradycardia
Pritika Mall, Ira Shah
A 9-month old boy, born of a non-consanguineous marriage was referred for bradycardia. The child was otherwise asymptomatic. On examination, his heart rate was 60 bpm, with no apex pulse deficit. Othe....
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