All Grand Rounds
N
Neonatal cholestasis in an infant with Rh incompatibility
Ira Shah
A 1 ½ months old boy was referred for jaundice with clay stools since birth. There was history of Rh incompatibility which led to jaundice in neonatal period that required phototherapy and exchange tr....
R
Recent Conversion of Tuberculin Skin Test
Ira Shah
A 5 year old girl weighing 14kgs was referred in view of positive Tuberculin skin test {TST} {15mm by 2 TU} in November 2015. She had been tested as she had fever for 3 days but was currently asymptom....
C
Chronic diarrhea with fever
Ira Shah
A 1 years old boy born of non-consanguineous marriage presented with recurrent watery, foul smelling diarrhea and fever for 2 months. He was treated with antibiotics, steroids and lactose free milk. H....
M
Multiple ulcers in the terminal ileum
Ira Shah
A 16 years old boy presented with abdominal pain and intermittent low grade fever for 3-4 months. An ultrasound {USG} abdomen showed multiple lymphnodes with bowel wall thickening of ascending colon, ....
D
Duodenal and Jejunal Polyps in Extra-hepatic Portal Hypertension
Ira Shah
A 7 years old boy suffering from extrahepatic portal hypertension had an episode of malena. An upper GI endoscopy was done. There was presence of Grade 1-2 esophageal varices without any bleeding stig....
H
Hodgkin’s Lymphoma with Tuberculosis
Ira Shah
A 12 years old boy presented with evening rise of fever for 4-5 months, bilateral otorrhoea for 1 month and loss of appetite. He was treated for cervical tuberculous lymphadenopathy 3 years ago and to....
S
Splenectomy without Prior Vaccination
Ira Shah
A 9 years old boy presented with pain in left part of abdomen since days. There was no fever or trauma. On examination, vital parameters were normal. There was firm splenomegaly. Other systems were no....
D
Demyelination in tuberculous meningitis
Ira Shah
A 7 years old girl presented with fever for 15 days, and 1 episode of generalised tonic clonic convulsion followed by loss of consciousness. Her sister was suffering from fibrocavitatory TB and was on....
F
Fever, jaundice with emerging pancytopenia
Ira Shah
A 7 year old boy born of non-consanguineous marriage presented with fever with chills for 10 days. He had left flank pain and bilateral painful knees along with fever. There was one episode of uprolli....
N
Nutritional Hypovitaminosis D Presenting as Tetany in an Infant
Ira Shah
A 12 months-old boy presented with vomiting, diarrhoea and carpopedal spasm. He was exclusively breast-fed till 6 months of age and was on full diet now. On examination, he had fronto-parietal bossing....
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