All Grand Rounds

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Untreated Hepatitis B in a pregnant lady and breast feeding
Sheryl Chettiar, Aditi Gupta, Reepa Agrawal, Ira Shah
A 28-year-old married female presented with incidental finding of positive hepatitis B surface antigen (HBsAg) during her routine 4th month antenatal workup. Pregnancy was confirmed using a urine preg....
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Haemophilus influenzae type b complicated meningitis in an unimmunised immunocompetent child
Madara Grise
Previously healthy, unimmunised, one year and ten months old boy with fever, breathing difficulties, vomiting and cough that had lasted for 4 days, was brought to the tertiary level university hospita....
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From Headache to IIH: A Pediatric Case with an Unexpected Twist
Sneha Rani, Akanksha Sancheti, Hannah Becker, Mayra Matar, Neha Bhagi
A previously healthy 11-year-old male from Venezuela presented to the emergency department with a two-week history of increasing headaches, nausea, vomiting and new-onset visual disturbances, mimickin....
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Constipation as a Presentation of Duchenne Muscular Dystrophy
Dhruv Gandhi, Ira Shah
An 8-year-old boy presented in November 2024 with abdominal distention, intermittent vomiting and an inability to spontaneously pass stools requiring multiple enemas for 1 month. He had progressive in....
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Severe Hypokalemia in An Adolescent: Unraveling the Mystery of Gitelman Syndrome
Ramchandra Babar, Nikhil Pawar
A 16 year old female presented in OPD with complaint of severe pain in lower limbs for 2 days, with reduced oral intake and generalized weakness, on presentation she was lethargic, sunken eyes and los....
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Pyrexia of Unknown Origin in a Child: How to Approach?
Dhruv Gandhi, Ira Shah
A 6-year-old boy presented in August 2024 with high-grade fever for 15 days. There was no nausea, vomiting, abdominal pain, loss of weight or appetite. On presentation, weight was 24 kg (between 75th-....
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Positive Interferon-gamma Release Assay Result in a Child less than Two Years of Age: How to Interpret?
Dhruv Gandhi, Ira Shah
A 6-month-old boy presented in July 2024 with a right knee swelling and an inability to extend the right knee for 2.5 months. The swelling developed 10 days after receiving the Pentavalent vaccine in ....
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Histoplasmosis in an Immunocompromised Child- How to Diagnose and Treat?
Dhruv Gandhi, Aditi Gupta, Ira Shah
A 12-year-old boy, diagnosed with acute myeloid leukemia(AML) in February 2024 and on venetoclax and azacytidine therapy, presented to us in April 2024 with high-grade fever, wet cough and loss of wei....
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Variation in Hepatitis B Viral Load Titres in a Span of One Week in a Patient Not on Antivirals- How to Interpret?
Dhruv Gandhi, Ira Shah
A 28-year-old primigravida presented in December 2024 at 17 weeks of gestation with incidentally positive results for hepatitis B surface antigen (HBsAg), hepatitis B envelope antibodies (anti-HBeAg),....
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Bronchiolitis Unveiling a Hidden Heart: A Case of Left Ventricular Non-compaction
Aishwarya Padubidri Muralidhar
An 8-month-old male infant presented with a three-day history of cough, rhinorrhoea and low-grade fever and one day history of fast breathing and feeding difficulties. He was born full-term with no si....
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