All Grand Rounds

Unilateral breast mass in a newborn
Sofia Pimenta, Teresa Cachada Baptista, João Maria Goudiaby, Fábio Barroso
A female full-term newborn, with 26 days of age, was brought to the Emergency Department for edema and right nipple redness with a 2-day evolution; the mother reported discomfort since that day. Pregn....
Fulminant Hepatic Failure in a Child with Fever and Jaundice
Hasmukh Chapsi Gala
A 7-year-old girl presented with fever for 6 days, jaundice for 5 days, vomiting and loose stools for 2 days and altered sensorium and decreased urine output for 1 day. On admission, her blood pressur....
Biliary peritonitis: Rare presentation of spontaneously ruptured choledochal cyst
Ira Shah
A 6 months old girl presented with diarrhea and vomiting for 10 days and abdominal distension for 1 day along with oliguria. On examination, weight was 6 kg; child was dehydrated and had ascites with ....
The diagnosis of pre-symptomatic diseases
Sofia Pimenta, Sara Soares, Ana Rita Soares, Leonilde Machado
A 4-month-old male child, second child of healthy non-consanguineous parents, with no relevant family history and no prenatal or perinatal complications was referred to a Neurodevelopment clinic due t....
Hyperplastic duodenal and jejunal polyps in a child with portal cavernoma
Amit Dashputra, Ira Shah
A 7-year-old boy presented with abdominal pain for 2 days. He was diagnosed to have extrahepatic portal hypertension with portal cavernoma at the age of 1 year. At that time, he had hematemesis and ma....
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. ....
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....
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....
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....
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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