All Grand Rounds

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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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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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