All Grand Rounds
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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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Fever and Rash, Not always Viral Exanthem
Stacey Ulrich, Peter Chiraseveenuprapund
A 7 years old previously healthy female presented to the emergency department for facial and truncal rash, facial swelling, and fever to 102°F which started 2 weeks prior. Patient also reported sore t....
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Indirect Hyperbilirubinemia in a Toddler
Apurva Shrigiriwar, Ira Shah
A 1½ years old boy born of non-consanguineous marriage presented with jaundice and clay-colored stools since day 3 of life. There was no itching but there were clay stools and pale urine. The chi....
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The target joint in Severe Hemophilia A
Govind Kendre, Sunil Hilalpure, Shruti Mantri, Suraj Goyanka, Leo Prince, Murlidharan C
A 12-years-old-boy presented with recurrent left knee joint swelling for 6 months. He was diagnosed to have severe hemophilia A at the age of one year when he was evaluated for multiple ecchymoses ove....
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Starry Sky Intracranial Granulomas with Spinal Granulomas
Tsering Yangchen, Ira Shah
An 8 years old female, presented in Feb 2015 with fever and headache for 15 days. She was admitted in a hospital a week ago after she developed right lateral rectus palsy. There was no contact with a ....
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