Previous Question of the Week

A
A ten years old boy is a case of GTCS with EEG changes. His convulsion are controlled on valparin and frisium. He has no convulsion for last one year. Can I try to tapper frisium?
A
A 3-year-old baby comes up with the complain of fever n cough for 7 days. The patient becomes cynosed to lying down which resolves on standing, Patient also has skin telengectasia. What is the diagnosis?
W
What will be the management of chronic diarrhea at periphery set up?
4
4-month baby with a fever, vesiculobullous necrotic extensive skin lesion appeared after penicillin .......
F
For how many days should we Nitazoxanide in a patient with invasive diarrhea?
C
Can we switch from injectable vancomycin or teicoplanin to oral linezolid?
1
19-Month-old toddler presented with lethargy, laziness, insomnia, loss of appetite, since 2 days his body weight is 15 kg on examination he had no clinical findings. All systems are normal, in blood examination LFT Normal, Hemogram Normal.
I
If both mother and father are short stature how should we track the height for age of a child? Because they remain much below the WHO height chart.
C
Can we use Deflazacort in nephrotic syndrome in place of Prednisilone?
W
What treatment should be given to AFB positive contact children of less than 5 years of age who are Mantoux positive and those children who are Mantoux negative?
W
Who has abolished CAT III? Giving CAT I to cervical lymphadenitis and PC?
W
We should give an ATT to asymptomatic Mantoux-positive children less than 5 years of age. What is your opinion?
A
After what age we can prescribe dextromethorphan and pholcodine to children?
A
A 10 years boy is having severe growth retardation. His other brother and sister are having normal height. His bone is found to be 3 years. What investigation other than T3 T4 TSH we should do?
I
I have an 11-year girl, weight 25 kg, diagnosed with T1DM in 2007 and on human insulin since then bu.......
A
An 18 month-old boy presented with fever and recurrent generalized tonic convulsions. He was treated.......
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Should we give inhaled corticosteroids to a child who has frequent wheezing sometimes with fever and sometimes without fever? No other allergic symptoms and no family history of allergy.
A
A 14 years old girl is having pain in her fingers (mp joint) which increases in writing. What could be the investigation to confirm the diagnosis?
W
What is the importance of urinary AFB in case of pain abdomen?
W
What is the role of Folic acid and Folinic acid in Hemoglobinopathies?
T
The patient is a 7-year-old male child. He has past h/o complex febrile seizures. till the age of 6 .......
W
When should we go for MCU in a baby with bilateral hydronephrosis with bilateral hydroureter and what is the best time for surgery in PUV and bilateral VUR?
I
I was told that steam inhalation in children should not be advised because it hurts the mucosa of the trachea and bronchus, it is true?
A
A 10-year boy is having a chronic cough. His throat Culture showed pseudomonas and sensitivity to Inj cefperazone. Does throat culture has any value in the case of chronic cough and the report of pseudomonas is correct?
I
In children less than 5 years of age in seasonal, Cough which are usually viral in origin. The Coug.......
S
Should we wit hold bathing during respiratory tract infections (URI and LRTI)?
I
Is coating of tongue in a febrile child should be taken as a sign of toxemia and warrants antibiotic initiation?
I
In shock state after fluid resuscitation up to which time we should expect the child to pass urine?
W
What is the nursing management of Diptheria and what is the goal and hygiene in the Diptheria?
W
What is the management of the patient with a fever with fits?
I
Is the single dose of live hepatitis A vaccine (Biovac A) better in respect to the seroconversion and prolong protection than the two-dose schedule of inactivated hepatitis A vaccine.
A
Are there any long-term or short-term side effects of a live attenuated freeze-dried hepatitis A vaccine (Biovac A)? Are there studies conducted in India esp. in children?
A
Around 50-year-old patient came to the emergency department in phc with an unknown bite. The patient.......
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What is the dose of probiotics in children?
W
What is the difference between BioVac and Havarix Vaccines? How they are different?
H
How common is brucellosis in India and what are its common manifestations?
H
How to prevent bloodstream infections from umbilical venous catheters? Can we let UVC without dressing(uncover)?
D
Describe the proportionate dwarf?
I
If you suspect in-app anti dirut hormone as in CNS and chest problem fluids to be decreased or do we wait till hyponatremia occurs?
C
Can we give potassium in dehydrated with good urine after shock therapy with raised renal function?
W
What maximum fluid is to be given in terms of maintenance and as a deficit?
C
Can cefipiem and cipro be given to neonates and what indication?
W
What medication imperical for late onset pneumonia and sepsis. If we suspect meningitis or fulminant pneumonia what to be added?
W
What medication is given in running nose and what congestant and antihistaminics to be given?
W
Why we don't say bronchitis in neonates and instead say bronchiolitis.
H
How common is neuroblastoma in Indian children and what are the common presentation of this?
W
Which nomogram for blood pressure measurement in Indian children should we refer to?
W
What are the common causes for a groaning in newborns?
W
What are the cause of the collection of anyts around urine in children less than 5 years of age? What is the treatment of the causes? What is the cause of depostion of whitish substance at the site of urination in children?
A
A three-year-old female child complains of Pain Abdomen for 4 days only between 6 pm to 9 pm. Pain i.......
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Two months old male, pertussoid cough sometimes associated with apnoec spells, having persistent tac.......
C
Can doxophylline be used as alternative to terbutalline in bronchial asthma?
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Two children boy and his sister are born with congenital deafness thier mother planing to get pregna.......
A
An 8 years old boy whose height is 3 SD below the mean for age, bone age is delayed, serum level of.......
A
A 12 years boy came to me with a history of fever for 7 days. Her Widal report is as under - Salmone.......
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My 2 and 3/4 yrs old daughter prefers to use her left hand to do her work. What should we do should we discourage her or let her do whatever she feels comfortable with?
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What are the causes of mild cough in infants of less than 6 months of age, how should we treat them?
A
A 1-year child with rt. paracardiac pneumonia, not responding to ceftriaxone, amoxicillin-clavulanate, and clarithromycin drugs. How to investigate him?
P
Piperazine is available on market for roundworm. What is a year's experience with the drug? What about pyrantel pamoate?
I
In the treatment of nephrotic syndrome if the child is also having tuberculosis should the treatment of both diseases should be started simultaneously?
H
How to monitor hypothyroidism patients after starting drugs by laboratory investigation. Patient after starting drug 6 months later, TSH normal, T3 normal, T4 slightly elevated. Patient of 10 years on 25 ug thyroxine. What should be action?
D
Does normal USG and absence of clay-colored stool and urinary urobilinogen, stool stercobilinogen rule out biliary atresia in a case of cholestatic jaundice in a one-month-old baby in a peripheral hospital?
T
Treating a hypothyroid patient facing a problem when we put him on 100 mcg Eltroxin his TSH falls down below 1 and his weight falls but when we reduce his dose to 75 mcg his TSH shoots above 30. How we should adjust his dose?
M
Mother of an 8-year-old with c, o axillary hair noticed since last 1 month. She is 90 percentile for.......
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What will be the treatment for Pityriasis Alba?
I
If both parents are cases of IDDM, What is the chance of the child getting the same disease, and at what age the child can present?
W
What is the D, D of a typical febrile convulsion?
A
A 3 yrs old girl presented with dysentery with rectal prolapse ie blood and mucous in the stool for.......
A
After how long one should repeat a CT scan abdomen in a patient treated for infectious non-tubercular abdominal lymphadenopathy?
S
Sir, How to investigate and follow a 2-year girl, with Microcephaly, No MR, No Organomegaly, No seizures, No rash, Otherwise normal except for Preterm, LBW (1.8 Kg) at birth?
I
I am having one query regarding prescription patient with Cough Dry cough and Cold, below one year, What will u give? (used levocetirizine or what? whole prescription and what will u give above on year)
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An 18 months old baby came with severe anemia with a history of two transfusions first at 7 months o.......
F
For IV cannulation which light is used, what is the cost?
I
In apt of seizure, diazepam is safe or midazolam and why what is the dose?
T
There are different combinations of cough syrup present in the market, expectorant, allergic cough s.......
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In the rationale use of antibiotics where is the place of clindamycin in the treatment of pneumonia?
A
A 12 years old boy came from an endemic area of malaria of Bihar with a history of two episodes of m.......
2
2 months old baby having conjugated S. bilirubin 7.7 more than 50% of total bilirubin, and having ye.......
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Is it rational to give ceftriaxone and cpenicilline to give together?
H
How can we clinically and by minimum investigation differentiate between neonatal hepatitis and bili.......
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What is the duration of levocetirizine and montelukast treatment in allergic rhinitis? Is the combination of levocetirizine and montelukast rational?
C
Can meningitis present without meningeal signs? If yes, how?
T
Till what age can we give the rotavirus vaccine to the children?
1
15 days baby with congenital adrenal hyperplasia on Florinef, hydrocortisone, salt 5 mg. Suddenly fe.......
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WHAT COULD BE THE D, D OF FEVER WITH HEADACHE. WHEN NECK STIFFNESS,KERNIG ARE NEGATIVE PLANTAR FLEXOR,FUNDUS-NAD, VOMITTING OCCASIONAL INITALLY BUT LATER REDUCED,WIDAL and CBC NAD,
I
In endemic areas can just palpable spleen be a normal finding. Does it require any treatment if mp is negative in blood smear?
U
US FDA does not recommend the use of antihistaminics below 2 years of age. So please guide me on how to manage URTI i.e. children having a stuffy nose, running nose, and cough.
I
Infant of diab mother with hypoglycemia 27 mg with distress, lethargy. One day old. 4.750 kg. 1-Wh.......
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What is the role of phenytoin as antiarrhythmic drug esp in neonates in cases with bradyarrhythmia and heart block?
U
Umbilical venous cath put but x-ray shows it arterial how can this happen?
T
The flu vaccines which are introduced in India are safe for children with a history of febrile seizures? What is their efficacy and what are their side effects?
A
A 12 yrs old girl having fever for the last 10 days, headache, and vomiting for the last 10 days, sh.......
A
A 12 yrs old girl having fever for the last 10 days, headache, and vomiting for the last 10 days, sh.......
A
Antihistamines and antitussives are contraindicated in infants and children below 2 yrs. Can ayurvedic cough syrup be used in infants and children below 2 yrs for cough?
I
I am told no antihistaminic is safe below two yrs of age. But Phenergan is very commonly used in children. And there are many drops preparation which contains phenylephrine, chlorpheniramine maleate what is your opinion about this?
A
A 15 yrs girl came to me with complaints of episodes of tachycardia. Sometimes the episode of tachyc.......
2
2 years old boy with Down syndrome, common A, V canale. present with hemiplegia on the right side wi.......
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I have a 2-month-old infant born to toxo positive mother, who has been on spiramycin from 3rd month .......
F
For how long we can use domped dops for GERD in infants?
I
Is chlorpheniramine maleate safe in neonates and infants?
W
What is the role of macrolide in viral cough?
I
I have a neonate with thick ear discharge, not feeding well. how long of systemic antibiotics required? should I do an LP?
C
Can infective endocarditis and acute rheumatic carditis in a patient with established rheumatic heart disease occur together? If this is common how to differentiate between those two and how to treat?
7
7 yr old child with Lennox-gastaut syn. on the optimal dose of Topomax and Keppra, the epilepsy is n.......
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a government hospital ultrasonologist gave an opinion of appenticitis after usg abdomen.surgeon ex.......
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Boy is 7 yr 9 months old and last week he had a fever since 2-3 days, vomiting since 2-3 days which .......
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Male child is born on Nov 26, 2010, with a history of hydronephrosis in the left kidney seen in USG........
D
Does hyperuricemia occur as acomplication in hereditary spherocytosis A patient 14 yr old with hereditary spherocytosis presented with arthritis involving knee and ankles His serum uricacid is 7.4mg Ishe to be started on allopurinol
A
A 3 years girl has general tonic-clonic seizures since 1 year. EEG finding shows that she has grandm.......
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I have an MRSA infection in Nicu. I want to know how to get rid of it and what is the best sterilizers for incubators in this situation at the present time I use sodium hypochlorite is it enough or should I use other sterilizers?
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5 month old girl born to non consanguineous parents on bottle feeds since birth.. middle class famil.......
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thank u very much for d last query :} what shuld be d drug of choice for a woman wid epilepsy duri.......
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I am a general practitioner. Recently I had a patient, 5 months old male baby, presented to me with .......
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a child had tracheomalacia and tracheo oesophageal fistulae was operated....now 4 years old...now su.......
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Should women receive the rubella vaccine in reproductive age even if they have received MMR during childhood?
C
Can meropenem or cefixime be used in enteric fever?
M
My son is 28 months old now and was diagnoed as steroid responsive nephrotic syndrome 3 months back........
Q
Q a 1.2 kg born at 30 wks develops moderate respiratory distress with chest retractions and grunting.......
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If there is no fever present, what is the catching point to diagnose enteric fever, malaria fever, dengue fever, viral fever in the initial stages of the first 2-3 days?
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In cases of malaria and dengue Widal test is falsely positive due to amnestic reaction. I want to kn.......
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Which antihistaminics are safe in neonates and infants up to 4 months?
9
9 mo. old baby firm to hard tender swelling on the right parotid region, high fever two days.macular rashes itching on the right side of the body for one day. What could be the possibility?
A
An ill ventilated preterm with diminish perfusion but blood press is normal and heart rate. What is the cause and the treatment?
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what is meant by stability of patient befor giving surfactant.and can we give it late in hyaline memb
C
can we have hypercabia without hypoxemia in ventilated baby without any upper airway obstruction
W
what is the difference between sigh and gasping in ill ventilated baby
H
How often can we repeat albendazole if worm infestation {visible pinworms in stools} persist? When and what is the role of ivermectin?
W
What are the criteria for diagnosis of UTI in OPD in routine urine microscopic examination?
W
what medicines can be prescribed to a neonate and infants upto 3 months of age for cough without fever_?
W
what are the antibiotics and analgesics which are absolutely contraindicates in thrombocytopenia and dengue fever_?
5
5-month-old female child, developmentally normal for her age having small anterior fontanel {admits .......
H
Haemangioma on the head of a newborn. are any further investigation required
I
In a suspected case of dengue where the patient is having a high-grade fever with chills can we use tab chloroquine empirically?
S
Sometimes a sudden drop of the pulse occurs for seconds on What is the differential diagnosis?
T
Term 1700g What should be the schedule of feeding in ml?
D
Dear Sir, Madam, I have read everywhere that the B.C.G. is always administered in upper left arm through intradermally but Why to do so is question . Can we not go for the Right upper arm or other site of the body.
I
if a multiple dose measles vial is opened how long can it be used, same is the question regarding the BCG vial again a ten dose vial_?_?_?_?
I
If in a case of fever Dengue NS1 is positive but Dengue IgG and IgM are negative what does this report mean?
W
What are the indications of CT Scan head in a suspected, proven case of bacterial meningitis? Can a patient of suspected meningitis be treated without CT Scan?
M
Many times it is found in patients of malarial documented fever Widal test is found positive i.e. Sa.......
A
Advise reg. treatment and follow up of a pt .fch, 12 yrs, with recurrent attacks of CARPOPEDAL SPASM.......
H
How can we differentiate between regurgitation of milk and GERD in a baby of 1-2 months of age?
W
Why there occurs frothing during a convulsion?
W
what is the role of ambroxal drops in infants and children_?
C
Can we use zinc in neonate less than one-month-old having diarrhea?
A
A 10 yrs old patient is having a fever for 10 days. His widal test salm typhi o titers are 1,320. Tl.......
N
neutropenia lymphocytosis
I
If a child with 10 kg, presents to us with scorpion sting with signs of cold extremities, salivation, sweating, and increased blood sugars, how to start insulin and what should be the interval of prazosin?
A
A 2 yr old male child presenting with some hesitation on micturition. urine culture, sensitivity rep.......
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Should all fever with chills and rigors be treated on presumptive line and treated with chloroquine or we should wait for confirmation with peripheral smear for plasmodium?
9
9 months old boy of non-consangous marriage presented with cough since 3 days and 2 attacks of gener.......
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What is the treatment for FUNCTIONAL HYPERVENTILATION in pediatric patients?
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Paracetamol, mefenamic acid, nimesulide, and other antipyretics are contraindicated in G6PD deficiency then what antipyretic should we give in fever in G6PD deficiency?
W
What is the incidence of scurvy and rickets in HIV infected children?
W
Will giving packed cell transfusion alter bone marrow cytology and bone marrow cytogenetic studies in a suspected case of acute leukemia?
B
Baby with blood group AB, mother blood group A. Can this cause jaundice to baby due to ABO incompatibility?
W
What is the lower limit of Hb when a blood transfusion should be planned in an otherwise normal child and a sick child?
1
14years old healthy girl with her right breast at Tanner stage4 ,her left breast is at Tanner stage 1,how this could be explained_?
S
Sir, what is the treatment for CARPO PEDAL SPASM,in a 10 yr old, fch, with normal lab. reports .......
C
could you please tell me about types of insulin
4
4 yr old female, with symmetrical growth retardation,born at term with birth weight of 700gms presen.......
S
Sir , I would like to know if there is any article on nutritional support in critically ill neonates and infants.If yes, could please reply
W
what is amnestic reaction how does it interfere in the reading of a investigation report_?
I
i am seeing a lot of patients who come to me with thromboctopenia and widal positive their titre a.......
A
at the time of seizure midazolam can be given if yes what is the dose
I
in dengue how to menage huge ascitis and pleural effusion causing resp. difficulty
A
a male child born with lscs wt is 3.2kg, cry immediately have bilateral inguinal hernia when baby will be operated
I
is there any role of sunlight in neonatal jaundice
I
If an infant is accidentally given more than 2 drops of oral polio what are the adverse effects_?
C
can seizure occur as a complication of bcg vaccination_? since i ve seen a case of seizures - 2 epis.......
I
I have a 6month old daughter. I would like to know if I should give her the H1n1 vaccine now. I stay in bangalore.
A
A 15 YRS OLD BOY CAME TO MY OPD 4 MONTH BACK WITH SEVERE PALLOR.ON EXAMINATION HER Hb WAS 2Gm pe.......
H
hi i need an easy book to read growyh and development and not to be complicated thanx
A
A full term newborn presented to opd for complaints of abnormal head shape. no history of fever, abn.......
1
12 year male ,externally no dysmorphology found to have acute leukemia,hydronephrosis,cns angioma in mri. does he fit to any syndrome_?
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What media was used in transport tube for nasal and throat swab in H1N1 lab test_? Dr. Marg
A
A TEN YRS OLD GIRL PRESENTED WITH FEVER FOR 1 MONTH AND PAIN RT UPPER ABDOMEN.ON EXAMINATION PT IS .......
2
2 1, 2 y, o female with no previous PMH c, o sacral pain, almost daily for the past 6 months. No fe.......
C
can u use salbutamol and terbutaline in neonates and infants
I
I am working as Medical Officer in Purulia Sadar Hospital. My child {current age 2 year and 3 month.......
A
a 5 year old boy presented with history of headache with fever for last 2-3 days ,was prescribed ant.......
N
normal heart rates of diff ped age groups
I
In a febrile patient we are supposed to substract a figure of 15 per degree F rise of temperature fr.......
G
GLUT receptor mutation is known to produce movement disorders whioch responds to ketogenic diet. Mor.......
A
A 15 year old boy , a known case of hereditary spherocytosis presented with polyarthritis involving .......
2
2 month old male with UTI, was treated with ceftriaxone IV for 3 days awaiting culture and sensitivi.......
M
My 13 month old female child 5.8kg wt, a product of non consengenious merrage delivered FTLSCS baby .......
I
I am willing to consult with you about my son who is A 2 year and 3 month old boy suffering from Po.......
I
in acute asthma , nebulisations every 20 min , is from the start of 1st nebulisation or 20 min from completing 1st nebulisation . Can sc terbutaline be preferred to infusion of aminophylline
I
interested in a fellowship in adolescent pediatrics, gastroeneterology . Can you give information
A
a 4 year old female child presented with history of cough for the last 1.6 month.The cough is produc.......
I
in infant in thesedays intractable cough what is the causewhat is the tretment
I
is it normal to vibrate infant during sleep specially in legs
A
an infant is vaccinated against BCG at birth but no scar appeared after 12 weeks. Should i repeat BCG or else intervention can be done_? Pls guide me.
A
a 12 year old child presented with pain for last 2-3 year.Had a symptom free interval for a year in .......
I
IS THERE ANT RATIONAL OF COUGH SYP HAVING DEXOMETHOROPHAN WITH BROMHEXINE AND AMMONIUM CHOLORIDE IF YES WHAT IS THE CONDITION WHERE IT COULD BE USED.
S
SOME CHILDREN OFTEN COMPLAINT THAT WHEN THEY SHAKE THEIR HEAD THEY FEED THEIR BRAIN IS MOVING. I MY .......
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i am a pediatrician seeing agirl child 3 years with meningitis improving but having weakness all four limbs dtr negative power 3, 5 all four limbs MRI brain normal my diagnosis is critical illness neuropathy suggest please
A
a 2 year old female child being treated as a case of acute lymphoblastic leukamia,develops retention.......
A
a 11 month old infant ,who is otherwise normal but brought to my clinic with complaints of stiffenin.......
R
respected madam, sir, i recently read about severe acute malnutrition and the pathophysiology{incomp.......
H
hi.In shock management when we shift from dopamine to epinep or norepinep. do we continue to use dop.......
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WHAT ARE THE CAUSES OF ENLARGED JUGULODIGASTRIC LYMPH NODE IN CHILDREN WHERE TONSILITIS PHARYNGITIS IS NOT PRESENT USUALLY JD NODES ARE ENLARGED IN CHILDREN HAVING RECURRENT TONSILITIS.
S
Short Stature with Recurrent Pallor and Constipation 13 years old Muslim mal.......
D
diarrhoea treatment protocol mentions that routine stool examination is not recomended .But it also .......
I
inhaled corticosteroid by its nongenomic action influence the cationic transport across the mitochon.......
3
3 month old , presented with bilateral ear discharge , while on antibiotics developed dyspnea requir.......
M
my son is 26 months old and is recently diagnosed with nephrotic syndrome since last 3 weeks,he is o.......
D
Does Continuous Aminophylline infusion helps in cases of sever Bronchiolitis.
R
Role of carnitine supplementation in preterms on parenteral nutrition or expressed breast milk feeding. Need comments.
W
Want to know recent alpha blockers {like tamsulolin} which can be used in children for lower ureteric, urethral stones_?
E
enlist drugs hazardous in lactating mother_? what are absolute contraindications for breast feeding_?
I
Is it acceptable to use 30G insulin syringe for administering I, M and S, C vaccines_?
C
Can we use the BMI as an anthropometric measure to detect undernutriton_? If yes, what are the cut-off percentiles_?
F
FROM WHERE I CAN GET INGECTION SODIUM BENZOATE, SODIUM PHENYLACETATE AND ARGININE SOLUTION FOR UREA CYCLE DEFECT PATIENTS. GIVE ME FULL ADDRESS URGENT.
1
10 yr old,fever with rigor 2 and a half months,treated with broad spectrum antibiotics,primaquin plu.......
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nasssovac vaccibne by serum institute.isit approved by who and ipa to be given to all children and.......
A
about infant with cerebral palsy..in severe cases there is transfer dysphagia..lead to difficult fee.......
E
erythromycin syrup..is it causing vomiting for children_? can be given in cases of mild diarrhea_?
B
breast milk jaunice is a benign condition...can it lead to kernicterus_?..is it neccessary to stop breast milk for a days_? thanx
S
Sir, Pl. inform diagnostic and confirmatory tests to be done on C.S.F. For T. B. Meningitis _? Importance of A.D.A Test on C.S. F _?
P
Pl. give us information reg. SWINE FLU vaccine ,type,indications in pediatric pts, side effects, co.......
P
Panbio test in Dengue
S
Sir, If a pt on ARV, Post exp. prophylaxis forgets to take a 3rd day dose and comes on 4th, 5th.......
A
a 6 years old boy is referred for investigation of tall stature, and precocious puberty. his height.......
I
i have given vaxigrip ist dose to 2 years old 2 nd dose is due today. it contains seasonal flu strai.......
A
a 12 year old boy presents with clumsiness and abnormal gait for 2 years. on examination, he is cons.......
A
a 5 year old girl, previously healthy, has been running fever for last 3 weeks. she was brought to e.......
C
Causes for recurrent male stillbirths with being normal female babies born
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I am dr.sandip,pG student,GAVC,trivandrum,doing research in Underweight children 3-10 years.Study de.......
R
regarding H1N1 infection As per the MOH guideline patients with respiratory distress belong to group C and has to be treated with Oseltamivir. Is Oseltamivir indicated in cases of Bronchiolitis without lung opacities in chest xray
I
Is ceftriaxone and sulbactam combination rational_? Because half life of sulbactam is very much less.......
T
treatment protocal in a case of Pneuminitis basal area with CP angle clear both sides with pain at the site
A
Approach to a pt of fever with rigors bodyache headache nausea
A
A 12 years old previously well child admitted with 6 days h, o high fever - 39C to 40C. Fever was as.......
B
B.C.G. vaccination induced axillary lymphadinitis{confirmed by biopsy} . how long ATT and what drugs should be given_?
R
respected sir, i work as a pediatrics esident in a small hospital, india. i have a patient who is .......
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Why do u order T3T4TSH plusfree t3t4 in a suspected case of hypothyroidism ,why not T3T4TSH only
I
In a hypothyroid mother my question is 1-newborn should be screened for thyroid how many days after birth 2-We should do free T3 T4 or total T3T4
F
for estimation of age which side of xray is preferred.if ossification of one wrist is complete and of other hand is under process which of the ossification we should consider for estimation of age
C
can we give a short course of steroids either prednisolone or methyl prednisolone in cases of allergic bronchitis or asthmatic bronchitis_?
C
chidren do not expectorate.please tell me what should be standard treatment for wet cough in children less than 4 yrs,.
W
WHO guidelines says cipro flox.oflox,cefixime as a choice of antibiotics in dysentry.Here we do n.......
W
what is the present status of genetic counselling in india and to whom it should be given
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WHICH IS BEST DIAGNOSTIC INVESTIGATION FOR TYPHOID.
I
in case of thallesemia where s,ferritin goes above 4000microgram , lit despite giving deferasirox .what should be the future course _?what should be the target level for ser.ferritin
N
new born full term i.u.g.r. female { confirmed by presence of uterus and well formed overies} with e.......
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do blood transfusion alter bone marrow study_? if so what is the minimal time gap between a transfusion and a bone marrow study. {in anemia work up case}
M
My baby is of eight months old now.Since four months he has a typical rash over his face which i fe.......
A
AFTER HOW MANY DAYS OF LOOSE STOOLS WE SHOULD TEST STOOL FOR REDUCING SUGAR TO DIAGNOSE LACTOSE INTOLERANCE.BECAUSE IN EARLY STAGES STOOLS IS USUALLY POSITIVE FOR REDUCING SUGAR
I
IN A CASE OF PUO if fever is due to ANY auto immune disease THEN WHAT COULD BE THE POSSIBLE PRES.......
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WHAT IS THE ROLE OF LACTOSE FREE MILK IN LOOSE STOOLS IN INFANT LESS THAN 6 MONTH OF AGE. SOME PEDI.......
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is only fever in first few days after birth could be consider as a criteria for septic screening
L
laboratory diagnosis of congenital hypothyroidism
A
A girl 14 years is having jaundice 3 mg , dl,her sgpt is 70 sgot is 67.PT is 16 second.She is also h.......
4
4yr old child weighing 14 kg with fair dietary history gets repeated rectal prolapse which is manual.......
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IN CASES OF EOS CAN WE START INJ AMPICILLIN 100 mg, kg, day iv 8 hrly.inj gentamycin 5 mg , kg, day 12 hrly and in ceftrixone 100 mg per kg per day iv OD emperically.when we do no have the culture facility.
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is ONLY fever More than 100 on first three day of birth can be a sufficient criteria for septic screening.CAN WE GO FOR SEPTIC SCREENING IN THESE BABIES.
H
hi pls tell me about WATCHING T.V OF INFANTS.What is recommended and what r hazards or bad effects...my twins r of 8 months age nd want 2 watch TV for long time.at present I allow them for 10 minutes in morning and 10 min in evening.pls.guide me.
C
Can we diagnose thallesemia by just seeing the CBC and GBP report
R
respected sir, can u please tell me causes of abdominal pain which is follwed after regression of fever in children my email id - ajaywalimbe@yahoo.co.in
S
Sir can I know the important points in view of tonsillectomy operation_?
A
a3mo. pt of MR and delayed mile stones .no convulsions. mri shows whitematter degen. any d, d other then MLD
S
should we go for iga estimation also with ttg in cases of suspected celicac dis.
C
can hyperkalemia in diarrhoea case cause Floppy neck_?_?
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what IV fliuid should we use in near drown pt who drown while bathing in GANGA river or in swimming pool or in ponds
S
sir.if a mantoux test comes negative and suspiscion is high.after how many months can we repeat the montoux test on the same patient,and if there is no scar after BCG vaccination,do we have to repeat BCG vaccination.
S
sir im practising pediatrics in remote area,please tell me the different causes of MOANING or continuous low pitched cry in newborne and treatment....please urgent my previous question on bcg scar remains unanswered.
I
is inj rabipur nedded in rat bite cases
I
if free t3and free t4 are WNL and TSH is more than 10 in that condtion can thyroxin be started_?
W
WE HAVE 350 Ml OF BLOOD PACK IN SUPPLY.WHAT IS AMOUNT OF PACKED CELL ARE THERE IN A PACK OF 350 ML B.......
A
A 12 YRS OLD BOY CAME WITH COMPLAINT THAT WHEN EVER SOME ONE GIVE A THUMP ON LEFT SIDE OF HIS C.......
A
A CHILD OF 3 YRS OF AGE HAVING PAIN ABDOMEN OFF and ON FOR 6 MONTHS.THERE IS NO HISTORY FEVER.MONTOUX IS NEGATVE.USG ABDOMEN SHOWING FEW LYMPH NODES OF 2CM SIZE.CAN WE START ATT
A
A 6 yrs female is having off and on pain in both knee and elbow joints for last one year..ther is .......
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what is difference between the BP of two arm.which of the reading we should consider for treatment normally left arm BP is higher
6
6 years boy with attacks of sense ff drowsiness for about 2 minutes during which he is copletely conscious he has no pallor normal cardiac examination no headache
F
female 1 year old with unequal breast size since birth
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black areas around the eyes in children
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Sir, A 12yr old, male, asymptomatic child was brought for counseling.He was diagno.......
1
11 mth old male with non significant birth history,product of non-consanguineous marriage,global dev.......
B
BY DEFINITION JRA TERM IS USED AFTER 6 WEEKS OF JOINT PAIN.IF CHILD HAS OFF AND ON JOINT PAIN WHICH RELIEVE AFTER TAKING ANTIINFLAMMATORY DRUDS CAN WE STILL USE THE TERM JRA
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IN ONE OF MY QUERY ABOUT PACKED CELL TRANSFUSION IN THALLESEMIC PATIENT YOU REPLIED IN SEVERLY A.......
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CAN WE USE TERM PEM IN INFANTS LESS THAN 6 MONTHS OF AGE WHOSE WEIGHT IS LESS THAN 80 percent
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WHAT ARE THE CUT OFF LIMIT OF T4 and TSH TO DIAGNOSE HYPOTHROIDISM and START THYROXIN.IF T4 IS NORAM IN NORMAL LIMIT BUT TSH IS LESS THAN 10 UNITS SHOULD WE START ELTROXIN_?
I
i have one patient 5 yrs old male child weighting 17 kg c, o pain in lower limb {muscular} 20 days, .......
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how long will u give INH for the 3 yr old child who has exposure to openTB but skin test negative_?
A
A 8year old male child born of a consanguineous marriage of degree 2nd without significant pas.......
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WAT IS IDEAL MANAGMENT FOR BLOOD PRESSURE CONTROL IN HYPERTENSION WITH AUTOSOMAL RECESSIVE KIDNEY DI.......
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HOW MANY DOSES OF ADENOSINE IDEALLY RECOMONDED TO ABORT SVT_? WHEN TO GO FOR SECOND LINE DRUG_?WHICH DRUG IS PREFFRED AMINODARONE OR B-BLOCKER. IS THERE VERPAMIN IS SAFE IN CHILDREN WITH SVT_?
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the child is 3yrs.old.positive exposure to tuberculosis with cavitation.the child is negative in tb skin test and exibit no symptoms.Do we give medicines_?shes 18kls in weight.
I
i have a 7 month old boy presented with h, o fever 3 days then followed by frank GTC convulsion on .......
I
i am doing newborn screening. i often come across biotinidase deficiency. i want to nknow wether all.......
S
sir i wnt a clarification regarding the answer given to my query about transfusion of packed cell in.......
T
there are many types of iron compound comes in market.ferous slt,ferric salt,ferochelate,feradetate compund.how should we decide which iron salt should we use in children.
W
WHAT IS THE MAX AMOUNT OF BLOOD COULD BE TRANSFUSE IN SEVERLY ANEMIC CHILD{THALLESEMIC} IN A DAY and TOTAL IN 2-3 DAYS .WHAT IS THE PACKED CELL AMOUNT COULD BE TRANSFUSED IN THALLESEMIC CHILD IN A DAY and TOTAL MAX AMOUNT AT ONE TIME OF ADMISSION
2
2 months old child having weight 2.5 kg due to faulty feeding habbit.can we use pem for these pt or FTT IS THE CORRECT TERM.MY SECOND QUERY IS IS THERE ANY AGE LIMIT FOR USING TERM PEM AND FTT
A
A 2.4 kg male baby born to a second gravida healthy mother at 36 weeks. baby has absent forearm and.......
I
Is there any correspondence course on pediatric XRAYS.OR IS THERE VCD AVAILABLE IN MARKET WHICH HELP IN READING PEDIATRIC CHEST XRAYS.
1
1month old male baby, 1st by birth order, born of nonconsanguinous marriage, was admitted with h, o .......
2
24 days old baby, 2nd by birth order, born of nonconsanguionus marriage, hailing from pune was admit.......
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an infant of 3 momths visited the opd with whitish discoloration of the finger nails since 10 days.The symptoms are progressive in the sence they are increasing in numbers.Till now all the finger nails have been involved.
D
Dear dr on the top of BCG vaccination abscess{1cmx1cm}developed azithromycin is given what further should be done._?
A
achild with amorphous urininary phosphates and trace albumin with 1-2 pus cell, hpf,2-3 epithelial cell, hpf.urine is slightly turbid . culture is sterile.what can it be
M
many literature suggest deflazacort is better than prednisilone in nephrotic syndrome because little side effect.but no standard text book suggest as drug of choice in nephrotic syndrom _? is it because of cost factor or more studies required_?
S
Sir, According to latest IMMUNIZATION guidelines, shall we have to give 2nd dose {booster} of M.M. R. at 4-5 yr age or not , in our set up, pl. clarify.
I
IN REFEERENCE TO MY QUERY REGARDING Inj Ceftrixone IN TYPHOID FEVER YOU TOLD IT SHOULD BE USED FOR .......
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in liver disease which medicine is safe for fever_?- paracetamol or mefenemic acid _? Paracetamol with glutathione_?
H
how much blood need to be transfused for a 25kg 10 year old boy preoperatively with hb 7 g percent planned for major surgery_?how much can be transfused at a time_?
W
WHEN WE CALL ENTERIC FEVER AS MDR
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WHAT ARE THE CAUSES OF RAISE O TIRES IN WIDAL TEST OTHER THAN TYPHOID FEVER.
G
GENERALLY WE DO NOT SEE FOUR FOLD RISE IN o .......
A
AFTER HOW MANY DAYS OF GIVING INJ CEFTRIXONE IN A CASE TYPHOID WHERE WIDAL TITRES - MORE THAN 1, 16.......
S
should we give primaquine below 3 mnths if they r vivax positive_?