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Expert Opinion
Q. 7-year-old girl with polyuria, polydipsia, hypokalemia. Other serum electrolytes are normal. Urine sodium is 85 mmol/l. What is diagnosis?
Post Date : 30 Nov 2025
Expert Opinion:
Rule out renal tubular acidosis. Get blood gases and check anion gap.

Q. What is the lower age limit for prescribing ofloxacin?
Post Date : 23 Nov 2025
Expert Opinion:
Quinolones are currently not approved for use in children, though they are used in the treatment of MDR-TB and typhoid fever and the WHO also mentions their use for diarrhea in children. There are various studies that have established its safety in infants.

Q. If a 1 and 1/2 yrs old having a weight of 10 kg, cough for 15 days, fever for 15 days, Montoux negative, but CXR showing hilar prominence. Can we rule out TB just by neg Montoux as he is having good weight?
Post Date : 16 Nov 2025
Expert Opinion:
Diagnosis of TB in a child less than 5 years is not simple. We have to get family history, H/O of present illness and X-ray and MT. This child, having good health and MT negative, is very less likely to have TB. If you want to rule out 100 percent, then CT thorax can help.

Q. What is the criteria for administering Atropine and Neostigmine in a Cobra bite?
Post Date : 09 Nov 2025
Expert Opinion:
Cobra venom consists of a neurotoxin which is responsible for respiratory paralysis, simulating that associated with a non-depolarizing muscle relaxant. Hence, both atropine and neostigmine are added.


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