April-2006 Volume-3, Issue-3

Preeti
I am a final yr medical student and i just love ur website!!! I regularly use it to help me with my preparations. The topics are so lucidly written and easily understood with up to date information.. Even the HIV related web site (www.hivinchildren.org) by Dr.Ira Shah is just fabulous!!!

Dr Parang N Mehta
Dear Dr Ira Shah, Congratulations on putting up an excellent website, which will be of great use to practicing pediatricians everywhere. You have achieved the near impossible in getting some of the biggest names in pediatrics in India to contribute content to your site.

Sailala
An excellent website!! good and useful information! Many Thanks for to u all!

Sujatha
Very informative site, and queries are getting resolved immediately. Thanks

Uttam Laisram
I found the Vaccine Reminder feature on your Website very interesting. My request is that this useful facility may not be restricted to Registered Users, but may be made available to all Visitors, who may like to enter their child's details and take a print-out of the Vaccine schedule. Please consider. Keep up the excellent work in providing India-relevant information for child care.

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Past Issues of www.pediatriconcall.com

April-2006 Volume-3, Issue-3
Dear Doctor :
Latest articles on Pediatric Oncall:
	DIAGNOSTIC DILEMMA: This month’s diagnostic dilemma: Dr Deepak A 2 years old girl presents with pancytopenia. A bone marrow shows hemophagocytosis. She develops hepatosplenomegaly and lymphadenopathy. Other work up for VAHS is negative. A repeat marrow shows blasts like cells with no megakaryocytes or myeloid cells. Lymphnode biopsy is inconclusive. She dies due to intracranial bleed. What is the possible diagnosis? Read the entire case in the section of DIAGNOSTIC DILEMMA for further details.. http://www.pediatriconcall.com/fordoctor/diagnosisdilemma/listdilemma.asp

	TEACHING FILES: This month’s teaching File: A 7 years old boy presents with scholastic backwardness since 5 months, headache since 10 days, projectile vomiting since 5 days and right sided focal convulsion with fever since 1 day. MRI brain shows large SOL in right occipital lobe, bilateral medial temporal lobes, right posterior temporal lobe and left occipital lobe anteriorly. What is the cause of the SOL? Read the entire teaching clinical query in the section of “TEACHING FILES” and try the correct answer. http://www.pediatriconcall.com/fordoctor/teaching/clinical_propblem_list.asp Last month’s teaching file: Query: An 11 year old girl presents with recurrent megaloblastic anemia that improves with oral Vitamin B12 and folic acid but recurs once again when the supplements are stopped. How should this child be treated? Answer: Recurrent megaloblastic anemia in an older child could be due to poor nutritional diet or could be due to deficiency of Intrinsic factor. This child has NUTRITIONAL MEGALOBLASTIC ANEMIA. Thus apart from B12 supplementation she would require a dietary modification. Discuss this case further in the section of “DISCUSSION GROUPS”. http://www.pediatriconcall.com/fordoctor/gd/gdCategoryWise.asp

	EDUCATIONAL ARTICLE: CLINICAL MANIFESTATIONS OF CONGENITAL SYPHILIS. A complete description of the varied early and late clinical presentation of congenital syphilis. http://www.pediatriconcall.com/fordoctor/diseasesandcondition /infectious_diseases/Clinical_features_congenital_syphilis.asp

	CASE REPORTS: NIEMANN PICK DISEASE. Read about a 2 year old girl who presented with delayed milestones and hepatosplenomegaly and a discussion on Niemann Pick Disease. http://www.pediatriconcall.com/fordoctor/casereports/niemann_pick_disease.asp

	VIEWERS CHOICE: NEONATE WITH FATAL GENETIC DISORDER. Mirudhubashini Govindarajan, .A.K.Jaleel Ahamed. This is an interesting case of Neonatal Bartter's Syndrome (Seyberth hyperprostaglandin E syndrome). Read more… http://www.pediatriconcall.com/fordoctor/viewersChoice /neonate_fatal_genetic_disorder.asp

	JOURNAL ABSTRACT: DRUG THERAPY :NEURAMINIDASE INHIBITORS FOR INFLUENZA. This article published in New Engl J Med 2005 gives a complete description of Oseltamivir and Zanamivir. Read the highlights of that article.. http://www.pediatriconcall.com/fordoctor/Journals /Neuraminidase_Inhibitors_for_Influenza.asp

	IMAGE GALLERY: Try your clinical skills in the “SPOT DIAGNOSIS” for the fortnight and the lucky winner gets a set of 3 child health CDs – Courtesy Pediatric Oncall This fortnight's spot diagnosis: Spot diagnosis? Last months answers : Case 1: Scrofuloderma Case 2:Vitamin K deficiency
	Sincerely, Pediatric Oncall