August-2006 Volume-3, Issue-8

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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For HIV in children www.hivinchildren.org

Past Issues of www.pediatriconcall.com

August-2006 Volume-3, Issue-8
Dear Doctor :


	ANNOUNCEMENTS:
	PEDIATRIC ONCALL introduces ADVERSE DRUG REACTION INFORMATION SYSTEM (ADRIS) This system has been established to determine unknown adverse effects of drugs so that effective action can be undertaken if the cause and effect can be established. This ADR monitoring program is voluntary and depends on your co-operation to accurately report adverse drug reactions. A simple online form is all that needs to be filled and then the matter will be displayed on the website so that more and more doctors can be careful when prescribing this drug and if required information can be passed on to higher authorities for further action. As conscientious doctors caring genuinely for the patients, this aspect of surveillance can be a step towards safer medicine. A small time out of your busy practice to report any adverse effect will go a long way to prevent future problems in lot of patients. http://www.pediatriconcall.com/fordoctor/adris/adris_list.asp

	Latest articles on Pediatric Oncall:
	DIAGNOSTIC DILEMMA: This month’s diagnostic dilemma:M.Natarajan. Dr Hala An 8 month old boy presents with FTT. CBC, urea, urine, TTG, B-lactoglobulin, immunoglobulin assay, LFT and RFT are normal. He has metabolic acidosis and hyponatremia. What is the 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 3½ months old boy presents with bilateral cataracts. His TORCH, Urine Aminoacidogram, Serum calcium and blood gases are normal. What is the diagnosis? 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: A one and a half year old boy born of third degree consanguineous marriage presents with recurrent swelling over fingers and toes, anemia and hepatosplenomegaly. What is the diagnosis? Answer: This child has presented with recurrent polydactylitis. In addition, this child has pallor with hepatosplenomegaly and normocytic, normochromic anemia with reticulocytosi s. The child has Sickle cell anemia with dactylitis. Discuss this case further in the section of “DISCUSSION GROUPS”. http://www.pediatriconcall.com/fordoctor/gd/gdCategoryWise.asp

	EDUCATIONAL ARTICLE: Role of Zinc in Children Zinc is a trace element that is essential for normal growth and development of infants and children. Zinc is a constituent of more than 100 metalloenzymes and is essential for growth, protein synthesis, epithelial repair and synthesis of RNA and DNA. Read about sources of zinc, zinc deficiency and zinc toxicity in children. http://www.pediatriconcall.com/fordoctor/ nutrition/role_of_zinc_in_children.asp

	CASE REPORTS: Congenital tuberculosis presenting as sepsis syndrome. Karuna Thapar, Gaurav Dhawan. About 300 cases of congenital tuberculosis have been reported in world literature. Read about an infant with congenital tuberculosis who presented with sepsis and whose mother was diagnosed but partially treated case of pulmonary tuberculosis during antenatal period. http://www.pediatriconcall.com/fordoctor/ casereports/CONGENITAL_TUBERCULOSIS1.asp

	VIEWERS CHOICE: SIBLING RIVALRY. Vinayak Deshmukh, Jayant Wagh. Read about why siblings should quarrel when their parents are same? http://www.pediatriconcall.com/fordoctor/viewersChoice/sibling_rivalry.asp

	IMAGE GALLERY: Try your clinical skills in the “SPOT DIAGNOSIS” for the fortnight and the lucky winner gets a child health CD – courtesy Pediatric Oncall This fortnight's spot diagnosis: Last months answers : Case 1: Kwashiorkar Case 2: Hemolytic anemia with splenectomy http://www.pediatriconcall.com/fordoctor/imagegallery/imagegallery.asp

	Sincerely, Pediatric Oncall