February 2005 Past Issues

Ped Call

Testimonials For Pediatric Oncall

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.

Contact Us

For Further Information please call us on: +91-22-32905610 For more....

For HIV in children www.hivinchildren.org

Past Issues of www.pediatriconcall.com

February-2005 Volume-2, Issue-2

Dear Doctor :

NEW FEATURES :

	DISCUSSION GROUPS(Updated): Avail of a more user friendly, easy to access discussion groups to form support groups, ask queries, share grievances and difficult case scenarios in this section. http://www.pediatriconcall.com/fordoctor/gd/gdCategoryWise.asp
	DIAGNOSTIC AID (Updated): Get a differential diagnosis by typing in the symptoms and relevant features (e.g. Convulsions, hepatitis, arthritis, myalgia = SLE). Avail of this updated DIAGNOSTIC Tool to help you reach a differential diagnosis in your patients. http://www.pediatriconcall.com/fordoctor/pediatricanalysis/pediatricanalysis.asp

Latest articles on Pediatric Oncall:

DIAGNOSTIC DILEMMA:
This month’s diagnostic dilemma: A 7-year-old boy presents with persistent fever, leucocytosis, pericardial effusion and joint pains since one month. He is treated with antituberculous drugs, steroids and ionotropes. The effusion regresses but he continues to have fever. What is the differential diagnosis? Read the complete case and answer the dilemma…

http://www.pediatriconcall.com/fordoctor/diagnosisdilemma/listdilemma.asp

Last month’s queryof a 3-years old boy with Fever of unknown origin, diarrhea and vomiting since 25 days, thrombophlebitis and ARDS with negative cultures had suggestions from the viewers that included HIV, Immunodeficiency, Leucocyte adhesion defect, Protein losing enteropathy, inflammatory bowel disease. The authors have stated that they ruled out all possibilities except LAD and Inflammatory bowel disease. They treated this child as a case of Atypical Kawasaki in view of prolonged fever, multisystem involvement, phlebitis, epididymitis, thrombocytosis and temporary relief on Immunoglobulin and started on Prednisolone and Aspirin following which the condition improved dramatically.

http://www.pediatriconcall.com/fordoctor/diagnosisdilemma/listdilemma.asp

TEACHING FILES:
This month’s teaching File: This month’s teaching File: A 7 years old boy presents with recurrent hypocalcemic convulsions and fever. On examination, he has generalized lymphadenopathy. Investigations reveal neutrophilia with thrombocytosis, normal PTH levels and low immunoglobulins. 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 6 years old girl with UTI and micturating cystourethrogram (MCU) suggestive of Grade II reflux on the right side and Grade III reflux on the left side with DMSA scan showing no renal scars. Does she require surgical intervention for her VUR?
Answer:The child requires only conservative line of management and prophylactic antibiotics to prevent breakthrough UTI. Surgery at the moment is not required. Discuss this case further in the section of “DISCUSSION GROUPS”.

PRACTICAL GUIDELINES:
INTERSEX DISORDERS:
Dr. Vaman Khadilkar, Pediatric & Adolescent Endocrinologist, Jehangir & Deenanath Mangeshkar hospital, Pune & Bombay hospital, Mumbai. Read about practical aspects of intersex disorders and an approach to diagnosis and management. An excellent algorithm in this article makes diagnosis easy. Read more…

http://www.pediatriconcall.com/fordoctor
/diseasesandcondition/intersex_disorders.asp

CONGENITAL MYOPATHIES AND ANESTHESIA:
Dr Sunita Goel, Consultant Anesthetist, Mumbai. Anesthesia in patients with congenital myopathies and muscular dystrophies may lead to malignant hyperthermia and cardiac arrhythmias. This article gives an excellent overview of Malignant hyperthermia and its management.

http://www.pediatriconcall.com/fordoctor/
diseasesandcondition/conmyoAnesthesia.asp

CASE REPORTS:
HEREDITARY SENSORY AND AUTONOMIC NEUROPATHY (HSAN): This is an interesting case of a five-year-old girl who presents with recurrent fever since birth and self-mutilation since 2 ½ years of age. Read more…

http://www.pediatriconcall.com/fordoctor/casereports/hsan.asp

CARNITINE DEFICIENCY:Read about a one year old child who presented with cardiomyopathy who had carnitine deficiency…

http://www.pediatriconcall.com/fordoctor/casereports/carnitine.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:

Last months answers :
Case 1: Case Healed Herpes Zoster. Lucky winner: Dr. R Shenoy
Case 2: Henoch Schnolein Purpura (HSP). Lucky winner: Urmila Deshmukh

http://www.pediatriconcall.com/fordoctor/imagegallery/imagegallery.asp

ANNOUNCEMENTS:

POST A JOB/RESUME: Now you can post for job recruitments (Be it for a consultant, RMO, Registrar or Houseman) for your hospital/clinic on PEDIATRIC ONCALL. Also submit your biodata online. This is a free service to the medical fraternity and aspiring doctors can get to know of vacancies at one place itself.

POST A CONFERENCE:
All organizing secretaries of SCIENTIFIC SESSIONS please note. You can now post your conference details on PEDIATRIC ONCALL by filling in a simple online form and it will be displayed on www.pediatriconcall.com for all doctors to view.

Sincerely,

Pediatric Oncall

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