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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
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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
July-2006 Volume-3, Issue-6
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 Prashant Shinde
A 4 year old boy presents with persistent vomiting and repeated hyponatremia. The USG of abdomen shows slightly enlarged kidneys with scarring in the upper pole of right kidney with cystitis. A differential diagnosis of Sodium loss condition, Nephropathy due to pyelonephritis or Superior mesenteric artery syndrome is considered. What is the most probable 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:
This month's teaching File: A 13 month old girl immunized for polio presents with head lag since 1 day. She had diarrhea for 5-6 days, 1 week back for which she was treated with Injection Amikacin. 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 13 month old girl immunized for polio presents with head lag since 1 day. She had diarrhea for 5-6 days, 1 week back for which she was treated with Injection Amikacin. What is the diagnosis?
Answer: This child has presented with head lag of sudden onset. With normal deep tendon reflexes and no evidence of an ascending paralysis, Guillian Barre syndrome seems unlikely. She has been completely immunized till date and thus has received over 4 oral polio vaccines and thus poliomyelitis also seems unlikely. Since this child had a preceding diarrhea that required IV antibiotics, a possibility of hypokalemia leading to muscle paralysis is a possibility. On investigation, this child indeed had hypokalemia [serum potassium = 2.2 mEq/L]. Discuss this case further in the section of “DISCUSSION GROUPS”.

http://www.pediatriconcall.com/fordoctor/gd/gdCategoryWise.asp

EDUCATIONAL ARTICLE:
TROPICAL SPLENOMEGALY SYNDROME.
Ira Shah, Vishal Dublish. An article that describes the big spleen disease. Read about the etiology, diagnosis and management of tropical splenomegaly.

http://www.pediatriconcall.com/fordoctor/diseasesandcondition
/infectious_diseases/TROPICAL_SPLENOMEGALY_SYNDROME.asp

CASE REPORTS:
Congenital Nephrotic Syndrome.
Karuna Thapar, Gaurav Dhawan. . Read about a 10 day old girl who presents with congenital nephrotic syndrome – rare presentation.

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

VIEWERS CHOICE:
NECROTISING FASCITIS IN A NEONATE.
Neelu Desai, Sujata Sharma.
This is a case of a neonate with extensive necrotizing fascitis and skin biopsy showed septal panniculitis with damaged connective tissue and dystrophic fibres. See the image of the lesion too.

http://www.pediatriconcall.com/fordoctor/
viewersChoice/necrotising_fascitis.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:

This child presented with convulsion. Mother has multiple nodular growths over the skin.
What is the diagnosis?



Last months answers :
Case 1:Neurofibromatosis

Case 2: Pompe’s disease

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

Sincerely,

Pediatric Oncall
 
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