June 2004 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.

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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

June-2004 Volume-1, Issue-3
Latest articles on Pediatric
	DIAGNOSTIC DILEMMA: Last month’s query of a 1½-year-old boy with recurrent hematuria, left sided epididymitis and splenomegaly and kidney biopsy suggestive of mild proliferative glomerulonephritis received timely answers from the experts. One suggestion of a Familial Mediterranean Fever was very valuable and the child is now being investigated from that angle.
	This month’s problem case is of: An HIV positive infant with perinatal transmission of HIV and chronic hepatitis. The mother had received antenatal zidovudine and the baby also received zidovudine at birth. Antiretroviral therapy and antituberculous drugs were also given in the child. Chronic hepatitis is unexplained. Is it HIV induced hepatitis or Antenatal exposure to zidovudine and subsequent liver damage or drug induced hepatitis due to ART and AKT. Read the complete case and answer the dilemma at the link given below: http://www.pediatriconcall.com/fordoctor/diagnosisdilemma/listdilemma.asp

	TEACHING FILES: A 10 year old girl presents with persistent microscopic hematuria and sensorineural deafness. What is the probable 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: A 4-½ years old male presents with bull neck and proteinuria and is treated with IV albumin. Is the therapy correct and what should be the further management? Answer: The therapy is wrong and every proteinuria does not require treatment with IV albumin. Since the history is suggestive of diphtheria, one should rule out glomerulonephritis and myocarditis. Discuss this case further in the section of “DISCUSSION GROUPS”. http://www.pediatriconcall.com/fordoctor/gd/gd.asp

	REVIEW ARTICLE: ANTIRETROVIRAL THERAPY IN HIV POSITIVE CHILDREN: Antiretroviral therapy is a double-edged sword with very few drugs in the amour of the Pediatric HIV specialist. Drug resistance is a rapidly progressing issue that may create problems in the future therapy options as well in drug regime failure. Read more about rational ART therapy in HIV positive children. http://www.pediatriconcall.com/fordoctor/diseasesandcondition/ infectious_diseases/antiretroviral_therapy.asp

	CASE REPORTS: REYE’S SYNDROME – AN INBORN ERROR OF METABOLISM: Reye’s syndrome is characterized by acute encephalopathy and fatty degeneration of the liver. An increasing number of inherited mitochondrial metabolic diseases have been described that produce episodes like Reye’s syndrome. This is a case report of a child who presented with Reye’s syndrome due to an inborn error of metabolism. http://www.pediatriconcall.com/fordoctor/casereports/reyes_syndrome.asp CONGENITAL HYPOTHYROIDISM: The prevalence of congenital hypothyroidism approximates 1 in 4000 birth. Delay in diagnosis may lead to mental delay and developmental delay. We highlight this case that compulsory screening of all newborns for hypothyroidism would have helped in the diagnosis of this child much earlier and treatment could have been started early. http://www.pediatriconcall.com/fordoctor/casereports/congenital_hypothyroidism.asp

	VIEWER’S CHOICE: DETERMINATION OF SEX OF BABY: Have you wondered why a particular sperm containing the Y chromosome or X chromosome unites with the ovum? Is the sex of the baby really decided by the male sperm or is it the ovum that dictates which sperm it will unite with? Read more… http://www.pediatriconcall.com/fordoctor/viewersChoice/myth.asp

	DISCUSSION BOARDS: This is a great place to ask questions, share advice and express opinions. Our message boards are easy to use, and it’s always fun to be part of a large fraternity. One of the interesting messages on the discussion board posted by Dr JSBhadesia on “Accidental finding of SOL on brain scan”: http://www.pediatriconcall.com/fordoctor/gd/gd3.asp?q_id=180&cat_id=40

	SUBMIT ARTICLES: Pediatric Oncall is a premier pediatric website and has a global reach with a hit rate of over 1.2million hits/month. To proclaim your clinical study, write a review article, report an unusual case or just have doctors over the world opine on a problematic case (“Diagnostic Dilemma”), we have now introduced a submission form whereby you can send your article online and our editorial team would review it who will give an opinion about acceptability on the basis of originality, scientific reliability of the article and then put it online on Pediatric Oncall. http://www.pediatriconcall.com/fordoctor/diagnosisdilemma/submitarticle.asp

	Diagnostic Aid: This tool allows you to enter the clinical features to obtain a reasonable and relevant differential diagnosis. This aid is still in its pilot phase and is constantly being updated. At present, one may get a quite accurate result for genetic disorders. Your valuable suggestions for upgradation of this aid are very essential. http://www.pediatriconcall.com/fordoctor/pediatricanalysis/pediatricanalysis.asp

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