June-2006 Volume-3, Issue-5

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

June-2006 Volume-3, Issue-5
Dear Doctor :
Latest articles on Pediatric Oncall:
	DIAGNOSTIC DILEMMA: This month’s diagnostic dilemma: Dr Sanwar Agarwal A 9 month old male child born by 2nd degree consanguineous marriage presents with massive hepatomegaly. There is history of death of 3 family members due to renal disorder. 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 10 years old girl presents with puffiness of eyes, edema feet, exertional dyspnea, cardiomegaly and palpitations since 6 months. She had fever with bilateral knee joint pain 7 months back and also a history of a photosensitive rash over face on exposure to sun. What is the diagnosis? Answer: The USG of the abdomen shows a small right kidney. The child has right renal artery stenosis with long standing hypertension leading to cardiac failure. Discuss this case further in the section of “DISCUSSION GROUPS”. http://www.pediatriconcall.com/fordoctor/gd/gdCategoryWise.asp

	ORIGINAL ARTICLE: Utility of Exercise Challenge Test in the Diagnosis of Bronchial Asthma in School Age Children. Mahesh Rathod, B.B.Javadekar, Deepak Pande. This is a study to determine the specificity, sensitivity, tolerance and impact of the Exercise Challenge Test (ECT) on diagnosis of various clinical types of asthma. http://www.pediatriconcall.com/fordoctor/ Medical_original_articles/exercise_challenge_asthma.asp

	CASE REPORTS: Methyl Malonic Acidemia with G-6-PD Deficiency in a Child with Delayed Milestones and Anemia. Read about a 10 month old girl with anemia, failure to thrive, microcephaly and hydrocephalus. http://www.pediatriconcall.com/fordoctor/ casereports/methyl_malonic_acidemia_g6pd_deficiency.asp

	VIEWERS CHOICE: Orolaryngeal Candidiasis-An Unusual Presentation of HIV. Dr S S Kashyape. This is a case of a previously healthy 13 year old boy who presents with laryngeal candidiasis as first presentation of HIV. http://www.pediatriconcall.com/fordoctor/viewersChoice/orolaryngeal_candidiasis.asp

	JOURNAL ABSTRACT: Travel Guidelines for Children. Suparna Banavar. (Excerpted from Current Pediatrics, February 2006) This article gives information for pre and post travel management of children going abroad. http://www.pediatriconcall.com/fordoctor/Journals/Travel_Guidelines_Children.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: Hereditary Sensory Neuropathy Case 2:Neurofibromatosis
	Sincerely, Pediatric Oncall