March 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.

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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

March-2005 Volume-2, Issue-2

Dear Doctor :

Latest articles on Pediatric Oncall:

DIAGNOSTIC DILEMMA:
This month’s diagnostic dilemma: A 6½ years old boy presents with hepatosplenomegaly, intermittent anemia, intermittent jaundice without high colored urine, Clubbing. His hemolytic anemia work up was negative and he has hypoalbuminemia with otherwise normal liver functions. What is the differential diagnosis? Read the complete case and answer the dilemma…

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

Last month’s query of a 7-year-old boy with persistent fever, leucocytosis, pericardial effusion and joint pains since one month had several replies and most of the viewers had suggested it to be systemic onset JRA. The authors have also replied that they have treated the child as Systemic onset JRA as with evolution of the disease, he had involvement of T-M joint and also cervical spine. The child has been started on Methotrexate and steroids have been reintroduced but the child continues to have fever.

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

TEACHING FILES:
This month’s teaching File: A 4½ years old boy presents with recurrent glossitis with neutropenia at the time of tongue lesions. 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 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?
Answer:The diagnosis in this setting would be "COMMON VARIABLE IMMUNODEFICIENCY". Common variable immunodeficiency (CVID) is the most prevalent of the primary immunodeficiency diseases. Discuss this case further in the section of “DISCUSSION GROUPS”.

PRACTICAL GUIDELINES:
VESICOURETERAL REFLUX:

Dr. Sandeep Motiwale, Pediatric Surgeon & Pediatric Urologist, P D Hinduja Hospital & B J Wadia Hospital for Children, Mumbai. Read about practical aspects of management of VUR and the 2 fold aspects of prevention of acute pyelonephritis and prevention of reflux nephropathy. The article clearly delineates when conservative management and when surgical therapy is needed.

http://www.pediatriconcall.com/fordoctor/diseasesandcondition
/PEDIATRIC_NEPHROLOGY/vesicoureteralreflux.asp

CASE REPORTS:
CONGENITAL RUBELLA SYNDROME: This is an interesting case of a one month old with Down's syndrome and neonatal cholestasis who had positive Rubella titres and positive urine for Rubella. Read more….

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

NEUROBLASTOMA:Read about a 3 ½ years old girl who presented with fever since 5 months and pain in right thigh associated with limping requiring Thomas Ring splinting with traction twice. She was treated as Tuberculous osteomyelitis for it. The diagnosis was Neuroblastoma. Read more…

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

LATEST MEDICAL NEWS:
NEWER MOLECULES:Read about the various newer cytokines, recombinant enzymes and monoclonal antibodies available for treatment for different diseases.

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: Healed Herpes Zoster. Lucky winner: Dr.Chandramohan
Case 2: Hurler syndrome.

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 for all doctors to view.

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

Sincerely,

Pediatric Oncall

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