March-2006 Volume-3, Issue-2

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-2006 Volume-3, Issue-2

Dear Doctor :

Latest articles on Pediatric Oncall:

	EDITORIAL: BIRD FLU (HUMAN and AVIAN INFLUENZA A (H5N1) INFECTION: Ira Shah. This article reveals all about this deadly disease, its pathogenesis, clinical features and treatment along with prevention http://www.pediatriconcall.com/fordoctor/diseasesandcondition/infectious_diseases/bird_flu.asp

	DIAGNOSTIC DILEMMA: This month’s diagnostic dilemma:Dr Sandeep A 9 months old child presents with chronic pneumonia unresponsive to various antibiotics. Her sweat chlorides, serum immunoglobulins and CD panel were normal. BAL has been done. How to treat this child further? Read the entire case in the section of DIAGNOSTIC DILEMMA for further details.. http://www.pediatriconcall.com/fordoctor/diagnosisdilemma/listdilemma.asp Last month’s query of a 2 and a half year old child with recurrent vesiculopustular lesions over palms and soles had several replies and most of the viewers have replied POMPHOLYX as differential diagnosis.

TEACHING FILES:
This month’s teaching File: An 11 year old girl presents with recurrent megaloblastic anemia that improves with oral Vitamin B12 and folic acid but recurs once again when the supplements are stopped. How should this child be treated? 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: An 8 year old girl presents with fever and 3rd. 4th, 6th cranial nerve palsy with right lower motor neuron facial palsy and right sided hemiplegia. What is the diagnosis?
Answer: Since the child has multiple cranial nerve involvement with progressive symptoms over a period of 2 months, one should suspect a brainstem lesion. Since there are no meningeal signs, an infective cause and meningitis seem unlikely. Thus the diagnosis is that of a BRAINSTEM TUMOR. Discuss this case further in the section of “DISCUSSION GROUPS”.

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

REVIEW ARTICLE:
MANAGEMENT OF SEPTIC SHOCK.
Praveen Khilnani.
Read about fluid resuscitation, vasopressor support and ACCM recommendations for the treatment of septic shock in children.

http://www.pediatriconcall.com/fordoctor/diseasesandcondition
/PEDIATRIC_EMERGENCIES/management_severe_sepsis_In_children.asp

CASE REPORTS:
EXTENSIVE FIBROSIS AROUND VENTRICULAR CATHETER AND SHUNT MALFUNCTION:
Amit Agrawal, Vijaya Shenoy , Anil Shetty, Srikrishna U, Raghavendra Prabhu.
Peritoneal connective tissue sheath ventriculo-peritoneal shunt tubing is a well know cause of shunt malfunction. Read about the case of shunt malfunction due to extensive fibrous tissue at the entry of ventricular catheter.

http://www.pediatriconcall.com/fordoctor/casereports/shunt_fibrosis.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:Spot diagnosis?

Last months answers :
Case 1: Healed Stevens Johnson syndrome
Case 2: Strawberry Hemagioma

Sincerely,

Pediatric Oncall