May - 2004 Past Issues

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 HIV in children www.hivinchildren.org

Past Issues of www.pediatriconcall.com

May-2004 Volume-1, Issue-2

Diagnostic Dilemma: We must thank all the users to the spirited response to the introductory section on Diagnostic dilemma. We had put up a query of a problematic child with fever, hepatosplenomegaly, generalized lymphadenopathy and Pancytopenia with hypersplenism whose bone marrow showed sea blue histiocytosis. Thanks to the quick response from the pediatricians, differential diagnosis of “HEREDITARY SEA BLUE HISTIOCYTOSIS” and “DISSEMINATED LANGERHANS CELL HISTIOCYTOSIS” was offered which did help in further investigation and management of the patient.

Present problematic case:

A 1½ years old boy with recurrent hematuria, splenomegaly and scrotal swelling

1½-year-old boy born of third degree consanguineous marriage presents with recurrent hematuria, left sided epididymitis and splenomegaly. Kidney biopsy suggestive of mild proliferative glomerulonephritis. Hemolytic workup is negative and there is only slightly deranged liver enzymes with low globulins. Autoimmune work up is negative. Minimal thrombocytopenia at onset but now platelet count is normal.

This child’s splenomegaly is unexplained as well as the cause of the recurrent hematuria and the two together cannot be explained (splenomegaly and hematuria). Do you have any ideas???

You can answer the dilemma at the link given below:
http://www.pediatriconcall.com/fordoctor/diagnosisdilemma/listdilemma.asp

Teaching Files:
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?
Read the entire teaching clinical query in the section of “TEACHING FILES” and try the correct answer.

Last Months Teaching File:

A 3 years old girl presents with proteinuria and hepatosplenomegaly and is diagnosed as Nephrotic syndrome. Are we missing something?

Answer: Yes, we have wrongly diagnosed the girl as nephritic syndrome and we missed an underlying leukemia in the child. Discuss this case further in the section of “DISCUSSION GROUPS”.

Case Reports:

Acquired Cytomegalovirus Infection: Read more about acquired CMV presenting just as bilateral axillary lymphadenopathy.
http://www.pediatriconcall.com/fordoctor/casereports/acquired.asp

Neonatal Hypercalcemia Due To Maternal Hypocalcemia:
Hypercalcemia in neonates can be life threatening. A one & a half months old male infant presents with hypercalcemia and the mother had been treated for hypocalcemia in pregnancy. Read more…
http://www.pediatriconcall.com/fordoctor/casereports/hypercalcemia.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”:

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.

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.