November-2005 Volume-2, Issue-11

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

November-2005 Volume-2, Issue-11

Dear Doctor :

Latest articles on Pediatric Oncall:

DIAGNOSTIC DILEMMA:
This month’s diagnostic dilemma: A 1½-year-old girl presents with facial puffiness since 3 months and polyserositis. Her urine albumin, autoimmune workup, color doppler of superior vena cava is normal. What is the cause of her facial puffiness? Read the case further in detail...

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

Last month’s queryof a 4 year old boy with recurrent jaundice, hepatosplenomegaly and raised liver enzymes had several replies from the viewers. Most viewers have suggested to rule out Hepatitis C and Autoimmune hepatitis.

TEACHING FILES:
This month’s teaching File: A 1 year old girl presents with frequent head drops and low grade fever since 2 months. She hah measles 2 months back. On examination, she has hypertonia with brisk reflexes. After 3 days, she develops hypertension signs of raised intracranial pressure. What is the diagnosis? Read the entire teaching clinical query and see the clinical picture 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 2 month old boy presents with chronic renal failure due to renal anomalies, congenital heart disease, multiple rib and vertebral anomalies, inguinal hernia with dysmorphic features and hypocalcemic convulsions. What is the genetic disorder?
Answer: The karyotype in the child is normal. The correct answer is VATER ASSOCIATION. Discuss this case further in the section of “DISCUSSION GROUPS”.

CASE REPORTS:
APLASTIC ANEMIA DUE TO HEAVY METAL INTOXICATION:
Read about a 15 year old boy who had aplastic anemia with skin manifestations due to heavy metal poisoning…

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

"ORIGINAL ARTICLE:
TO ASSESS USEFULNESS OF WHO CLINICAL CASE DEFINITIONS FOR DIAGNOSIS OF AIDS IN CHILDREN IN DEVELOPING COUNTRIES
Preeti Raikwar, S. Thora, Liladhar Kashyap This is a prospective study to determine the sensitivity and specificity of WHO guidelines for diagnosis of AIDS in children. Read more…

http://www.pediatriconcall.com/fordoctor/
Medical_original_articles /who_classification_in_aids.asp

REVIEW ARTICLE:
BARIATRIC SURGERY FOR THE ADOLESCENCE
Sunita Goel
Obesity is reaching epidemic proportions in the pediatric and adolescent populations. Because of this epidemic, adolescents are increasingly seeking bariatric surgery as a realistic and effective treatment for their morbid obesity. Read more about this bariatric surgery…

http://www.pediatriconcall.com/fordoctor/diseasesandcondition
/PEDIATRIC_ANAESTHESIA/bariatric_surgery.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 seven month old presented with failure to thrive, hepatosplenomegaly and these skin lesions. What is the diagnosis?

Last months answers :
Case 1: Chylous ascitis. Common causes are congenital anomaly of lymphatics, obstruction of thoracic duct within its abdominal portion due to trauma, tumor, large lymph nodes and rupture of major lymphatic channel. The other causes are tuberculosis, filariasis, nephrotic syndrome, cirrhosis, rheumatoid arthritis and other serositis.
Case 2: Clubbing Hematoma in left frontal lobe with surrounding edema. Old gliotic areas are seen in right temporal lobe and shunt tube on right side is noted. Bleeding disorder should be ruled out.

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 www.pediatriconcall.com for all doctors to view.

Sincerely,

Pediatric Oncall