Urodynamic Study UDS… Scope of a Pediatric Urodynamic Study (UDS) 26 Nov 202024 Nov 2020 Pediatric urodynamics study (UDS) is a group of tests done for the assessment of how well the child’s bladder is functioning. The study measures following physiological functions- The functions of…
Evaluation of Renal Disease… Can hematuria result in anemia or proteinuria 19 Nov 202018 Nov 2020 Usually even gross hematuria doesn’t result in significant blood loss, except in case of trauma. 1 ml of blood in 1000 ml urine is sufficient to cause red discoloration of…
Evaluation of Renal Disease… Evaluating a child with “RED URINE” 15 Nov 202015 Nov 2020 All cases of red urine are not due to hematuria. Ask - History of fever, dysuria, rash, joint pain etc. If asymptomatic ask history of ingestion of beet-root, food colouring…
Hematopoietic Stem Cell Transplantation(HSCT)… Types of bone marrow transplants & finding a suitable donor for BMT 12 Nov 202012 Nov 2020 Continued from previous post..... There are two main types of transplants – Autologous and Allogenic. Autologous Transplants: This means that the bone marrow or stem cells used for the transplant…
Hematopoietic Stem Cell Transplantation(HSCT)… What is a stem cell (bone marrow) transplant 8 Nov 202011 Nov 2020 A stem cell transplant is more commonly known as a bone marrow transplant (BMT). The reason we use different terms is that in the past the stem cells were obtained…
Anti-Epileptic Drugs… Valproate 5 Nov 2020 Valproate is a commonly used as well as abused anti-epileptic drug. It is a broad- spectrum anti-epileptic which means that it is effective in nearly all types of seizures viz-…
Immunological Disorders… When to suspect A Primary Immunodeficiency 1 Nov 2020 Primary immunodeficiencies are to be suspected in any patient with Unusual susceptibility for infections, Severe or early onset autoimmunity and Susceptibility to malignancies. Initially only patients with susceptibility towards infections were evaluated…
Beyond Clinical Pediatrics… Understanding Standards & Certifications of Masks/Respirators 29 Oct 202028 Oct 2020 With the novel coronavirus outbreak globally, all of us as doctors are concerned about our safety and many of us would need to answer same to our patients. Masks vs…
VACCINATIONS… Hepatitis-B Vaccine Non-responder 25 Oct 202023 Oct 2020 Approximately 5-10% of people do not develop protective antibodies even after the completion of the hepatitis B vaccine series. This is confirmed with anti-HBs titers measured at least 4 weeks after the…
Evaluation of Renal Disease… Urine calcium creatinine ratio & Hypercalciuria 22 Oct 202021 Oct 2020 Calcium creatinine ratio on spot urine sample is a good screening test for hypercalciuria. A ratio of >0.8 mg/mg in children below 6 months , >0.6 mg/mg in children 6-12…
Neonatal Seizures… Neonatal Seizures Part 1 18 Oct 202018 Oct 2020 New born period witnesses a wide variety of seizures or seizure syndromes. The neonatal brain has certain characteristics that makes it prone to generate seizures and also due to these…
Child Abuse… Child Abuse 15 Oct 202015 Oct 2020 Child physical abuse is defined by WHO as that which results in actual or potential harm. Various forms of child abuse are common in all societies. 25-50 % of the world’s children report…
ADHD… Managing Attention Deficit Hyperactivity Disorder 11 Oct 202011 Oct 2020 If a child is diagnosed with ADHD (hyperactivity, along with impulsivity and inattention), it is important to know that ADHD can be successfully managed. The treatment options to manage ADHD are:…
ADHD… Distinguishing an energetic child from Attention Deficit Hyperactivity Disorder 8 Oct 20207 Oct 2020 If a child is energetic and has difficulty sitting still, there is likelihood he may be displaying some signs of ADHD however if the child is able to control his/her…
Seizures… Seizure Classification 4 Oct 20203 Oct 2020 The dilemma of classifying a seizure is a common scenario in our clinical practices. The entire management of seizures in follow up can change if initial classification is not correct.…
Autistic Spectrum Disorder… M-CHAT-R – A Good Screening tool for Autism Spectrum Disorder(ASD) 1 Oct 20201 Oct 2020 Modified checklist for Autism in toddlers, known as MCHAT ( R) is freely available online and can be used in age group 16-30 months to screen for ASD. It is…
Diagnostic Modalities… Conducting a Pediatric Echocardiography- Determining the Situs 27 Sep 202026 Sep 2020 A basic knowledge of performing a pediatric ECHO is always a bonus to any pediatrician dealing with new-borns. With a basic knowledge, one might not be able to make complex…
Dermatitis… Tacrolimus 24 Sep 202024 Sep 2020 Topical calcineurin inhibitors (Tacrolimus/Pimecrolimus) are complex macrolide compounds and selectively inhibit cytokine transcription in activated T-cells Tacrolimus is used in chronic extensive atopic dermatitis as steroid sparing agent. Unlike Topical steroids,…
Neonatal Adaptation Syndrome… Neonatal Adaptation Syndrome 20 Sep 202020 Sep 2020 Neonatal abstinence syndrome (NAS) is a result of the sudden discontinuation of fetal exposure to drugs that were used or abused by the mother during pregnancy. NAS leads to a constellation of…
Developmental delay… Red-Flag Signs for Early Detection of Developmental Delay 17 Sep 202017 Sep 2020 In our daily practice, we do not spend enough time to pick up developmental delay in the child. At times we are not sure of our observation and we don’t…
CRITICAL CARE… Umbilical Lines- Practice Pearls 13 Sep 202012 Sep 2020 Placing an Umbilical line is now a common procedure carried in any NICU setup and every Neonatologist is well versed with this. Behind the art of placing a successful Umbilical…
BIPAP… BI-PAP use in a Pediatric Intensive Care Unit 6 Sep 20206 Sep 2020 Non invasive ventilation is a safe and effective option for many acute as well as chronic medical Conditions in Pediatric population. Use of Bipap as a non invasive mode of…
Adolescent Medicine… When to suspect a drug abuse 3 Sep 20203 Sep 2020 Substance abuse in adolescent age group often goes under reported. One has to keep a strong clinical suspicion if following signs are noted/reported- Dull-looking/glazed eyesDrowsinessNeedle marksTremors/HallucinationsChanges in speech-rapid, slowed, slurredWhite…
Delayed Speech… Language Delay- How to approach 30 Aug 202030 Aug 2020 Speech is a small part of Communication skills, which may be verbal or non-verbal. One should identify these issues specifically when a parent is concerned for speech delay or speech…
Depression… Depression In Children 27 Aug 202026 Aug 2020 Depression in children is much more common than we think. According to the National Institute of Mental Health (NIMH), depression is a serious medical condition. It is not feeling sad…
NOVEL CORONA VIRUS COVID-19… Handling Children in the COVID Pandemic 23 Aug 202023 Aug 2020 Most of us as adults now are getting adapted to the “New Normals” imposed in our lifestyles by the ongoing COVID-19 pandemic. But at the same time, our children are…
Dermatitis… Lip licker’s dermatitis 20 Aug 202012 Aug 2020 This is caused by habitual licking of the lips and the skin around the mouth. The condition is an irritant contact dermatitis caused by saliva. The erythematous rash involves the perioral area and characteristically includes the vermilion…
NEONATAL RESUSCITATION PROGRAM NRP… Neonatal Resuscitation: Positive Pressure Ventilation 16 Aug 202015 Aug 2020 Positive Pressure Ventilation (PPV) is the cornerstone of any Neonatal Resuscitation. It indicated if a newborn is apneic or gasping or the heart rate is less than 100 beats/min. Initial…
Neonatal Acne… Neonatal Acne 13 Aug 202012 Aug 2020 Neonatal acne is also known as Neonatal cephalic pustulosis. It is a pustular eruption on the head and neck of newborns with onset around third weeks of age. There is…
Precocious Puberty… Precocious Puberty 9 Aug 20209 Aug 2020 Precocious/ Early Puberty is quite a common occurrence these days, especially in girls.Missing the signs often leads to early menstruation, short Final Adult Height and psychosocial impact on the child.Also…
ALLERGIC DISORDERS… Skin Prick Testing 2 Aug 20201 Aug 2020 A non-responding allergic condition, be it a resistant asthma or a rhinitis is a challenge in our day to day clinical practice. It also gives a poor Quality of life to the child and the parents,…
NEPHROLOGY… Screening tests for diagnosing urinary tract infection (UTI) 30 Jul 202029 Jul 2020 Screening tests include urine microscopy, gram stain, leukocyte esterase and nitrite tests. Urine microscopy: Pyuria is defined as >10 WBCs/mm3 in uncentrifuged and >5 WBCs/hpf in centrifuged urine specimen. Pyuria may be…
Evaluation of Renal Disease… Polakiuria 26 Jul 202025 Jul 2020 Voiding disorders are common but under recognised in children. Increased daytime urinary frequency is one such condition which troubles the patient and caregivers alike. Frequent urination can have causes that…
INFECTIOUS DISEASES… Rapid Point-of-Care (PoC) Antigen Detection Test for COVID-19 23 Jul 202022 Jul 2020 The antigen(s) detected by rapid antigen tests are expressed only when the virus is actively replicating; therefore, such tests are best used to identify acute or early infection. Preferred Sample:…
Febrile Seizures… Febrile Seizures: All Dilemmas answered.. 19 Jul 202019 Jul 2020 Whenever we encounter a Febrile Seizure, few dilemmas always surround a clinician.... Is it simple or Complex or fitting into any other type ? Is it Epilepsy ? Should we…
PEDIATRIC DRUG THERAPY… Role of Honey in Common Cold 16 Jul 202015 Jul 2020 Honey can be a good option for treating cough in children ≥1 year with the common cold. The honey (2.5 to 5 mL) can be given straight or diluted in liquid (eg,…
INFECTIOUS DISEASES… Pediatric Multisystem Inflammatory Syndrome(PMIS) – Mystery tied to COVID and Kids 12 Jul 202012 Jul 2020 Earlier in the COVID-19 pandemic, children and young adults looked to be largely spared the higher infection rates and greater disease severity seen in older adults. As the pandemic continues…
NOVEL CORONA VIRUS COVID-19… VITAMIN C : How Important in Viral illnesses? 9 Jul 20209 Jul 2020 Vitamin C is an essential micronutrient for humans, with pleiotropic functions related to its potent antioxidant and a cofactor for a family of biosynthetic and gene regulatory enzymes. Vitamin C…
Breastfeeding… Infant Feeding Decisions in times of COVID Pandemic 5 Jul 20203 Jul 2020 With COVID cases on the rise in last 3 months in India, challenges are faced when a pediatrician encounters a situation where a family/mother is panicked and confused about feeding…
Dermatitis… Sanitizer Induced Hand Dermatitis 2 Jul 202029 Jun 2020 Hand dermatitis is a common condition involving inflammation of the skin on the hands. It occurs when the skin becomes irritated in response to a “trigger,” such as contact with…
NEONATAL RESUSCITATION PROGRAM NRP… Neonatal Resuscitation in COVID Times 28 Jun 202027 Jun 2020 COVID pandemic is going to stay for a while now and now all medical community is geared to handle it. This also, brings challenges to our colleagues or neonatologists, who…
Dermatitis… Perioral dermatitis 25 Jun 202029 Jun 2020 Perioral dermatitis in children typically presents as multiple small flesh-colored or erythematous inflamed papules or micronodules around the mouth, nose and eyes. The age ranges from 7 months to 13…
Foreign Body Aspiration… Foreign body Aspiration in children 21 Jun 202020 Jun 2020 We all have encountered clinical scenarios of classical presentation of a toddler coming after some foreign body aspiration. But clinical dilemma arises when we do not get a classical history…
Cognitive Behaviour therapy CBT… Psychosomatic disorders in children & Cognitive Behaviour Therapy-CBT 18 Jun 202015 Jun 2020 Psychosomatic disorders consist of clinical symptoms with no underlying organic pathology. Most common symptoms observed in children are abdominal pain, headaches, difficulty in breathing, chest pain, fatigue, excessive worry about health. Most symptoms…
Respiratory Distress Syndrome… Surfactant Replacement Therapy 14 Jun 202014 Jun 2020 Dera Readers, Dr Kumar Ankur, Neonatologist, has nicely sumed up the current practice guidelines on use of Surfactant in neonatology. Please click below to view the video presentation https://youtu.be/i2ZkFi-dxEQ
INFECTIOUS DISEASES… How long a COVID positive case can be infective? 11 Jun 202010 Jun 2020 To address this not so easy question we need to first understand the concept of Cycle Threshold (CT) in RT-PCR for COVID CT is the number of replication cycles required…
Adoption… ADOPTION, FOSTER CARE AND KINSHIP CARE 7 Jun 2020 Adoption is act of lawfully assuming the parental rights and responsibilities of a child under the age of 18 irrevocably. Adopted children become full members of their adopted family and have the…
Immunological Disorders… Periodic Fever Aphthous Stomatitis Pharyngitis Adenitis Syndrome PFAPA Part 2 4 Jun 202031 May 2020 Continued from previous post…(Clinical Symptoms & Diagnosis click to read) WHEN IT IS NOT PFAPA Patients should be evaluated for the following features since the presence of any of them…
VACCINATIONS… Vaccination in immunocompromised children: Part 1 24 May 202024 May 2020 IAP has guidelines for vaccination of children in situations, where a child is considered to be immunocompromised and an appropriate immune response to a vaccine is not mounted. These scenarios…
