QUICK REFERENCES References & Guidelines 13 Oct 202211 Oct 2022 Dear Colleagues and all our readers and followers, In addition to our regular posts/blogs on small snippets useful for a general pediatrician in day to to day office practice, we…
PEDIATRIC DRUG THERAPY… Esomeprazole 18 Sep 202217 Sep 2022 Usage in Neonatal age group GERD Routine use is not recommended in preterm neonates Term and preterm neonates: Oral: 0.5 mg/kg/dose once daily. DURATION of therapy in symptomatic GERD : Guidelines…
INFECTIOUS DISEASES… When it is NOT congenital syphilis 21 Aug 202220 Aug 2022 Congenital syphilis is unlikely in following scenario- Any neonate who has a normal physical examination and a serum quantitative nontreponemal serologic titer (VDRL) equal to or less than four-fold the…
The Fetus and the Neonatal Infant APT Test For Swallowed Maternal Blood 18 Aug 20226 Oct 2023 In a newborn infant with rectal bleeding or a blood streaked gastric aspirate, we need to determine whether the blood originated from infant’s gut or whether it’s the swallowed maternal…
Antimicrobials… Trimethoprim-Sulfamethoxazole 14 Aug 202214 Aug 2022 Always used as a fixed dose combination of Trimethoprim-Sulfamethoxazole in ratio of 1:5. Dose of Trimethoprim(TMP) is used for calculation purposes. Mild to Moderate Infections 4 mg TMP/kg/dose PO - 12…
Anti Parasitic Drugs… Permethrin- Therapeutic uses 7 Aug 202212 Aug 2022 Scabies Infants ≥2 months, Children, and Adolescents: Topical Permethrin 5% cream : Apply and massage in cream from head to toe (average adult requires 30 g); leave on for 8 to 14…
Rheumatic, Connective Tissue and Collagen Vascular Diseases of Childhood When To Suspect Vasculitis In Children 28 Jul 202226 Jul 2022 Vasculitis should be suspected in patients with unexplained fever, weight loss, skin rashes; especially when associated with high ESR and CRP. The most common primary vasculitides in children are Henoch-Schonlein purpura (HSP)…
Rheumatic, Connective Tissue and Collagen Vascular Diseases of Childhood Neonatal Lupus- A Missed Diagnosis 24 Jul 202222 Jul 2022 Neonatal lupus is caused by autoantibodies crossing the placenta from the mother to the fetus. Mothers of the affected infants maybe asymptomatic at the time of delivery. Most common presentation…
CROUP… Nebulized Epinephrine for Croup 14 Jul 20228 Jul 2022 The administration of nebulized epinephrine to patients with moderate to severe croup often results in rapid improvement of upper airway obstruction. Epinephrine constricts precapillary arterioles in the upper airway mucosa and decreases…
CROUP… Mist Therapy in Croup 10 Jul 20228 Jul 2022 Humidified air is frequently used in the treatment of croup, although studies supporting its efficacy in reducing symptoms are limited. Although humidified air does not reduce subglottic edema, it may…