INFECTIOUS DISEASES… Human Bite Wounds 2 Jan 20222 Jan 2022 IDSA (Infectious Disease Society of America) recommends the use of systemic antibiotics in all human bites. However, many large clinical trials suggest that systemic antibiotics may not be started if…
The Fetus and the Neonatal Infant Gestational Age Definitions 26 Dec 202124 Dec 2021 The American College of Obstetricians and Gynecologists and the Society for Maternal-Fetal Medicine (Year 2013) endorse and encourage the uniform use of new gestational age designations by all clinicians. Recommended…
Acyclovir… Anti Viral therapy in Varicella infections 23 Dec 202121 Dec 2021 For healthy children ≤12 years, varicella is typically self-limited and antiviral therapy is not required. Oral Antiviral Therapy (Acyclovir or Valacyclovir)is suggested for 5-7 days duration in following scenarios as…
CMV… Diagnosing CMV 16 Dec 202114 Dec 2021 Laboratory diagnosis of congenital CMV infection is accomplished by isolation(viral-culture) or molecular detection(PCR) of CMV from urine or saliva samples collected within the first three weeks of life. Both viral culture and polymerase chain reaction (PCR) tests have high sensitivity and specificity for detection of CMV in infected neonates. Serology should not be used for the routine diagnosis of congenital CMV infection. Sensorineural hearing loss is the most common sequelae of congenital CMV infection. The newborn hearing screen is a valuable tool for detecting otherwise asymptomatic infants with CMV infection.
Constipation… Management of functional constipation 25 Nov 202123 Nov 2021 Previous Post: Identifying a Functional Constipation Parent counselling – Explain about the treatment plan and importance of adherence of therapy.Diet – Encourage diet rich in fibres with plenty of water &…
Constipation… Identifying functional constipation 21 Nov 202123 Nov 2021 Previous Post: Organic Constipation In children with constipation almost 80 to 90% will be functional constipation. A child with functional constipation will usually have the following clinical features Age of…
Constipation… Organic Constipations: Red Flag Signs 18 Nov 202119 Nov 2021 Previous Post : When to label as Constipation In children functional constipation is the major cause of constipation, however, 10 to 20% of cases are due to organic causes for…
Constipation… When to label as Constipation 14 Nov 202116 Nov 2021 Previous Post: Normal Stool frequency A delay or difficulty in defecation sufficient to cause significant distress to the patient is defined as constipation. Objectively it can be defined as duration…
Constipation… Normal stool frequency in children 11 Nov 202112 Nov 2021 The average stool frequency of Indian children is as follows: Less than 1 month age : 3-4 times/day1 month to 1 year age: 1-2 times/day 1 to 2 year age: 1-2…
Brachial Plexus Palasy… Neonatal Brachial Plexus Palsy management 7 Nov 20215 Nov 2021 Also referred to as Erb-Duchenne palsy Old theory : Wail till one year. New rules of management: No immobilization (if no fracture)Aggressive occupational therapy with parental education about handling of…