Dr Swati Bhardwaj, Pediatric Nephrologist – Pediatric Practice… Pearls for your Pediatric Office Practice

Hypertension…

How to use BP reference charts for children

25 Mar 202119 Mar 2021

Previous Post: How to define hypertension in children For defining hypertension child’s blood pressure needs to be compared with reference charts for that age and height centile. The reference charts…

Hypertension…

How to define hypertension in children?

21 Mar 202119 Mar 2021

Previous Post: Measurement of BP - DOs & DONTs Trained health care professionals in the office setting should make a diagnosis of Hypertension in a child or adolescent who has…

Hypertension…

Measuring the blood pressure- Dos & DONTs

18 Mar 202116 Mar 2021

Previous Post: How to select correct cuff size for measuring blood pressure Besides a circadian variation in blood pressures, a lot of other factors may affect blood pressure measurement like…

Hypertension…

How to select correct cuff size for measuring blood pressure

14 Mar 202114 Mar 2021

Previous Post: Techniques to measure a BP Visual check system by any one of three criteria: Bladder width at least 40–50% of the arm circumferenceBladder length at least 80–100% of…

Hypertension…

Techniques to Measure Blood pressure

11 Mar 20219 Mar 2021

Previous Post: When to measure a Blood Pressure in Children Auscultation by Sphygmomanometer and stethoscope is the “Gold standard”. The BP reference charts are based on auscultatory BP measurement with mercury…

Hypertension…

When should one measure a blood pressure in children?

6 Dec 20209 Mar 2021

Blood pressure (BP) should be measured annually in children and adolescents 3 years onwards. BP should be checked in all children and adolescents 3 years onwards at every health encounter…

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…

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…

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…