Dr Swati Bhardwaj, Pediatric Nephrologist – Page 2 – CENTRE FOR CHILD HEALTH, BLKMAX SUPER SPECIALITY HOSPITAL

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…

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…

Management of relapses of nephrotic syndrome

29 Mar 202017 Mar 2020

Recurrence of proteinuria more than 3+/4+ by dipstick testing, for 3 consecutive days with swelling constitutes a relapse. Prednisolone is given @ 2 mg/kg/day till urine protein is negative/trace for…

Diagnosis & Management of First Episode of nephrotic syndrome

26 Mar 202017 Mar 2020

Nephrotic syndrome is diagnosed in a child with Edema: usually starts as periorbital puffiness with variable degree of generalized body swelling.Heavy proteinuria: defined as urine dipstick protein 3+/4+ or spot…