Dr Swati Kanodia, Pediatric Endocrinologist – Pediatric Practice… Pearls for your Pediatric Office Practice

The Endocrine System

Acanthosis Nigricans

21 Jul 202219 Jul 2022

Acanthosis Nigricans(AN) It is a common condition characterized by velvety, hyperpigmented plaques on the skin. Intertriginous sites, such as the neck and axillae, are common sites for involvement. Less frequently, acanthosis…

GROWTH DEVELOPMENT AND BEHAVIOR…

Puberty – Early vs Delayed

20 Jun 202118 Jun 2021

When it is a Precocious / Early puberty –Girls- if pubertal signs (breast development) are seen before 8 years of age.Boys- if pubertal signs (increase in testicular volume) are seen…

Body Mass Index…

Interpreting Body Mass Index BMI

17 Jun 202116 Jun 2021

WHO recommends using BMI as an index of being overweight or obese. BMI Correlates well with risk of obesity related medical complications.BMI = Weight (kg)/ Height (m2)It is Important to use Age…

Diabetes mellitus…

Diabetic Keto-acidosis- Practice points

13 Jun 202112 Jun 2021

DIAGNOSIS OF DIABETIC KETOACIDOSIS- DKA Blood Glucose >200mg/dlBlood pH <7.3Bicarbonate <15 mmol/LKetones present in blood/urineIf you diagnose a child with DKA – refer to a higher center (preferably with PICU…

Diabetes mellitus…

Diagnostic criteria for Pre-diabetes and Diabetes Mellitus in children

6 Jun 202130 May 2021

DiagnosisFasting Glucosemg/dlPostprandial Random or Post-OGTT Glucose mg/dlHBA1c%Normal70-99<140</=5.6Pre-diabetes100-125140-1995.7-6.4Diabetes mellitus>/=126>/=200>/=6.5OGTT- Oral Glucose Tolerance Test

Recommendations for Vitamin D doses

4 Apr 202131 Mar 2021

Previous Post: Vitamin D - Food Facts Dose recommendations for Vitamin D by Indian Academy of Paediatrics are as follows- Ages/GroupsPreventionTolerable upper limitTreatment of insufficiencyTreatment with Bulk Doses(oral route preferred)Premature…

Vitamin D-Few Practice points

28 Mar 202131 Mar 2021

What are Normal Vitamin D levels Normal ranges of Vitamin D(25 Hydroxy Vitamin D) levels in blood as per IAP Classification are classified as - Sufficient: >20ng/ml (50 nmol/L)Insufficient: 12-20ng/ml (30-50 nmol/L)Deficient: <12ng/ml…

The Endocrine System…

Turner Syndrome

21 Jan 202120 Jan 2021

When parents of a girl child have concerns of a short stature or/and pubertal delay, always consider Turner syndrome as one of the possibilities. Besides a thorough physical Examination and doing a SMR…

Adolescent Medicine…

Diagnosis and Management of PCOS

24 Dec 202023 Dec 2020

Continued from Previous post..What is PCOS Diagnosis According to Endocrine Society guidelines, diagnosis of PCOS is made by presence of clinical ± biochemical hyperandrogenism in the presence of persistent menstrual irregularity. Laboratory…

Adolescent Medicine…

Polycystic ovary syndrome (PCOS)

20 Dec 202020 Dec 2020

Polycystic ovary syndrome (PCOS) is the most common endocrine condition affecting between 6–18% of adolescent girls It is associated with symptoms of hyperandrogenism (excess body hair (hirsutism), severe acne) and…