Neonatal Cholestasis… Role of HIDA scan in Neonatal Cholestasis 4 Mar 20214 Mar 2021 Continued from Previous Post: Investigations in Neonatal Cholestatsis Routine use of HIDA scan should be discouraged in all cases of neonatal cholestasis. Infant with neonatal cholestasis with pale stool (abnormal…
Neonatal Cholestasis… Investigations in Neonatal Cholestasis 28 Feb 20214 Mar 2021 Continued from Previous Post: When to suspect Neonatal Cholestasis While evaluating a child with neonatal cholestasis, the most important priority is to exclude biliary atresia and causes like galactosemia which…
Neonatal Cholestasis… Neonatal Cholestasis- when to suspect 25 Feb 20214 Mar 2021 Neonatal cholestasis is defined as jaundice with high color urine staining diaper in an infant within first 3 months of life. The common causes of neonatal cholestasis are – 1) Extra…
Laboratory Tests… Antinuclear Antibody-ANA 18 Feb 202118 Feb 2021 Antinuclear antibodies(ANA) are autoantibodies which recognize cellular antigens found predominantly(although not exclusively), in the cell nucleus. A positive ANA of 1:160 or more is highly suggestive of autoimmune diseases such…
PEDIATRIC DRUG THERAPY… Proton Pump Inhibitors 14 Feb 202112 Feb 2021 Proton pump inhibitors (PPIs) are substituted 2-pyridyl methyl sulfinyl benzimidazoles that inhibit the final common pathway in gastric acid secretion in the apical membrane of parietal cells regardless of the…
Hematopoietic Stem Cell Transplantation(HSCT)… Guidelines for Umbilical Cord Blood Banking 11 Feb 202110 Feb 2021 Umbilical cord blood can be safely collected from the placenta without any harm to baby or mother, however cord blood collection is not advisable in complicated deliveries. Private Cord banking…
THE EAR… Tympanometry 7 Feb 20214 Feb 2021 Tympanometry is a technique used to look at the function of the middle ear. It is NOT a hearing test. It is a test used together with otoscopy and audiometry…
Defects in Carbohydrate Metabolism… Galactosemia 4 Feb 20212 Feb 2021 Galactosemia is a rare autosomal recessive inborn error of galactose metabolism. Galactosemia should be suspected in a neonate who has persistent unexplained jaundice with poor feeding and weight gain. Such…
Human Immunodeficiency Virus(HIV)… Diagnosis of HIV infection in Infants and Children 31 Jan 202131 Jan 2021 Maternal HIV antibodies usually persist for nearly 9- 12 months in the infant. In some children, they may persist for as long as 18 months. Following table shows the various…
Breastfeeding… Feeding guidelines for infant born to HIV positive mother 28 Jan 202128 Jan 2021 Breastfeeding (BF) does carry a risk of transmission of HIV infection from HIV infected mothers to their infants. However, with use of maternal Anti Retro Viral (ARV) Drugs, the chances…