Migraine… How to manage Migraine 7 May 20201 May 2020 There are five main domains of management of Migraine which are as follows: Headache education: Patient and family members should be reassured that there is no serious underlying disorder. It is helpful for…
Migraine… Diagnosing Migraine without aura 3 May 20207 May 2020 ICHD3 diagnostic criteria for migraine without aura are- At least five attacks fulfilling criteria 2-4Headache attacks lasting 4-72 hr (untreated or unsuccessfully treated a,b)Headache has at least two of the following…
Headaches… When to ask for neuro imaging in recurrent headaches 30 Apr 202012 Apr 2020 The American academy of neurology (2002) recommends: Routine neuroimaging study is not indicated in children with recurrent headaches and normal neurological examination. It is indicated in children who have: Abnormal…
Headaches… Evaluating Headaches in Pediatric Patients 26 Apr 202026 Apr 2020 Headaches are common complaints in the Pediatric office practice. Although headaches are usually not associated with serious medical conditions but a careful clinical assessment is necessary to identify specific clues…
Battery Ingestion… Accidental Battery Ingestion 23 Apr 202012 Apr 2020 It is crucial to remove any accidental battery ingested in gastro-intestinal tract as soon as possible as degradation of battery may lead to caustic injury. The risk is highest if…
Gluten Sensitive Enteropathy (Celiac Disease)… Celiac Disease- A Brief Update 19 Apr 202012 Apr 2020 Celiac disease (CD) is an autoimmune disease that is caused by interaction of gluten in genetically predisposed individuals. Diagnosis of Celiac Disease Testing for total IgA and TGA-IgA as initial…
INFECTIOUS DISEASES… Understanding the Laboratory Testing for novel Corona Virus Disease (COVID-19) 16 Apr 202024 Nov 2020 The purpose of this write up is to clarify certain aspects of laboratory testing for Corona Virus. There are two basic methodologies applied to test for the novel Corona virus…
INFECTIOUS DISEASES… Management of Tick Exposure 12 Apr 202020 Mar 2020 Use fine tipped tweezers to grasp the tick as close as possible. Pull upwards with steady even pressure, don’t twist or jerk the tick. Ticks should neither be removed nor be…
INFECTIOUS DISEASES… Rickettesial Disease 9 Apr 202020 Mar 2020 Suspect Rickettsial disease in any sick child with prolonged fever without any specific focus or obvious etiology. Check history of travel, look for eschar (a crusty necrotic lesion with or…
Phimosis… Phimosis 5 Apr 202023 Mar 2020 Phimosis is inability to retract prepuce. Prepuce of new born is non retractile. At the age of 3 years upto 10% remain non-retractile and at age 16 years, only 1% have a…