Breastfeeding… NRP Guidelines during the COVID-19 Pandemic 17 May 202016 May 2020 Resuscitation of neonate preferably to be done in a physically separate room adjacent to delivery room. However, If not feasible due to logistic issues then resuscitation trolley should be physically…
Migraine… Preventive therapy for migraine in children 14 May 202014 May 2020 Indication to start preventive therapy Preventive therapy should be restricted to those children whose experience Headache frequency atleast one headache/week or more than three headaches /monthProlonged and severe headaches, even…
Migraine… Migraine: Acute Management & Complimentary therapies 10 May 202014 May 2020 Drugs for use in the Acute Management DrugDoseRemarksAnalgesicsOralUse should be restricted to three headaches/week to prevent analgesic rebound headacheAcetaminophen15mg/kg/dose q4-6hrlyIbuprofen10mg/kg/dose q6hrlyNaproxen sodium5-7mg/kg q8-12hrlyTriptans (5-HT1 receptor agonists)Oral, Subcutaneous and IntranasalRestrict uses to 6…
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…
CENTRE FOR CHILD HEALTH, BLKMAX SUPER SPECIALITY HOSPITAL 