Obstructions of the Urinary Tract… Antenatal Hydronephrosis 12 Jan 20209 Jan 2020 Antenatal hydronephrosis is classified according to severity based on antero-posterior diameter (APD) of fetal renal pelvis in USG. Antenatal hydronephrosis is present if the APD is ≥4 mm in second…
Adoption… Pediatrician’s Role in Adoption 9 Jan 202014 Sep 2023 Do a thorough physical examination including that of genitalia. Development assessment of a child, preferably by a specialist is desirable. Many children coming from orphanages have delayed development due to…
Congenital Heart Disease… Timing of Intervention for closure of defects in Acyanotic Congenital Heart Disease 5 Jan 20204 Jan 2020 Atrial Septal Defect (ASD) Ostium secundum ASD is closed between 2-4 years of age.Ostium primum ASD: If not associated with other cardiac lesions like PDA or VSD, then it can be followed by…
Evaluation of Arthritis… Approach to child with mono arthritis 2 Jan 202025 Dec 2019 A child with acute mono arthritis needs urgent evaluation and treatment. A detailed history and examination should be done. In a well child, history of significant trauma should be obtained…
Announcements… Happy New Year 2020 1 Jan 202025 Dec 2019 Wishing you a year full of happiness and prosperity. May this year give you the opportunity to follow your dreams, love like there is no tomorrow and smile unconditionally. Wishing…
Fever… Which thermometer should parents use for fever measurement? 29 Dec 201929 Dec 2019 A variety of thermometers are available to parents now a days.. Electronic Ear Thermometer Ear thermometer is not as accurate as rectal or oral/axillary thermometers. It reads the infrared heat…
Hydrocele… Inguinal Hernia vs Hydrocele 26 Dec 201926 Dec 2019 How to differentiate between Inguinal hernia and hydrocele Inguinal hernia is usually a reducible swelling which comes with cry or cough impulse. Whereas a hydrocele is a tense, cystic, clinically…
INFECTIOUS DISEASES… 2019 RNTCP IAP Guidelines for Treatment of Tuberculosis in children… Part 2 22 Dec 201918 Dec 2019 Changes in 2019 RNTCP No CAT II ATT Regimen Guidelines CAT II used to be the empiric treatment regimen for treatment failures, defaulters and TB relapse and this category has…
INFECTIOUS DISEASES… 2019 RNTCP IAP Guidelines for Treatment of Tuberculosis in children… Part 1 19 Dec 201914 Dec 2019 Type of patient *** RegimenNew microbiologically confirmed Pulmonary TB 2HRZE+ 4HRE ## New Clinically diagnosed Pulmonary TB2HRZE+ 4HRE ## New microbiologically confirmed extra-pulmonary TB2HRZE+ 4HRE ## New Clinically Diagnosed extra-pulmonary TB2HRZE+ 4HRE ## Drug sensitive Previously Treated TB @(Recurrence, Treatment after loss to follow up, Treatment after Failure) 2HRZE+ 4HRE ## Note *** Molecular testing shall be done in all new cases in children with suspected…
Febrile Seizures… Febrile Seizures – Counseling of the family 15 Dec 201914 Dec 2019 Can the child have a repeat episode in future? There are 30-50% chances of recurrence after simple febrile seizure, 70% of which occurs within first year. The factors that can predict…