EDITORIAL

Current H1N1 Influenza Epidemic- Recent Update. Bhushan Katira

DIAGNOSTIC DILEMMA

Pediatric Oncall
A 9 month old boy with developmental delay presented with cough and fever since 3 days and 2 episodes of generalized tonic convulsions since 1 day. He had pallor, hyperpigmented fingers. CT brain showed bilateral subdural hematoma. What is the diagnosis?

Last fortnight's query of a 9 years old boy with fever for 6 months, jaundice for 3 months, hepatosplenomegaly, pancytopenia, positive EBV had several replies. Most of the viewers have advised to rule out Hemophagocytosis. The authors have replied that they ruled that out but the child died. They tentatively think that the child had chronic EBV.

TEACHING FILES

Ira Shah
A 6 month old presents with progressive pallor and dark stools. He has hepatosplenomegaly with indirect hyperbilirubinemia. There is no portal hypertension. What is the diagnosis?

Read the entire teaching clinical query in the section of "TEACHING FILES" and try the correct answer.

Last month's teaching file:
Query: A 6 years old presents with gradual difficulty in walking, has hypertonia, brisk deep tendon reflexes with positive Macewan's sign, wide based gait and slurred speech. CSF shows 7 lymphocytes. What is the diagnosis?

Answer: Cerebellar tuberculoma. Read more...

ORIGINAL ARTICLE

Cochrane Review Methodology Rahul P Bhamkar. A through analysis how cochrane review works. Read more...

CASE REPORTS

Mucolipidosis Type II {I-Cell} in two Children with Skeletal Abnormality, Dysmorphism and Hepatosplenomegaly. Jayesh J Sheth, Nrupesh Oza, Mehul Mistri, Premal Naik, Suresh Kumar, Frenny Sheth. Read more...

VIEWERS CHOICE

Hemorrhagic Stroke in a Case of Arteriovenous Malformation. Saba Momin, Sabir Patel.. Read more...

IMAGE GALLERY

Ketan Kulkarni
Spot diagnosis?



Last month's image gallery:
Case 1: Cornelia de Lange.
Case 2: Distal Renal Tubular Acidosis

Try your clinical skills in the SPOT DIAGNOSIS for the fortnight and the lucky winner gets a child health CD courtesy Pediatric Oncall

MEDICAL ADRIS

Sincerely,
Pediatric Oncall

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