DIAGNOSTIC DILEMMA
Asim El Tigani Mohamed Zein
An infant with extensive hemangioma presents with shock. She was diagnosed as Kasabach-Merritt syndrome and advised Prednisolone but failed to comply. How should the hemangioma be treated? Read more…

Last fortnight's query of 7 years old boy with frontal headache, projectile vomiting, fever and generalized tonic clonic convulsion followed by altered sensorium. MRI suggestive of space occupying lesions. What is the diagnosis? Most of the readers have suggested Tuberculosis. The authors reply that the child responded to Anti-tuberculous therapy.

TEACHING FILES

Ira Shah
A 6 years old boy presents with Dengue Shock Syndrome. He was treated with normal saline boluses and IV fluids (4 cc/kg/hour) which was gradually increased to 10 cc/kg/hour in view of increasing PCV and oliguria and hypotension. Subsequently the child developed pulmonary edema and required ventilatory support. How should fluids be managed in DSS?
Read the entire teaching clinical query in the section of "TEACHING FILES" and try the correct answer.

Last month's teaching file:
Query: A 10 month old comes with chronic diarrhea and multiple café au lait spots. What is the cause of chronic diarrhea?
Answer: Cryptosporidia with primary immunodeficiency. Read more...

ORIGINAL ARTICLE

Spectrum of Renal Tubular Disorders in Iraqi Children. Aamir Jalal Al Mosawi Read about the pattern of Renal Tubular Disorders (RTDs) in Iraqi and Arab children.

CASE REPORTS

VIEWER'S CHOICE

IMAGE GALLERY

Last month’s answers:
Case 1: Prune Belly Syndrome
Case 2: Silver Russell Syndrome

Sincerely,
Pediatric Oncall

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