.Children with Down syndrome manifest multiple hematologic manifestations: (1) transient myeloproliferative disorder (TMD)/transient abnormal myelopoiesis (TAM) at birth, (2) acute myeloid leukemia (ML-DS), and (3) acute lymphoblastic leukemia (ALL). .The…
2 yr old child has prolongation of syllables occasionally.They have family history of stuttering. anxious mother consults you . how to proceed? STUTTERING
2yr old admitted with abscess left foot is tachypneic,febrile,with hr 140/mt. he has flash CRT, normal bp,lactate 40 mg%,calcium 9 mg%,pt 20 sec inr 1.6, sgpt 500,plt 90,000/mm3, fibrinogen 120…
A 3 yr old girl presents with purpura on trunk and leg with no fever. she has no hepatosplenomegalyor lymphadenopathy. she is not on drugs. she has no h/o bleeds previously.…
Noninvasive prenatal screening, using cell-free fetal DNA circulating in maternal blood, offers an early method of detecting certain fetal chromosomal abnormalities. As a new technology, many uncertainties exist about…
A 15-month-old girl is seen for persistent diaper rash. Despite treatment with zinc oxide cream and topical antifungal cream for over a month, there has been no improvement. The mom…
A familiar scenario is an hiv proven pregnant women and accompanying problems in management Revised guidelines on What to start in ART naive patients November 2104 Instructions on…
Fetal hydronephrosis is seen in approximately 0.1% to 5% of all pregnancies on prenatal ultrasonography. Fetal hydronephrosis is most often transient or clinically insignificant. Measurement of the maximum renal pelvic…
Is the mass a lymph node? Nonlymphoid masses (cervical rib, thyroglossal cyst, branchial cleft cyst or infected sinus, cystic hygroma, goiter, sternomastoid muscle tumor, thyroiditis, thyroid abscess, neurofibroma) occur…
Congenital cystic adenomatoid malformation is the most common congenital cystic lung malformation, but is overall quite uncommon.The antenatal ultrasound classification was proposed by Adzick et╯al:2 ◗ type 1—macrocystic, with cysts >5mm,…
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