SEPTIC HIP/PERTHES’S

The differentiation of septic hip from other inflammatory causes of hip pain in the child can be difficult Transient synovitis is a self-limited condition of unknown etiology.1 There is some…

Continue reading

MOLES- ARE THEY A CONCERN?

Among all congenital nevi, the exact increase in melanoma risk is estimated at less than 1%, and among patients with small and medium-sized congenital nevi, this risk is virtually entirely…

Continue reading

down syndrome and preleukemia

.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…

Continue reading

STUTTERING

2  yr old child has prolongation of syllables occasionally.They have family history of stuttering. anxious mother consults you . how to proceed?   STUTTERING

Continue reading

SEPSIS

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…

Continue reading

ITP ASH GUIDELINES

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.…

Continue reading

CELL FREE DNA TESTING

  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…

Continue reading

diaper rash

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…

Continue reading