We comply with the HONcode standard for health trust worthy information:
verify here.

Home

19-03-2002
I have a 5 yr old male pt with rec UTI for last 1 yr. Recurrences r asymptomatic.Child has no other abnormality. USG normal, DMSA nad. The child is already on prophyllactic cephalexin for last 3 months.But alredy there have been breakthrough infections on 2 ocassions. I suggested MCU. By this time a ped nephrologist was consulted. She advised the parents to ignore the culture reports as acc to her a positive urine culture in absence of pyuria indicates contamination, not infection. Now what should they do? To go for MCU or follow nephrologist's opinion and stop treatment? Please advise.
Dr Amit Kumar Sanyal, Kolkata, West Bengal. (Postings (4) / Discuss) Last Post - 05 -04 -2002

20-03-2002
A 12 days baby admitted in hospital with the c/o rapid respiration with chest indrowing & off feed. on examination resp. rate 98/min.with chest indrowing. on auscultation expiration phase absent. BS ALL OVER chest,lordosis DAOM, SPINABIFIDAAT D-4, fusion of ribs in pair .liver 5c.m.below costal margin.no murmur no crepts no ronchi after given the treatent pt. condition was improved but suddenly expired My questionis 1) was he had congenital anomalies. 2)was he in c.c.f.
Dr Vijendra Morchhale, Bhopal, MP. (Postings (2) / Discuss) Last Post - 29 -03 -2002

22-03-2002
one year male brought with h/o respiratory distress and cold clamy skin for 3 hours.No preceeding illness.Blood sugar--350 mgm. Ketone bodies +ve. inj insulin 0.1mg/kg stat dose lead to hypoglycemia. Now what should be the maintenance fluid for this child.
Dr T.S.Randhawa, Jalandhar, Punjab. (Postings (5) / Discuss) Last Post - 03 -04 -2002

23-03-2002
Both Sachharomyces boulardi and Lactobacillus GG are now a days extensively used for prevn & treatment of g/i infections.Can anyone tell me how they differ in their actions and therfore their indications?
Dr Amit Kumar Sanyal, Kolkata, West Bengal. (Postings (2) / Discuss) Last Post - 31 -03 -2002

24-03-2002
5 year female pt. with c/o jt.pain only(since 6 mo.)On ex.gr 2 pan syst. murmer over mitral area.No jt.swelling.A.S.O.titre is normal.On echocardiography trivial mitral reg. is there.Is it possible she having rh.m.r.?
Dr Nitin Thakkar, Gandhidham, Gujarat. (Postings (2) / Discuss) Last Post - 29 -03 -2002

24-03-2002
how to immunise (specially for vaccine require intramuscular route)a pt of Haemophilia...has been presented in 1st wk of life...and seems to have less than 1% of activity....
Dr Kamlesh Shah, Jamnagar, Gujarat. (Postings (5) / Discuss) Last Post - 05 -04 -2002

24-03-2002
i have been observed that parents complaints very often that their child is very slow in eating...he hardly eat a roti...he likes all fast and fried food...but routine stapel diet he dont like...how to tackle this problems...kindly give your advise..
Dr Kamlesh Shah, Jamnagar, Gujarat. (Postings (2) / Discuss) Last Post - 05 -04 -2002

27-03-2002
Montelukast has been launched in India.But the drug has been in use in Europe for quite some time.I shall very much appreciate if our member friends in UK enlight me about the usefulness of the drug,principal and serious side effects.Are they really better to use than ICS?Are they satisfied with the utility of the drug in everyday practise situations?
Dr Amit Kumar Sanyal, Kolkata, West Bengal. (Postings (1) / Discuss) Last Post - 04 -04 -2002

28-03-2002
10 years male child came with 6 months H/O off & on FEVER max. 102 F. lasting 7-14 days and recurring after 10-15 days.GPE normal.Splenomegaly ++.Chest/CVS normal.Hb--11 gm% .TLC--13500, DLC--78,20,1,1,0. Widal -ve, CRP--24 mg%,Montoux test -ve,urine c/e---normal.x-ray chest--normal,U/S abdomen-shows splenomegaly and minimal fluid in pelvis. How to manage ?
Dr T.S.Randhawa, Jalandhar, Punjab. (Postings (3) / Discuss) Last Post - 31 -03 -2002

29-03-2002
10 years old male child hospitalized with pain right lumbar region associated with fever of 5 days duration. No other positive history. Clinically toxic looking child & febrile. Fullness of right lumbar region with tenderness. Hematological parameters normal. Acute phase reactants negative. Urine routine analysis negative. USG : isoechoic mass upper pole of kidney. Otherwise kidney structure normal. Your comments please.
Dr T S RaghuRaman, Bangalore, Karnatka. (Postings (2) / Discuss) Last Post - 03 -04 -2002

31-03-2002
I have a 10.5- year-old girl who had thelarche (development of breast) at the age of 9yrs and menarche only a month back. She had an accelerated growth spurt in between. Right now, her height and weight are quite appropriate to her chronological age. However, her parents are worried that she may not be able to attain a good final height, as it is widely believed that height-velocity decreases appreciably after onset of menarche. They have also consulted an endocrinologist who advised them to go for growth hormone injections provided her lower femoral epiphysis has not fused as yet.
My queries are:
1- Are the fears and apprehensions of the family quite unfounded?
2- Can we label this girl a case of precocious puberty?
3- What advice would you offer to the parents of this child?
4- Will growth hormone injections really going to help this girl to attain a good final adult height despite having normal levels of GH?
Dr Vipin M Vashishtha, Bijnor, U.P. (Postings (4) / Discuss) Last Post - 04 -04 -2002

31-03-2002
Almost every alternate mother who comesb with the child, in my practice, complain that the child does not eat properly and request for some appetizers. I am sure all the members here would be facing the same. How to tackle this? Your experience please.
Dr Harsha Vardhana, Pune, Maharastra. (Postings (1) / Discuss) Last Post - 04 -04 -2002

03-04-2001
One mother 32 gestational weeks has an active chlamydia infection just at the time of premature delivery . The prem Child weighted 1410 gms, and developed RDS . He was putting in CPAP. ( So2 88 PO2 51 mm Hg % with FiO2 0.8 before CPAP,anderson 6 ) The newborn had a blood sample for leu 8000 , Neut 45 , Limph 25 , Eos 14 % . Rx = Pneumonia. Blood culture neg for strepto ß hemolytic B group . The mother had vaginosis without treatment . My questions :
1) Could the child get a chlamydia infection that causes Neonatal Pneumonia as soon as the first day ? . I know that the ureaplasma urealyticum could affect the child soon after birth , but chlamydia ?
2) Have the Eos high a predictive value to say that the child has risk of chlamydia ?
3) Is the asociation ampicilin- aminoglycosid enough for the child that got this infection or is better add eritromycin or clyndamicin .
4) where is the best site to get a sample to investigate chlamydia in this child ? By broncoschopy ? By tracheal aspirate ?
5 ) Is it Useful the antibodies type IgM for Dx congential chlamydia ? Is there congenital chlamydia or is only a posnatal infection usually after 3 weeks ?
Dr Alexis Palencia, Bucaramanga, Colombia, South America.(Postings (0) / Discuss) Last Post - 03 -04 -2002

03-04-2002
what is the rational to use 0.25 ml of capsular antigen typhoid vaccine below 2 year of age going to abroad ? now i can revaccinate him after 2 year of age with full dose?
Dr Nitin Thakkar, Gandhidham, Gujarat. (Postings (0) / Discuss) Last Post - 03 -04 -2002

04-04-2002
10 months old female child came with episodes of recurrent torticolis since 1 month of age. Each episode lasts for hours together. During episodes there is no other neurodeficit.Hemogram shows iron deficiency anaemia.Serum calcium,phosphorus alk. phosphoatase is normal.Renal functions are ok.
Dr T.S.Randhawa, Jalandhar, Punjab. (Postings (0) / Discuss) Last Post - 04 -04 -2002

05-04-2002
How to manage recurrent vomitting in a 3 months old child ?
Dr T.S.Randhawa, Jalandhar, Punjab. (Postings (0) / Discuss) Last Post - 05 -04 -2002

05-04-2002
8 years child with recurrent headaches of frontal and temporal regions only, moderate to severe enough to arrouse him from sleep. Eye,ENT examination and BP normal.No family H/O migraine.How to manage.
Dr T.S.Randhawa, Jalandhar, Punjab. (Postings (0) / Discuss) Last Post - 05 -04 -2002