1st Published in Pedchrome in October 19, 2012 National Newspapers of Nepal like Kantipur Daily and Nayapatrika had published some news regarding the Case of Om Hospital where the papers irresponsibly declared that the doctor’s negligence had led to the death of a new-born. According to the Om Hospital Authority,…
Author: Dr. Pedchrome
MD Pediatrics and Fellowship Neonatology, he chooses to stay anonymous. He often writes his views online as well as share few important topics for medical students, doctors and specially parents. He does research in pediatrics.
PGMEE, MRCS, USMLE, MBBS, MD/MS 
BIND score in severe hyperbilirubinemia
Bilirubin-induced neurologic dysfunction (BIND) Score is used to assess bilirubin induced encephalopathy in neonates with severe hyperbilirubinemia. Johnson et al developed the BIND score to help identify an infant who requires more aggressive monitoring and management. The scoring system has 3 parameters: 1. Cry pattern 2. Behavior and mental status…
PGMEE, MRCS, USMLE, MBBS, MD/MS 
Approach to a Child with Short Stature
Definition of Short Stature Short stature refers to the height below 3rd Centile or 2 Standard Deviations (-2 SD) or more below the mean height for chronological age and gender for the standard population. When height is >-3 SD it’s most likely pathological. Assessment of Short stature 1. Accurate height…
Blog 
Monitoring your child’s growth
Proper growth of a child is of concern to every parents. Comparing your child with other children of same age group can give you some idea but all children do not have the same growth potential. The birth weight, nutritional status, health, parental height and genotype influence the child’s potential…
PGMEE, MRCS, USMLE, MBBS, MD/MS 
List of Textbook for Pediatric Residents
Residency in any subject in medical field is not a piece of cake. There is no limit of knowledge you need to acquire and the tougher thing is you need to acquire knowledge and skills side by side. A mastery in only one field can leave you deficient. As a…
PGMEE, MRCS, USMLE, MBBS, MD/MS 
Injection site swelling after vaccination in Infants
Swelling and pain at injection site after vaccination is a frequently observed problem by parents and is often of concern to them. These type of reactions are generally observed after intramuscular vaccine and vaccine containing aluminium component. DPT as pentavalent is a frequent vaccine after which infants develop swelling. Types…
PGMEE, MRCS, USMLE, MBBS, MD/MS 
APGAR score in practice and its implications
A baby is born. Pediatrician receives the delivery, fetal bradycardia with maternal hypertension is the scenario. Baby is efficiently resuscitated. By the time everything is settled its around 7-8 minutes of babies life. In such a rush scenario, APGAR now has to be awarded retrospectively. A skilled pediatrician or neonatologist…
Clinical Skills and Approaches 
Common mistakes in Per Abdominal examination
1. Forgetting to Expose abdomen adequately: Before examination, patient should ideally be exposed from the nipples to mid thigh. Failure to do so may lead to missed findings during examination e.g. Hernia 2. Abdominal symmetry and movement: Abdominal symmetry and movement should be examined tangentially and from leg end. Comment…