Before starting with the topic, here is a recommended reading for the medical professionals. Yellowish discoloration of skin and sclera – ” Jaundice” is a commonly encountered problem for the parents of newborn babies. Jaundice is caused by the increase in level of bilirubin in blood (serum). Many parents notice yellowness…
Author: Dr. Pedchrome

CNS examination long case: How to prepare
Central nervous system (CNS) examination is the most difficult thing to complete within a time limit during final exam and the dilemma is that, most of time the CNS is what is kept as a long case. Examiners love judging you on the basis of CNS case because: 1. CNS…

Ten Diagnostic Dilemmas in Neonatal Meningitis
Incidence the global incidence of neonatal sepsis at 5–6 per 1000 live births and that of meningitis at 0.7–1 (2.4–16 in South and South-East Asia, 6–21 in sub-Saharan Africa, and 1.8–12 in the Middle East and North Africa) Causative Agents : Group B streptococci Escherichia coli Klebsiella pneumoniae Streptococcus pneumoniae …

A Case of Neonatal Umbilical Infection leading to Septic Shock
Case report A Preterm neonate of 33 weeks gestation deteriorated on day 2 with septic shock and decreased urine output rapidly over 12 hours. Baby was pale and CRT was prolonged. A Workup was sent and empirical antibiotics were started. Baby needed Inotrope support and improved over next 24-48 hours….

Partial Exchange transfusion for Neonate with Polycythemia
A Late preterm, 36 weeks by gestation and small for gestation age was delivered via Cesarean section for Oligohydramnios. At birth the Apgar was 9/10, 9/10 and the baby was shifted to mother side and planned for Sugar monitoring. Hemoglobin and Packed cell volume was sent at 2 hours.Baby was…

Risks to Babies born to Diabetic Mothers
Diabetes in a mother can either occur before the pregnancy – pregestational diabetes or during the pregnancy – gestational diabetes. High blood sugar level in mother is not just harmful to her but also to the baby developing in her womb. HAZARDS DURING INTRAUTERINE LIFE 1. Congenital Anomalies or Birth…

A Child with Fever, Diarrhea, AKI, Hematuria, Altered senosrium and Anemia
Case Scenario A 3 year boy form Western region presented at Emergency Room in a state of altered sensorium. The child was well 5 days back, but since then he is been having fever and loose stool. The episode of illness started with fever, measured upto 102 F, was on…

10 Danger Signs in babies every parents must know
Neonatal period is a period of great delicacy and concern to the newborn as well as the parents. A baby born after 9 months of preparation and hope, becomes the center of attention of the entire family. Even normal behaviors of newborn may seem strange to the parents, as often…