A Single Male baby was born at 38 weeks of gestation with birth weight of 3.1 kg through Normal vaginal delivery. At birth the child had cried immediately. At 15 minutes of life, the child developed central cyanosis. There was no respiratory distress and heart rate was normal range. Child…
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.
Case Reports 
A Classical case of Congenital Diaphragmatic Hernia
A Single/ Term Male Baby weighing 3.0 kg was delivered via emergency LSCS for fetal distress who was prenatally diagnosed to have congenital diaphragmatic hernia in utero. He was born with Apgar score 4/10, 6/10, was immediately intubated and transferred to NICU. After stabilization, he was kept under the ventilator…
Clinical Skills and Approaches 
New Ballard Score: How to use it correctly?
Assessment of gestational age can be made postnatally by either Dubowitz Score or New Ballard Scoring system. In sick infants, examination of Anterior lens canpsule vascularity with a +20D lens can be useful in assessing gestation and it needs to be carried out within 24 hours of birth. Dr Jeanne…
Blog 
Survival without Morbidity Must be the Outcome
When ever we talk about outcomes, we tend to only regard survival as the outcome. “The patient survived, our ICU mortality has come down. We have saved extremely low birth weight baby…’ and so on. But survival is not the only outcome we should be aiming for. A survival without…
Blog 
Pediatric OPD is a Challenge : Treating the Child and Meeting Parents expectations
Scenario A concerned mother brings her 3 year child to the Outpatient Clinic; the child has had fever for 1 day, running nose and cough for 2 days. There are no other serious complaints and findings on examination are all normal, except for the running nose and a low grade…
PGMEE, MRCS, USMLE, MBBS, MD/MS 
Pediatric History Taking – Structured format and Guide
Identification (ID): Name Age/Date of Birth Sex Informant ( Reliability) Parent’s name, age, address, education, religion Chief Complaints (CC): Symptoms X Duration in Chronological order History of Presenting Illness (HPI): Symptoms: Location, quality, quantity, aggravating and alleviating factors Time course: Onset, duration, frequency, change over time Rx/Intervention: Medications, medical help…
Blog 
Studying Pediatrics – Is it easy?
Pediatrics is a domain of medicine that deals with child health, illness and well-being . The word “children” may itself be difficult for many doctors, but pediatrics isn’t simply about a word. Here the word “children” includes – neonates, infants, toddlers, shool-age children and adolescents. Every age groups have own…
Case Reports 
Catastropic Intraventricular Hemorrhage in Preterm IUGR newborn
A 31 weeks of gestation baby was born through emergency LSCS for Severe maternal hypertension. At birth baby required resuscitation and baby was intubated and transferred to NICU for ventilation. Fluids and Inotropes were started and ABG was sent. Vitamin K was given stat. Blood gas showed severe metabolic acidosis,…