Tag: Pediatrics

Section Editor: Dr. Sujit Kumar Shrestha, MD Pediatrics, Fellowship Neonatology

PGMEE, MRCS, USMLE, MBBS, MD/MS

Tonnis and IHDI (International Hip Dysplasia Institute) Classification for DDH

Dr. Sulabh Kumar Shrestha, MS Orthopedics,

IHDI method is a new radiographic classification of the severity of hip dislocation in DDH. It is based on the location of the midpoint of superior part of ossified metaphysis (H-point) relative to acetabulum. In contrast to Tonnis classification method, IHDI method: Tonnis classification: It is assessed according to the…

Case Reports

Mohr Syndrome (OFD2): An Orthopedic Insight from a Rare Case

Dr. Sulabh Kumar Shrestha, MS Orthopedics,

Introduction Mohr syndrome, or Orofaciodigital syndrome type II (OFD2), represents a very rare genetic disorder in which there is a triad of craniofacial anomalies, oral malformations, and digital deformities. While classic findings such as lobulated tongue, cleft palate, and broad nasal root mainly remain in the domain of pediatricians and…

PGMEE, MRCS, USMLE, MBBS, MD/MS

Refeeding Syndrome : Mnemonics

Epomedicine,

Risk factors Mnemonic: ABCD Pathophysiology Mnemonic: PPM Malnourished (depleted intracellular Phosphate, Potassium, Magnesium) → Refeeding → Increased glucose load → Insulin spikes → Drives PPM into cells → Hypophosphatemia (major abnormality), hypokalemia, hypomagnesemia Prevention If patient hasn’t not eaten for >5 days, aim to refeed at <50% energy and protein…