Dose: 80 mg/kg/day in 4 divided doses for 7 days; maximum 800 mg 4 times a day Time to start prophylaxis: 7-10 days after exposure (late incubation period) Indication: People without evidence of immunity and with contraindications for varicella vaccination (VZIg) Results from some studies Among 27 children in the…
Tag: Pediatrics
Section Editor: Dr. Sujit Kumar Shrestha, MD Pediatrics, Fellowship Neonatology
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…
PGMEE, MRCS, USMLE, MBBS, MD/MS 
Revised Jone’s Criteria – Mnemonic
Remember SPACE LEAF for Revised Jone’s Criteria (2015). Major criteria Mnemonic: SPACE Subcutaneous nodules Pancarditis Arthritis (Polyarthritis; for moderate to high-risk population – monoarthritis also qualifies) Chorea Erythema marginatum Minor criteria Mnemonic: LEAF Long PR interval ESR ≥ 60mm/hr (or ≥ 30mm/hr in moderate to high-risk population) and CRP ≥…
PGMEE, MRCS, USMLE, MBBS, MD/MS 
Bartter, Gitelmann and Liddle syndrome
The order of the nephron defects in Bartter, Gitelmann and Liddle syndrome follows alphabetical order. Bartter: Thick ascending LOHGitelmann: Distal tubuleLiddle: Collecting duct a. Bartter syndrome: Thick ascending Loop of Henle (LOH) Defect in Na-2K-Cl transporter (like loop diuretics) NaCl wasting, Hypercalciuria and mild hypomagnesemia Mnemonic: Loop diuretics lose calcium…
Clinical Skills and Approaches 
Murmurs Made Easy
Mnemonic: SSSS Stenotic lesion of Semilunar valve and Septal defect cause Systolic murmur. From this, you should also be able to remember that regurgitant lesions of semilunar valve causes Diastolic murmur. The stenotic lesions of atrio-ventricular valve causes diastolic murmur and regurgitant lesions cause systolic murmur. Causes of systolic murmur:…
PGMEE, MRCS, USMLE, MBBS, MD/MS 
Decorticate and Decerebrate Rigidity – Mnemonics
Rubrospinal tract mediates flexor of the upper arm. Here is a way to remember these two postures and never forget again. Decerebrate has more “E” and more “R”. Extended upper limbs Rubrospinal tract transected (Red nucleus is above the level of lesion, i.e. below midbrain level) Decorticate has “COR”. Upper…
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 
National Immunization Schedule of Nepal (2024)
There should be at least 7 contacts of children (At birth, 6,10,14 weeks, 9, 12, 15 months) to health center to fully immunize as per national immunization programme of Nepal. Previously, 11 antigens were provided through national immunization program. Recently, rotavirus vaccine and fIPV (fractional IPV) has been added. Nepal is polio…