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…
Tag: Pediatrics
Section Editor: Dr. Sujit Kumar Shrestha, MD Pediatrics, Fellowship Neonatology
Case Reports
Case of Cyanotic Congenital Heart Disease : PGE1 saves life
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…
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…
PGMEE, MRCS, USMLE, MBBS, MD/MS
Definitions, Criteria and Classifications in Osteomyelitis
Morrey and Peterson’s Definition of Osteomyelitis Definite osteomyelitis: Positive bone or adjacent soft tissue culture or histologic evidence Probable osteomyelitis: Positive blood culture + Clinical & radiological evidence of osteomyelitis Likely osteomyelitis: Typical clinical and radiographic features of osteomyelitis responding to antibiotic therapy (in absence of positive culture) Peltola and…
PGMEE, MRCS, USMLE, MBBS, MD/MS
Kocher Criteria for Septic Arthritis : Mnemonic
Kocher criteria can help to differentiate between spetic arthritis and transient synovitis in a case of non-traumatic painful hip in a child. A restrospective study in 104 pediatric patients has depicted that meeting 3 out of 4 crtieria would miss 52% cases and is of limited usefulness in detecting septic…
Emergency Medicine
Pulled elbow reduction
Synonyms: Nursemaid’s elbow, Radial head subuluxation, Elbow subluxation Age: Commonly 1-4 years After 5 years of age, the attachment of the annular ligament to the neck of the radius strengthens Enlargement of the proximal radial epiphysis with growth may also improve stability Presentation: History of pull may be absent in…
PGMEE, MRCS, USMLE, MBBS, MD/MS
General Principles – Pediatric Fracture Management
Children are not just mini-adults • Higher head to torso ratio: Head injury & Upper C-spine fractures • Light weight – projectile when struck • BSA to Wt. ratio – higher (rapid hypothermia) • Large cardiopulmonary reserves – normal SBP in significant hypovolemia Growth contribution by Proximal & Distal Physes…
PGMEE, MRCS, USMLE, MBBS, MD/MS
Heart Sounds – Murmurs
Murmur is a low, indistinct sound. In terms of medicine, it is the sound produced due to turbulent flow within the heart and great vessels. They are described and named in relation to the normal heart sounds, location, and quality. Please go through these articles before reading further: Heart Sounds…