Відео

The diagnostic evaluation should establish whether the hyperbilirubinemia is unconjugated, conjugated or mixed. If it is unconjugated like in our patient, one should look for anemia and if present, evaluate for hemolysis, and then for specific hemolytic disorders. If there is no anemia, the patient should be evaluated for the possibility of underlying liver disease or inherited disorders of impaired bilirubin conjugation. Normal liver function tests will rule out underlying liver disease and points towards inherited disorders. Recurrent indirect hyperbilirubinemias in an infant can be caused by two autosomal recessive disorders- Gilbert syndrome and Crigler-Najjar syndrome. Both of these are 2 ends of the same spectrum. In the above case, considering the symptoms and response to phenobarbitone, the most likely diagnosis is Crigler-Najjar syndrome type II. Please refer to the link below to learn more about the case and to know how we have reached the diagnosis- www.pediatriconcall.com/grand-round/new/recurrent-hyperbilirubinemia-in-an-infant/149

This is a case of Sprengel deformity , a congenital elevation of scapula with associated Klippel-Feil syndrome which is characterised by multiple vertebral anomalies. For further details kindly refer to the link below - www.pediatriconcall.com/spot-diagnosis/one-too-many-bones/304

This child had subcutaneous fat necrosis of the cheeks which is common after birth asphyxia. Subcutaneous fat necrosis causes endogenous production of 1,25 dihydroxy vitamin D which further leads to increase calcium absorption in the intestine and hypercalcemia. Hypercalcemia can lead to failure to thrive which resulted in the child not gaining weight. Please refer to the link below to know further about the case and its management. www.pediatriconcall.com/diagnosis-dilemma/new/cause-of-hypocalcemia/239

This child had subcutaneous fat necrosis of the cheeks which is common after birth asphyxia. Subcutaneous fat necrosis causes endogenous production of 1,25 dihydroxy vitamin D which further leads to increase calcium absorption in the intestine and hypercalcemia. Hypercalcemia can lead to failure to thrive which resulted in the child not gaining weight. Please refer to the link below to know further about the case and its management. www.pediatriconcall.com/diagnosis-dilemma/new/cause-of-hypocalcemia/239

Meningitis does not always lead to raised ICT and if the ICT is raised, then guided LP is often done if absolutely required since it helps in differentiating the causative organism and hence guide further antibiotic regimen. There are certain situations where CT scan is often done prior to a LP ( see Meningitis guidelines of the Infectious Diseases Society of America and the European Society of Clinical Microbiology and Infectious Diseases)

Ohh.... Thank you ma'am

This child likely has decompensation of his neonatal hepatitis. Based on his presenting symptoms and swelling over the left thigh (suggestive of bleeding), the tense anterior fontanelle could be either due to an intracranial bleed or meningitis. However, liver disease with bleeding manifestation elsewhere, IC bleed should be ruled out first using a CT scan. Thus, lumbar puncture should be avoided until a CT scan is done and if IC bleed is present, then lumbar puncture should be avoided altogether due to the risk of profuse bleeding because of coagulopathy. For additional details, please see the link www.pediatriconcall.com/diagnosis-dilemma/new/neonatal-hepatitis/234

The medication primarily used for pinworm infection is mebendazole ( 100 mg PO as a single dose). Alternatively, in the abscence of mebendazole, albendazole or pyrantel pamoate can be used. However, chronic infection often requires prolonged treatment (16 weeks) known as a “pulse scheme”. In addition, treating all the family members at the same time irrespective of the presence/ absence of symptoms has proven to be effective. To know more about this case, click the link below www.pediatriconcall.com/pediatric-journal/view/fulltext-articles/1433/T/176/0/0/new

There are multiple etiologies for liver abscess such as pyogenic , amoebic and parasitic. A careful history can often provide clue to the diagnosis and further management. In this case , they had a pet cat which helped direct the management plan . Please refer to video (attach link) to see how this case was approached. ua-cam.com/video/1HJEIwUjC-Q/v-deo.html

There are multiple etiologies for liver abscess such as pyogenic , amoebic and parasitic. A careful history can often provide clue to the diagnosis and further management. In this case , they had a pet cat which helped us direct our management plan . Please refer to video (attach link) to see how this case was approached. ua-cam.com/video/1HJEIwUjC-Q/v-deo.html

Pus culture + amphoxin+mebendazole

Yes that could be one of the possible sources of infection. And the other can be via an external route that further infected the breast milk while the child was suckling. There are few cases of breast milk transmission of salmonella that has been reported but it has not been well established yet. Kindly check the link below to learn further about the diagnosis and management in this child. www.pediatriconcall.com/grand-round/new/salmonella-enterica-meningitis-in-a-neonate/179

True, the diagnosis is salmonella meningitis. Please refer to the provided link for additional information on the diagnosis and management of this condition in the child. www.pediatriconcall.com/grand-round/new/salmonella-enterica-meningitis-in-a-neonate/179

Yes, the diagnosis is salmonella meningitis. Kindly check the link below to learn further about the diagnosis and management in this child. www.pediatriconcall.com/grand-round/new/salmonella-enterica-meningitis-in-a-neonate/179

Mam yur baby is ok now my baby has too

It is not for ba pass students; 😅😅