Congenital Adrenal Hyperplasia or CAH
Congenital adrenal hyperplasia (CAH) is a family of autosomal recessive ( AR ) disorders of cortisol biosynthesis. Cortisol deficiency increases secretion of corticotropin (adrenocorticotropic hormone [ACTH]), which, in turn, leads to adrenocortical hyperplasia and overproduction of intermediate metabolites. Epidemiology: The incidence of classical CAH in general population is between 1 in 13000 to 1 in […]
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Interesting cases in Neonates : Dr Sujit Shrestha
1. Sepsis presenting with Diabetic Ketoacidosis like feature in Preterm neonate A thriving preterm neonate had new onset sepsis with off color skin and poor feed tolerance. A work up for sepsis was sent and antibiotics were upgraded to 2nd line agents. Inotrope was added for tachycardia with poor perfusion. By evening, there was polyuria […]
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New Immunization Schedule of Nepal 2018 : Vaccines
The National Immunization Programme (at the time known as the Expanded Programme on Immunization – EPI) was initiated in 1979 in three districts with only two antigens (BCG and DPT) and was rapidly expanded to include all 75 districts with all six recommended antigens (BCG, DTP, OPV, and measles) by 1988. In 2003, with the support of the GAVI […]
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Best books for Pediatrics Residency: List
Residency in any subject in Medical filed is not a piece of cake. There is no limit of knowledge you need to acquire and the tougher thing is you need to acquire knowledge and skills side by side. A mastery in only one field can leave you defective. As a resident in Pediatrics, called MD […]
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Diagnosing Abdominal Tuberculosis: Current recommendations
Abdominal tuberculosis (TB) is a collective term that includes TB of the gastrointestinal tract, peritoneum, omentum, mesentery and its lymph nodes and other abdominal organs such as liver, spleen and pancreas. Its presentation has dramatically changed with increasing incidence of HIV coexistence, making the diagnosis in HIV infected persons quite challenging. Also, abdominal tuberculosis […]
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Growth charts in Neonates
Historically, various growth charts have been used in Neonatal units to monitor growth in newborns. An Ideal growth chart that can be used, has always been an area of debate, because no single chart till date can be confidently recommended for preterm newborns, though efforts have been going on. There are reference growth charts and […]
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Persistent Pulmonary Hypertension of Newborn ( PPHN): Updates on management
Dr Sujit Kumar Shrestha, Lecturer, Department of Pediatrics ( NMCTH), MD Pediatrics ( IOM, TUTH), Fellowship (GRIPMER ,India) A Term 39 weeker Male 3.5kg AGA baby was Delivered via Em LSCS for Meconium Stained Liqor with Apgar 7/10, 8/10 developed Meconium aspiration syndrome. Baby had distress at birth and was referred to our center for […]
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Zika Virus -Brief Overview of Epidemiology, Diagnosis and Prevention
Problem Statement Zika Virus was first identified in a febrile rhesus monkey in Zika Forest of Entebbe, Uganda in 1947. Between Jan 1, 2007 and 17th Feb 2016, a total of 48 countries and territories documented Zika Virus transmission. From Nov-2015 to Feb-2016, a total of 5280 cases of microcephaly was reported in Brazil, including […]
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Neonatal History Taking : Format
Neonatal Period extends from birth to 28 days of life. History taking in newborn and neonates is different from those in elder children because, most of the things are related to when bay was in the maternal womb. So maternal history becomes an integral part of Neonatal history. MBBS and PG students need to know […]
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