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Congenital Adrenal Hyperplasia or CAH

July 8, 2020

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

March 25, 2019

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

January 25, 2019

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

December 30, 2018

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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Zika Virus -Brief Overview of Epidemiology, Diagnosis and Prevention

August 29, 2016

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

July 25, 2016

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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10 Books for Neonatology

May 6, 2016

Avery’s Disease of the Newborn: The Basic most and the extensive chapters on Neonatology for both Post graduate level and for subspecialities. It is a book written in good order, simple language and with good flow. It is one the most widely followed books all over. The cost is separate for South Asian countries and […]

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Down Syndrome or Trisomy 21: Chromosomal disorder

October 23, 2015

Trisomy 21 or  Down Syndrome was first described by John Langdon Hayden Down a Physician ( 1828-1896 AD) in The London Hospital in 1866 AD.In 1959, Lejeune and Jacobs et al independently determined -trisomy 21 as cause of Down Syndrome. March 21st every Year is Marked  as ” Down Syndrome Day” – 3rd month 21st […]

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MBBS Guide: Topics for Pediatrics Exam

June 15, 2015

Besides internal medicine, you need to learn about conditions specific to children and neonates – This is Pediatrics; vast and sensitive subject. As we have limited time before the exam, it may not be possible to revise all the topics. Below is a list of topics in Pediatrics, you should not miss while appearing for […]

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