Interesting Cases in Pediatrics

26/05/2024

https://youtu.be/vCRAIFEJb04?si=8rwAcIBnftGzt27K

बच्चों का स्वास्थ्य बहुत महत्वपूर्ण है और अक्सर पेरेंट्स अपने बच्चों के स्वास्थ्य को लेकर चिंतित भी रहते हैं साथ ....

08/05/2023

AN INTERESTING CASE OF AN INFANT WITH MENINGITIS!!
3 month male, presented with poor feeding, irritability for 4 to 5 days, and on examination had bulging anterior fontanelle, Hb was 8.5, total leucocytes were 21000, Platelets normal,CRP was 56, creatinine - 1.4. Lumbar puncture suggestive of meningitis.
Birth history-Born at term by elective LSCS to a G2P1 mother with normal antenatal scans, cried at birth and shifted to mother on day 1 itself.
Seeing the abnormal serum creatinine urine routine was done suggestive of full of pus cells in high power field and USG KUB S/O Bilateral hydroureteronephrosis with right sided kidney having pyonephrosis. On history recall mother admitted that the baby had abnormal urinar stream
Baby was catheterised to drain the urinary system and started on broad spectrum antibiotics which was modified according to culture reports. Baby improved symptomatically and was finally referred to pediatric surgery.

Learning points: In a sick baby screen every system for the focus of infection. In this case it was the urosepsis leading to meningitis!!!

07/05/2022

17 year old female, presented with severe anemia with anemic heart failure.
Admitted twice inthe past with history of Packed rbc transfusions twice in the past.
First transfusion at the age of 7 years and second just 2 months back.
History of bluish spots and muscle hematomas in her childhood and excessive menstrual blood loss 2 months back(at menarche).
No history of any other significant illness.
Wt and Ht -age appropriate.

O/E severe pallor
Skin- few ecchymotic patches
Tachycardia with hemic murmur
Tachyneic with saturation at room air 93%, chest - bilateral crepts
Per abdomen soft , no organomegaly
Rest systems- NAD

Investigations
Hb 3.3g per dl
TLC 12000 (N78, L20)
Platelets 4 lacs

Pbf-s/o hypochromic microcytic anemia
Retic 6%
LFT , RFT NORMAL

BT, CT NORMAL
PT, aPTT , TT ALL PROLONGED ***
Chest x rays suggestive of pneumonitis.

Any guesses??