TRAP!- TWIN REVERSED ARTERIAL PERFUSIONS

Dr.Subbulakshmi P S, Dr.Jayasree.C, Dr.Jayakumar.C AIMS, Kochi Thirty two weeks 1.8kg preterm ba of twenty five years old primi was delivered vaginal delivery due to uterine contraction. Antenatally scan showed Monochorionic Diamniotic  twinwith absent cardiac activity in one fetus. Differentials: ● Vanishing twin syndrome ● IntraUterine Death ● Twin to twin transfusion Syndrome(TTTS) ● Twin reversed Arterial Perfusion(TRAP) After Doppler TRAP Sequence was confirmed and fetus A, the Read More …

Uncommon Culprit:Rota Virus- Associated Encephalopathy

Dr.Ch. Venkat Kumar Raju, Dr. Praveena Bhaskaran, Dr. Vaishakh Anand, Dr.C. Jayakumar AIMS KOCHI Three year 11-month-old fully vaccinated child presented with non-bilious vomiting associated with multiple episodes of large volume, watery and foul-smelling loose stools.Sibling also had fever and was getting in patient care three days back .Child was on family pot diet and not Read More …

Deciphering Fanconi’s Anaemia:  A Case Study Examination

Dr.Sruthi, Dr Rema (Paed Haematology), Dr.C.Jayakumar Dept. Of Pediatrics, AIMS, Kochi One year old male child of 4th degree consanguineous parentage presented with increasing pallor since 3 months of age. Born term AGA, uneventful antenatal and post-natal period. At 3 months of age, during the evaluation of LRTI he was found to have haemoglobin of 1.8gm/dl. He had anaemiainduced cardiac failure and Read More …

A CAUSE OF METABOLIC CRISIS- HMGCOA SYNTHASE DEFECIENCY 

Dr Adeena ,Dr Sajith Kesavan, Dr Greeshma Issac,Dr Sheela Namboothiri, Dr CJayakumar  Five-month-old girl first born to a non-consanguineous couple presented with poor activity for 4 days followed fever, multiple episodes of vomiting, altered breathing and decreased urine output of 1 day duration. Out side hospital hypoglycemia and severe metabolic acidosis (pH 6.995, HCO3 -5.6) was Read More …

A case Of Generalized Pustular Psoriasis

Dr Theresa Raju*Dr Sajitha Nair *Dr Gopikrishnan Anjaneyan * Dr C Jayakumar*Department of Pediatrics* and Dermatology**AIMS KOCHI Fifteen  year-old male boy presented with erythema, scaling and flaking of skin from 20 days of life  managed with topical applications developed high-grade intermittent fever and cough of 7 days duration. He came to AIMS as fever and Read More …

HEREDITRARY SPHEROCYTOSIS: DECODING THE INHERITED BLOOD DISORDER”

Dr.Venkatesh Kumar, Dr.Vinitha Prasad, Dr.Stefy, Dr.Shela, Dr.C.Jayakumar.Eight year old developmentally normal and immunized male child developed early morning periorbital puffinessHistory suggestive of renal ,Hepatic or cardiac illness was absentHe came to AIMS due to low Hb detected outsideThere is history of neonatal hyperbilirubinemia that was managed with phototherapyBut after that there is no history of Read More …

Guillain-Barré syndrome in children

Dr Rithwik Sunil, Dr. Vinayan, Dr. Sajith Kesavan,Dr C Jayakumar Seven year old child, 1st of NCM, developmentally normal and immunized presented with bilateral lower limb weakness followed upper limb weakness and left sided facial weakness  To begin with he had upper respiratory  symptoms but progressed to breathlessness . On 4th day of illness child had features of7th ,9th and 10th nerve involvement . Parents also noticed Read More …

Unexpected Guest

Dr C Jayakumar , Dr Gigo karimattim George, Gigo scan Kottayam ,DrVenkat ,DrVishnu B Menon ,Community medicine  Eleven year old girl otherwise normal attending school presented to the office room for a swelling in the in the medical aspect of the right upper arm of size 2 into 1 cm. No history of weight loss Read More …