Unveiling Left Hemithorax Opacity

Dr.Sree Lekshmy.S, Dr.Sajith Kesavan, Dr.GreeshmaIssac, Dr.C.Jayakumar One and a half year old female child, first born of a non consanguineous parentage  presentedwith recurrent episodes of LRTI since 1yr of age.Child was previously evaluated in multiple hospitals. Chest xray showed persistence of left hemithorax opacity with hyperinflation on right side.  At the time of admission, child was alert with stable vitals. Clinically child had reduced air entry on left.  Differentials considered Read More …

Sturge-Weber syndrome

Dr. Jerin K John,Dr Vinayan KP Dr C Jayakumar A ten month old male child  presented  with staring look with paucity of left half of the body .There is  history of mild developmental deadly .History is negative for headache, neck stiffness, photophobia, visual disturbances, head injury, weakness, or any drug intake. The patient didn’t have any inpatient care in the past in infancy except Read More …

EMERGENT INSIGHTS: ACUTE KIDNEY INJURY IN 7 MONTH OLD

Dr Joepaul Joy, Dr Vinitha Prasad, Dr Shela, Dr C JayakumarAIMS KOCHI KERALA INDIA  Seven month old developmentally normal, immunized for age male child k/c/o Perimembranous VSD with Left to Right shunt restricted Septal Tricuspid Leaflet, Valvar PS, Doming pulmonary valve presented with complaints of vomiting since last 1 week, associated with greenish stools, 3-4 episodes per Read More …

UNRAVELING THE SPECTRUM: SYSTEMIC LUPUS ERYTHEMATOSUS

Dr Anakha V Ajay,Dr Suma Balan(Paed Rheumat)DrC JayakumarAIMS, Kochi.Kerala ,India Ten year old female child presented with bilateral elbow and ankle joint pain associated with swelling over bilateral feet of one week duration .Subsequently she developed erythematous rashes over both lower limbs of 4 days duration. History was negative for fever, reccurent oral ulcers,haematuria, shortness of breath.With Read More …

Pediatric Emergency- Supraventricular Tachycardia

Dr. Venkat Kumar Raju,Dr. Mahesh, DrPraveena Bhaskaran ,Dr. JayakumarDepartments of pediatrics and pediatric cardiologyAmrita Institute of Medical Sciences, KochiKerala ,India  A 3-year-old female from Maldives presented with fever for 2 days, and palpitations since evening. Child was brought to ER during 11pm,In Initial Assessment, Airway is patent, Tachypneic with HR 240/minChild was RestlessVitals- HR-240/min, BP- Read More …

THE HIDDEN CULPRIT, A CASE OF SUDDEN ONSET BLACK TARRY STOOLS.

Dr.Subbulakshmi.P.S, Dr.Bhanu Vikraman Pillai,  Dr.Jayakumar.CAIMS, KochiFour year old male child presented to paediatric ER with the complaints of passing black tarry stools intermittently for past one week with no history of abdominal pain, loose stools, vomiting, fever or rash.  No History bleeding from any other sites No history of taking iron preparations Differentials:● Infectious colitis● Inflammatory bowel Read More …

A puzzling case of pneumonia

Dr.Sruthi Auresh Dr.Sajith Kesavan (Paed Pulmonology)(DR Greeshma pediatric Intensivist ) Dr.C.JayakumarAIMS, KochiTwo month old male child from Maldives, 3rd child of non-consanguineous parentage presented with history of recurrent episodes of lower respiratory tract infections since neonatal period, requiring intravenous antibiotics and once diagnosed as covid pneumonia at 1 month of age, now presented with complaints Read More …