Navigating the Storm: A Case of Pediatric Nephrotic Syndrome with Severe Complications and Remarkable Recovery.

Dr Varsha V S,Dr Anil Mathew(Paed Nephrologist)(Dr Sajith Kesavan,Dr Greeshma Issac;Pead intensivists)DrC Jayakumar Department of Pediatrics , AIMS Kochi. Two years old boy presented to ER with c/o fever and generalised edema of 2 days duration. He was evaluated outside with urine and urine protein was >3+ and urine protein creatinine ratio> 0.2 ,with hypoalbuminemia . Read More …

HOW A NEPHROTIC SYNDROME SUSPECT PAVED WAY TO BE A T-ALL?!

Dr.Terencia/Dr.Neeraj/ Dr. Manoj/ Dr.Rema/ Dr. C Jayakumar. Amrita Institute Of Medical Sciences, Kochi.   A 7 year old female child was referred from outside hospital with chief complaints of high grade intermittent fever spikes associated with facial puffiness and periorbital swelling of 1 week duration. . URE showed proteinuria and USG Abdomen showed bulky kidneys Read More …

Beyond weak muscles !!!

Dr.Sree Lekshmy.S, Dr.Sajitha Nair, Dr.Sindhu, Dr.Sreya Nair ,DrC Jayakumar Two year old female second born, non consangenous pareatage presented with wet cough of 1week, high grade intermittent fever of 4days and breathing difficultyChild was conscious, tachypneic intercostal and subcostal retractions but no desaturation.Clinical examination revealed weak cough, bell shaped chest and paradoxical abdominal breathing pattern. Chest Read More …

Osteogenesis Imperfecta:

Multidisciplinary care in a complex caseDr Joepaul Joy, Dr Sheela Nampoothiri, Dr Dhanya Yasodharan(Pediatric genetics), Dr C Jayakumar, AIMS Kochi Three year old male child, first born of non consanguineous marriage, delivered normally birth weight of 3.9kg presented to Genetics OPD with complaints of five times lower limb fractures. First fracture occurred after one year of Read More …

Budd Chiari Syndrome

Dr.Jerin.K.John,Dr.Bhanu Vikraman Pillai(pedgastro),Dr.Anupa Achama Thomas(ped gastro), Dr.Neeraj Panchanadikar(ped gastro),Dr.C.Jayakumar (pediatrics) A previously asymptomatic 6-month-old male child, exclusively breastfed and developmentally normal, and the second child of a non-consanguineous marriage (NCM), presented with progressive abdominal distension for three weeks. There was no significant family history or other health issues. On examination, his abdomen was grossly distended, with Read More …

WHERE WATER REIGNS IN PLACE OF BRAIN MATTER!!

Dr Anakha V Ajay ,Dr Jayasree Dr Perraju  DrAshwin Dr Lakshmi Dr Smriti(Dept of Neonatology)  Dr C Jayakumar( Dept of paediatrics), AIMS, KochiA female neonate born to twenty year old primimother (non consanguineous couple) at 39 weeks 4 days. Antenatal scans revealed bilateral enlarged head completely fluid filled with no intact cerebral cortex  or cortical Read More …

Decoding Dermatitis: Clinical and Genetic Insights into Acrodermatitis Enteropathica

Dr. Venumadhav,Dr.SajithaNair,DrC Jayakumar Department of Pediatrics, Amrita Institute of Medical SciencesIntroductionA four year old female child presented with the complaints of vesiculobullous lesions over bilateral hands, elbows, feet, knee, perioral and perianal regions since 1 year of age. She is born term, AGA, developmentally normal and immunized according to the NIS schedule. She had similar leisons at Read More …

Case of Rheumatic heart disease

Dr. Ch. Venkat Kumar Raju, Dr. R Krishna Kumar, Dr. C JayakumarAmrita Institute of Medical sciences   Fourteen year old female from Tirunelveli presented with complaints of breathing difficulty since 2 years. Child noticed breathing difficulty when she was playing with her peers. Which was gradually progressing.After a year she had dyspnea even climbing a plight Read More …

A STORY OF A BABY WITH CHARGE – THE ASSOCIATION 

Dr.Subbulakshmi P S**, (Dr.Jayasree*, Dr.Lakshmi Nair*, Dr.Smrithi*, Dr.Aswin*, Dr.Raju* Department of Neonatology, *)DrC Jayakumar Department of Paediatrics, AIMS,Kochi Thirty seven weeks old 1st female ba was born a primi mother emergency LSCS 2.3kg in-view of abnormal doppler. Antenatally it was uneventful other than the GDM and PIH . Ba had a delayed perinatal transition Read More …

Septic Arthritis in a Child: Early Intervention and Integrated Management

Dr.Sruthi, Dr.Sajitha Nair, Dr.C.JayakumarAmrita Institute of Medical Sciences, KochiFour-year-old presented with high grade intermittent fever (T max- 102`F) and left lower limb pain of two weeks duration. She was initially managed at a local hospital symptomatically and then later with antibiotics (Inj. Ceftriaxone for four days). Persistence of fever and inability to bear weight led Read More …